Question 1

Which principle of recovery is the basis of the nurse's response when a patient relapses and is hospitalized for alcohol detox treatment?

Accepted Answer

A)  Alcoholism requires a lifelong commitment to control. 
B)  Most people who are serious about treatment achieve sobriety. 
C)  Relapsing is an expected occurrence for the patient diagnosed with alcohol abuse. 
D)  Rehabilitation generally involves several relapses before true sobriety is achieved. 
A)  Alcoholism requires a lifelong commitment to control. 
B)  Most people who are serious about treatment achieve sobriety. 
C)  Relapsing is an expected occurrence for the patient diagnosed with alcohol abuse. 
D)  Rehabilitation generally involves several relapses before true sobriety is achieved. D

Question 2

A patient recently discharged from an alcohol rehabilitation program is brought to the hospital in a state of prostration with severe throbbing headache,tachycardia,a beet-red face,dyspnea,and continuous vomiting.The patient's significant other states the patient got sick about 15 minutes after drinking a glass of wine.The nurse should be guided in assessment by the suspicion that the patient:

Accepted Answer

A)  Is having a stroke 
B)  Has alcohol intoxication 
C)  Is reacting to disulfiram (Antabuse) 
D)  Is exhibiting symptoms of cross-dependence 
A)  Is having a stroke 
B)  Has alcohol intoxication 
C)  Is reacting to disulfiram (Antabuse) 
D)  Is exhibiting symptoms of cross-dependence C

Question 3

If an individual is admitted with a diagnosis of Wernicke-Korsakoff's syndrome,the nurse would expect to assess:

Accepted Answer

A)  Peptic ulcer 
B)  Vivid illusions 
C)  Cognitive deficits 
D)  Auditory hallucinations 
A)  Peptic ulcer 
B)  Vivid illusions 
C)  Cognitive deficits 
D)  Auditory hallucinations C

Question 4

Which nursing intervention best demonstrates an understanding of the relationship between confirmed intravenous drug abuse and specific infections?

Accepted Answer

A)  Screening the patient for hepatitis B virus (HBV) 
B)  Assessing the patient for potentially infected injection sites 
C)  Determining if the patient has ever been tested for human immunodeficiency virus (HIV) 
D)  Evaluating the patient's understanding of the increased risk for developing sexually transmitted diseases 
A)  Screening the patient for hepatitis B virus (HBV) 
B)  Assessing the patient for potentially infected injection sites 
C)  Determining if the patient has ever been tested for human immunodeficiency virus (HIV) 
D)  Evaluating the patient's understanding of the increased risk for developing sexually transmitted diseases

Question 5

A nurse engaged in primary prevention for substance abuse among adolescents could advise parents to (select all that apply):

Accepted Answer

A)  Watch for signs of depression. 
B)  Help the teen anticipate pressures. 
C)  Be a role model for effective coping skills. 
D)  Support the teen's interest in hobbies and sports. 
E)  Require academic tutoring when grades begin to drop. 
A)  Watch for signs of depression. 
B)  Help the teen anticipate pressures. 
C)  Be a role model for effective coping skills. 
D)  Support the teen's interest in hobbies and sports. 
E)  Require academic tutoring when grades begin to drop.

Question 6

Which nursing intervention demonstrates an understanding regarding the primary form of substance use disorder among older adults?

Accepted Answer

A)  Assessing the patient's hands and feet for the presence of both numbness and tingling 
B)  Having the patient, "describe your relationship with you adult children, co-workers, and friends." 
C)  Asking, "Please identify for me all the medications both prescribed and over the counter you regularly take." 
D)  Evaluate the patient's understanding of the possible health risks that alcohol and medication abuse has on one's health 
A)  Assessing the patient's hands and feet for the presence of both numbness and tingling 
B)  Having the patient, "describe your relationship with you adult children, co-workers, and friends." 
C)  Asking, "Please identify for me all the medications both prescribed and over the counter you regularly take." 
D)  Evaluate the patient's understanding of the possible health risks that alcohol and medication abuse has on one's health

Question 7

Which assessment data would bring into question a patient's statement that,"I have only a few drinks on special occasions."?

Accepted Answer

A)  History of treatment for glaucoma 
B)  Fasting serum blood glucose level of 182 mg/dL 
C)  Patient reports numbness in hands and feet bilaterally 
D)  Red rash observed over neck, shoulders, and upper chest 
A)  History of treatment for glaucoma 
B)  Fasting serum blood glucose level of 182 mg/dL 
C)  Patient reports numbness in hands and feet bilaterally 
D)  Red rash observed over neck, shoulders, and upper chest

Question 8

Which social factor has the greatest impact on the changing nature of alcohol abuse treatment?

Accepted Answer

A)  Development of new pharmaceutical treatment options 
B)  Dramatic increase of alcoholism among young adult males 
C)  Raising cost of both inpatient and outpatient treatment programs 
D)  Women's substance abuse only recently acknowledge by society 
A)  Development of new pharmaceutical treatment options 
B)  Dramatic increase of alcoholism among young adult males 
C)  Raising cost of both inpatient and outpatient treatment programs 
D)  Women's substance abuse only recently acknowledge by society

Question 9

When suspicious of possible fetal alcohol syndrome,which assessment findings would support this diagnosis? Select all that apply.

