Exam 18: Psychoactive Substance Use and Treatment

Which assessment findings are likely for an individual who recently injected heroin?

Police bring a patient to the emergency department after an automobile accident. The patient demonstrates ataxia and slurred speech. The blood alcohol level is 0.50 mg%. Considering the relationship between the behaviour and blood alcohol level, which conclusion is most probable?

Family members of an individual undergoing a residential alcohol rehabilitation program ask, "How can we help?" Select the nurse's best response.

Which of the following symptoms of withdrawal from opioids should the nurse assess?

A nurse prepares for an initial interaction with a patient with a long history of methamphetamine abuse. Which is the nurse's best first action?

The nurse can assist a patient to prevent substance abuse relapse by doing which of the following?

During the third week of treatment, the spouse of a patient in a rehabilitation program for substance abuse says, "After this treatment program, I think everything will be all right." Which remark by the nurse will be most helpful to the spouse?

A patient has smoked two packs of cigarettes daily for many years. When the patient tries to reduce smoking, anxiety, craving, poor concentration, and headache occur. Which of the following does this scenario describe?

A young woman has been admitted to hospital for use of room deodorizers as inhalants. Which is a sign of intoxication from inhaling volatile nitrites such as room deodorizers?

A patient is thin, tense, and jittery and has dilated pupils. The patient says, "My heart is pounding in my chest. I need help." The patient allows vital signs to be taken but then becomes suspicious and says, "You could be trying to kill me." The patient refuses further examination. Abuse of which substance is most likely?

What behaviours would the nurse expect to assess in a nontolerant drinker with a blood alcohol level of 0.20 mg%?

Which medication to maintain abstinence would most likely be prescribed for patients with an addiction to either alcohol or opioids?

A patient admitted to an alcoholism rehabilitation program tells the nurse, "I'm actually just a social drinker. I usually have a drink at lunch, two in the afternoon, wine with dinner, and a few drinks during the evening." The patient is using which defence mechanism?

When a patient first began using alcohol, two drinks produced relaxation and drowsiness. After 1 year, four drinks are needed to achieve the same response. Why has this change occurred?