Exam 14: Substance Use and Addictive Disorders

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

A lonely,depressed divorcée has been self-medicating with small amounts of cocaine for the past year.Which term should a nurse use to best describe this individual's situation?

A nurse is assessing a pathological gambler.What would differentiate this client's behaviors from the behaviors of a non-pathological gambler?

Order the following stages of the codependency recovery process according to Cermak. ________ The Core Issues Stage ________ The Reintegration Stage ________ The Survival Stage ________ The Reidentification Stage

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

A client diagnosed with a gambling disorder asks the nurse about medications that may be ordered by the client's physician to treat this disorder.The nurse would give the client information on which medications?

What should be the priority nursing diagnosis for a client experiencing alcohol withdrawal?

A client diagnosed with major depressive episode and substance use disorder has an altered sleep pattern and demands that a psychiatrist prescribe a sedative.Which rationale explains why a nurse should encourage the client to first try nonpharmacological interventions?

A nurse holds the hand of a client who is withdrawing from alcohol.What is the nurse's rationale for this intervention?

Which medication orders should a nurse anticipate for a client who has a history of benzodiazepine withdrawal delirium?

A nursing supervisor is about to meet with a staff nurse suspected of diverting client medications.Which of the following assessment data would lead the supervisor to suspect that the staff nurse is impaired? (Select all that apply.)

A nurse is reviewing the stat laboratory data of a client in the emergency department.At what minimum blood alcohol level should a nurse expect intoxication to occur?

Which client statement demonstrates positive progress toward recovery from a substance use disorder?

A clinic nurse is about to meet with a client diagnosed with a gambling disorder.Which of the following symptoms and/or behaviors is the nurse likely to assess? (Select all that apply.)

A nurse evaluates a client's patient-controlled analgesia (PCA)pump and notices 100 attempts within a 30-minute period.Which is the best rationale for assessing this client for substance addiction?

A nurse is interviewing a client in an outpatient addiction clinic.To promote success in the recovery process,which outcome should the nurse expect the client to initially accomplish?

A client with a history of heavy alcohol use is brought to an emergency department (ED)by family members who state that the client has had nothing to drink in the last 48 hours.When the nurse reports to the ED physician,which client symptom should be the nurse's first priority?

A client presents with symptoms of alcohol withdrawal and states,"I haven't eaten in three days." A nurse's assessment reveals BP 170/100 mm Hg,P 110,R 28,and T 97 $\degree$ F (36 $\degree$ C)with dry mucous membranes and poor skin turgor.What should be the priority nursing diagnosis?

A client diagnosed with chronic alcohol addiction is being discharged from an inpatient treatment facility after detoxification.Which client outcome,related to AA,would be most appropriate for a nurse to discuss with the client during discharge teaching?

A nursing instructor is teaching nursing students about cirrhosis of the liver.Which of the following statements about the complications of hepatic encephalopathy should indicate to the nursing instructor that further student teaching is needed? (Select all that apply.)