Exam 22: Substance Related and Addictive Disorders

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 took a large quantity of bath salts.Priority nursing and medical measures include: (select all that apply)

A patient diagnosed with alcoholism asks,"How will Alcoholics Anonymous (AA)help me?" Select the nurse's best response.

The nurse can assist a patient to prevent substance abuse relapse by: (select all that apply)

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

A patient undergoing alcohol rehabilitation decides to begin disulfiram (Antabuse)therapy.Patient teaching should include the need to: (select all that apply)

A patient admitted yesterday for injuries sustained while intoxicated believes bugs are crawling on the bed.The patient is anxious,agitated,and diaphoretic.What is the priority nursing diagnosis?

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

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?

Which features should be present in a therapeutic milieu for a patient with a hallucinogen overdose?

A new patient beginning an alcoholism rehabilitation program says,"I'm just a social drinker.I usually have one drink at lunch,two in the afternoon,wine at dinner,and a few drinks during the evening." Select the nurse's most therapeutic responses.Select all that apply.

Select the priority outcome for a patient completing the fourth alcohol-detoxification program in the past year.Prior to discharge,the patient will:

In the emergency department,a patient's vital signs are BP 66/40 mm Hg; pulse 140 beats/min; respirations 8 breaths/min and shallow.The nursing diagnosis is Ineffective breathing pattern related to depression of respiratory center secondary to narcotic intoxication.Select the priority outcome.

A patient diagnosed with an alcohol abuse disorder says,"Drinking helps me cope with being a single parent." Which therapeutic response by the nurse would help the patient conceptualize the drinking objectively?

A patient admitted for injuries sustained while intoxicated has been hospitalized for 48 hours.The patient is now shaky,irritable,anxious,diaphoretic,and reports nightmares.The pulse rate is 130 beats/min.The patient shouts,"Bugs are crawling on my bed.I've got to get out of here." Select the most accurate assessment of this situation.The patient:

Police bring a patient to the emergency department after an automobile accident.The patient demonstrates ataxia and slurred speech.The blood alcohol level is 500 mg%.Considering the relationship between the behavior and blood alcohol level,which conclusion is most probable? The patient:

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 defense mechanism?

A nurse reviews vital signs for a patient admitted with an injury sustained while intoxicated.The medical record shows these blood pressure and pulse readings at the times listed: 0200: $\quad$ 118/78 mm Hg and 72 beats/min 0400: $\quad$ 126/80 mm Hg and 76 beats/min 0600: $\quad$ 128/82 mm Hg and 72 beats/min 0800: $\quad$ 132/88 mm Hg and 80 beats/min 1000: $\quad$ 148/94 mm Hg and 96 beats/min What is the nurse's priority action?

A patient is thin,tense,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?

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