Question 1

On the first day of a client's alcohol detoxification, which nursing intervention should take priority?

Accepted Answer

A)  Strongly encourage the client to attend 90 Alcoholics Anonymous (A
A)  meetings in 90 days. 
B)  Educate the client about the biopsychosocial consequences of alcohol abuse. 
C)  Administer ordered chlordiazepoxide (Librium) in a dosage according to protocol. 
D)  Provide thiamin supplements to prevent Wernicke-Korsakoff syndrome. 
A)  Strongly encourage the client to attend 90 Alcoholics Anonymous (A
A)  meetings in 90 days. 
B)  Educate the client about the biopsychosocial consequences of alcohol abuse. 
C)  Administer ordered chlordiazepoxide (Librium) in a dosage according to protocol. 
D)  Provide thiamin supplements to prevent Wernicke-Korsakoff syndrome.

Question 2

Which client statement indicates a knowledge deficit related to a substance use disorder?

Accepted Answer

A)  "Although it's legal, alcohol is one of the most widely abused drugs in our society." 
B)  "Tolerance to heroin develops quickly." 
C)  "Flashbacks from lysergic acid diethylamide (LS
D)  use may reoccur spontaneously." 
D)  "Marijuana is like smoking cigarettes. Everyone does it. It's essentially harmless." 
A)  "Although it's legal, alcohol is one of the most widely abused drugs in our society." 
B)  "Tolerance to heroin develops quickly." 
C)  "Flashbacks from lysergic acid diethylamide (LS
D)  use may reoccur spontaneously." 
D)  "Marijuana is like smoking cigarettes. Everyone does it. It's essentially harmless."

Question 3

The nurse holds the hand of a client who is experiencing alcohol withdrawal. The nurse is assessing for which condition?

Accepted Answer

A)  Emotional strength 
B)  Wernicke-Korsakoff syndrome 
C)  Tachycardia 
D)  Coarse tremors 
A)  Emotional strength 
B)  Wernicke-Korsakoff syndrome 
C)  Tachycardia 
D)  Coarse tremors

Question 4

A clinic nurse is about to meet with a client diagnosed with a gambling disorder. The nurse would assess which symptoms and behaviors? (Select all that apply.)

Accepted Answer

A)  Stressful situations precipitate gambling behaviors. 
B)  Anticipation and restlessness can only be relieved by placing a bet. 
C)  Winning brings about feelings of sexual satisfaction. 
D)  Gambling is used as a coping strategy. 
E)  Compulsive gambling began in early adolescence. 
A)  Stressful situations precipitate gambling behaviors. 
B)  Anticipation and restlessness can only be relieved by placing a bet. 
C)  Winning brings about feelings of sexual satisfaction. 
D)  Gambling is used as a coping strategy. 
E)  Compulsive gambling began in early adolescence.

Question 5

The nurse evaluates a client's patient-controlled analgesia (PCA) pump and notices 50 attempts within a 15-minute period. Which is the best rationale for assessing this client for substance addiction?

Accepted Answer

A)  Narcotic pain medication is contraindicated for all clients with active substance use disorders. 
B)  Clients who are addicted to alcohol or benzodiazepines may develop cross-tolerance to analgesics and require increased doses to achieve effective pain control. 
C)  There is no need to assess the client for substance addiction. There is an obvious PCA malfunction, because these clients have a higher pain tolerance. 
D)  The client is experiencing alcohol withdrawal symptoms and needs accurate assessment. 
A)  Narcotic pain medication is contraindicated for all clients with active substance use disorders. 
B)  Clients who are addicted to alcohol or benzodiazepines may develop cross-tolerance to analgesics and require increased doses to achieve effective pain control. 
C)  There is no need to assess the client for substance addiction. There is an obvious PCA malfunction, because these clients have a higher pain tolerance. 
D)  The client is experiencing alcohol withdrawal symptoms and needs accurate assessment.

On the first day of a client's alcohol detoxification, which nursing intervention should take priority?

Which client statement indicates a knowledge deficit related to a substance use disorder?

The nurse holds the hand of a client who is experiencing alcohol withdrawal. The nurse is assessing for which condition?

A clinic nurse is about to meet with a client diagnosed with a gambling disorder. The nurse would assess which symptoms and behaviors? (Select all that apply.)

The nurse evaluates a client's patient-controlled analgesia (PCA) pump and notices 50 attempts within a 15-minute period. Which is the best rationale for assessing this client for substance addiction?

Mental Health and Mental Illness

Biological Implications

Ethical and Legal Issues

Psychopharmacology

Relationship Development and Therapeutic Communication

The Nursing Process in Psychiatricmental Health Nursing

Milieu Therapythe Therapeutic Community

Interventions in Groups

Crisis Intervention

The Recovery Model

Suicide Prevention

Caring for Clients With Mental Illness and Substance Use Disorders in General Practice Settings

Neurocognitive Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Depressive Disorders

Anxiety, Obsessive-Compulsive, and Related Disorders

Bipolar and Related Disorders

Trauma- and Stressor-Related Disorders

Somatic Symptom and Dissociative Disorders

Eating Disorders

Personality Disorders

Children and Adolescents

The Aging Individual

Survivors of Abuse or Neglect

Community Mental Health Nursing

The Bereaved Individual

Military Families

Concepts of Personality Development

Complementary and Psychosocial Therapies

Cultural and Spiritual Concepts Relevant to Psychiatric-Mental Health Nursing

Issues Related to Human Sexuality and Gender Dysphoria

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Exam 14: Substance Use and Addictive Disorders

On the first day of a client's alcohol detoxification, which nursing intervention should take priority?

Which client statement indicates a knowledge deficit related to a substance use disorder?

The nurse holds the hand of a client who is experiencing alcohol withdrawal. The nurse is assessing for which condition?

A clinic nurse is about to meet with a client diagnosed with a gambling disorder. The nurse would assess which symptoms and behaviors? (Select all that apply.)

The nurse evaluates a client's patient-controlled analgesia (PCA) pump and notices 50 attempts within a 15-minute period. Which is the best rationale for assessing this client for substance addiction?

Mental Health and Mental Illness

Biological Implications

Ethical and Legal Issues

Psychopharmacology

Relationship Development and Therapeutic Communication

The Nursing Process in Psychiatricmental Health Nursing

Milieu Therapythe Therapeutic Community

Interventions in Groups

Crisis Intervention

The Recovery Model

Suicide Prevention

Caring for Clients With Mental Illness and Substance Use Disorders in General Practice Settings

Neurocognitive Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Depressive Disorders

Anxiety, Obsessive-Compulsive, and Related Disorders

Bipolar and Related Disorders

Trauma- and Stressor-Related Disorders

Somatic Symptom and Dissociative Disorders

Eating Disorders

Personality Disorders

Children and Adolescents

The Aging Individual

Survivors of Abuse or Neglect

Community Mental Health Nursing

The Bereaved Individual

Military Families

Concepts of Personality Development

Complementary and Psychosocial Therapies

Cultural and Spiritual Concepts Relevant to Psychiatric-Mental Health Nursing

Issues Related to Human Sexuality and Gender Dysphoria

Filters