Accepted Answer

A)  Webbed toes 
B)  An enlarged head 
C)  Super sensitive hearing 
D)  A flattened bridge of the nose 
E)  Symptoms of a septal heart defect 
A)  Webbed toes 
B)  An enlarged head 
C)  Super sensitive hearing 
D)  A flattened bridge of the nose 
E)  Symptoms of a septal heart defect

Question 10

Which intervention will the nurse plan for when managing the detoxification of a patient diagnosed with chronic alcoholism?

Accepted Answer

A)  Low-protein diet to minimize risk of kidney failure 
B)  Seclusion to help manage aggression towards others 
C)  Transporting patient to scheduled 12-step support group meetings 
D)  Administering Ativan (lorazepam) to manage alcohol withdrawal symptoms 
A)  Low-protein diet to minimize risk of kidney failure 
B)  Seclusion to help manage aggression towards others 
C)  Transporting patient to scheduled 12-step support group meetings 
D)  Administering Ativan (lorazepam) to manage alcohol withdrawal symptoms

Question 11

Which observation best supports the patient's success with achieving long-term sobriety?

Accepted Answer

A)  Asking a family member to, "get rid of all the alcohol before I come home" 
B)  Identifying all the problems alcoholism has caused the family over the years 
C)  Being able to discuss the importance of attending a support group for alcoholics 
D)  Promising to, "stop the drinking so I can be a good parent and raise a good child" 
A)  Asking a family member to, "get rid of all the alcohol before I come home" 
B)  Identifying all the problems alcoholism has caused the family over the years 
C)  Being able to discuss the importance of attending a support group for alcoholics 
D)  Promising to, "stop the drinking so I can be a good parent and raise a good child"

Question 12

Which assessment observation is the best support for a patient's diagnosis of alcoholism?

Accepted Answer

A)  Reporting, "I messed up three marriages." 
B)  Testing positive for hepatitis B virus (HBV) 
C)  Admission that, "I drink more than I should." 
D)  A positive response to three items on the CAGE test 
A)  Reporting, "I messed up three marriages." 
B)  Testing positive for hepatitis B virus (HBV) 
C)  Admission that, "I drink more than I should." 
D)  A positive response to three items on the CAGE test

Question 13

Which outcome would be appropriate for the detoxification phase of treatment for alcoholism?

Accepted Answer

A)  Adequate dietary protein intake 
B)  Re-connection with family and support system 
C)  Identification of triggers that cause alcohol abuse 
D)  Control over emotions resulting in aggressive behavior 
A)  Adequate dietary protein intake 
B)  Re-connection with family and support system 
C)  Identification of triggers that cause alcohol abuse 
D)  Control over emotions resulting in aggressive behavior

Question 14

Which assessment demonstrates the nurse's understanding of the relationship between substance abuse and the development of symptoms characteristic of delirium?

Accepted Answer

A)  Determining the patient's age and gender 
B)  Evaluating the patient's food and fluid intake over the last 48 hours 
C)  Observing the patient for fine tremors of the hands, especially the fingers 
D)  Determining the amount of caffeine the patient ingested in the last 24 hours 
A)  Determining the patient's age and gender 
B)  Evaluating the patient's food and fluid intake over the last 48 hours 
C)  Observing the patient for fine tremors of the hands, especially the fingers 
D)  Determining the amount of caffeine the patient ingested in the last 24 hours

Question 15

Which sociological aspect,vital to relapse prevention,is greatly affected when a patient is found to have a dual diagnosis of psychosis and alcoholism?

Accepted Answer

A)  Ability to afford the cost of outpatient services 
B)  A supportive, reliable, accessible support system 
C)  Protection from both physical and emotional abuse 
D)  Access to reasonable housing and employment opportunities 
A)  Ability to afford the cost of outpatient services 
B)  A supportive, reliable, accessible support system 
C)  Protection from both physical and emotional abuse 
D)  Access to reasonable housing and employment opportunities

Question 16

Which intervention has priority when a nurse suspects a staff member of providing patient care while being impaired by alcohol or drugs?

Accepted Answer

A)  Asking the staff member to explain their suspicious behavior 
B)  Adjust the staff member's assignment to minimize patient contact 
C)  Providing the staff member with material regarding alcohol abuse and treatment 
D)  Reporting the staff member's suspicious behavior to the nursing supervisor on duty 
A)  Asking the staff member to explain their suspicious behavior 
B)  Adjust the staff member's assignment to minimize patient contact 
C)  Providing the staff member with material regarding alcohol abuse and treatment 
D)  Reporting the staff member's suspicious behavior to the nursing supervisor on duty

Question 17

Which protocol should guide the nurse responsible for administering pharmacologic interventions for a patient who is experiencing alcohol intoxication?

Accepted Answer

A)  Medication interventions are based on the presence of withdrawal symptoms. 
B)  Medications are prescribed at appropriate intervals for at least one full week. 
C)  Symptoms are managed with medications for only the initial 24 hours of hospitalization. 
D)  Medications are introduced to treat grand mal seizures that may accompany withdrawal symptoms. 
A)  Medication interventions are based on the presence of withdrawal symptoms. 
B)  Medications are prescribed at appropriate intervals for at least one full week. 
C)  Symptoms are managed with medications for only the initial 24 hours of hospitalization. 
D)  Medications are introduced to treat grand mal seizures that may accompany withdrawal symptoms.

Question 18

Which intervention will the nurse caring for a patient suspected of phencyclidine (PCP)abuse implement based on an understanding of the medication's unique properties?

Accepted Answer

A)  Assessing for chronic renal failure 
B)  Focusing attention on providing patient safety 
C)  Implementing suicide precautions immediately 
D)  Monitoring for delayed development of psychotic symptoms 
A)  Assessing for chronic renal failure 
B)  Focusing attention on providing patient safety 
C)  Implementing suicide precautions immediately 
D)  Monitoring for delayed development of psychotic symptoms

Question 19

Which observation seen in a teenage patient supports the suspicion of anabolic steroid abuse?

Accepted Answer

A)  Lack of facial hair 
B)  Ritualized hand washing 
C)  Stealing and hiding a magazine belonging to another patient 
D)  Throwing a chair when told it was time to turn off the television 
A)  Lack of facial hair 
B)  Ritualized hand washing 
C)  Stealing and hiding a magazine belonging to another patient 
D)  Throwing a chair when told it was time to turn off the television

Question 20

Which question is most appropriate when assessing a patient who is exhibiting symptoms of a systemic infection including a fever of unknown origin?

Accepted Answer

A)  "Are you an intravenous drug user?" 
B)  "Have you been told that you drink too much alcohol?" 
C)  "Have you been diagnosed with an acute bacterial infection before?" 
D)  "Are you familiar with an infection of the heart called endocarditis?" 
A)  "Are you an intravenous drug user?" 
B)  "Have you been told that you drink too much alcohol?" 
C)  "Have you been diagnosed with an acute bacterial infection before?" 
D)  "Are you familiar with an infection of the heart called endocarditis?"

Exam 15: Substance Related Disorders and Addictive Behaviors

Which principle of recovery is the basis of the nurse's response when a patient relapses and is hospitalized for alcohol detox treatment?

If an individual is admitted with a diagnosis of Wernicke-Korsakoff's syndrome,the nurse would expect to assess:

Which nursing intervention best demonstrates an understanding of the relationship between confirmed intravenous drug abuse and specific infections?

A nurse engaged in primary prevention for substance abuse among adolescents could advise parents to (select all that apply):

Which nursing intervention demonstrates an understanding regarding the primary form of substance use disorder among older adults?

Which assessment data would bring into question a patient's statement that,"I have only a few drinks on special occasions."?

Which social factor has the greatest impact on the changing nature of alcohol abuse treatment?

When suspicious of possible fetal alcohol syndrome,which assessment findings would support this diagnosis? Select all that apply.

Which intervention will the nurse plan for when managing the detoxification of a patient diagnosed with chronic alcoholism?

Which observation best supports the patient's success with achieving long-term sobriety?

Which assessment observation is the best support for a patient's diagnosis of alcoholism?

Which outcome would be appropriate for the detoxification phase of treatment for alcoholism?

Which assessment demonstrates the nurse's understanding of the relationship between substance abuse and the development of symptoms characteristic of delirium?

Which sociological aspect,vital to relapse prevention,is greatly affected when a patient is found to have a dual diagnosis of psychosis and alcoholism?

Which intervention has priority when a nurse suspects a staff member of providing patient care while being impaired by alcohol or drugs?

Which protocol should guide the nurse responsible for administering pharmacologic interventions for a patient who is experiencing alcohol intoxication?

Which intervention will the nurse caring for a patient suspected of phencyclidine (PCP)abuse implement based on an understanding of the medication's unique properties?

Which observation seen in a teenage patient supports the suspicion of anabolic steroid abuse?

Which question is most appropriate when assessing a patient who is exhibiting symptoms of a systemic infection including a fever of unknown origin?

Psychiatric Nursing: Theory, Principles, and Trends

Nursing Practice in the Clinical Setting

The Nursing Process and Standards of Care

Therapeutic Communication: Interviews and Interventions

Adaptation to Stress

Neurobiology in Mental Health and Mental Disorder

Human Development Across the Life Span

Culture, Ethnicity, and Spirituality

Legal and Ethical Aspects in Clinical Practice

Anxiety and Anxiety Disorders

Somatoform, Factitious, and Dissociative Disorders

Mood Disorders: Depression, Bipolar, and Adjustment Disorders

Schizophrenia and Other Psychotic Disorders

Personality Disorders

Cognitive Disorders: Delirium, Dementia, and Amnestic Disorders

Disorders of Infancy, Childhood, and Adolescence

Eating Disorders: Anorexia Nervosa and Bulimia Nervosa

Sleep Disorders: Dyssomnias and Parasomnias

Sexual Disorders: Sexual Dysfunctions and Paraphilias

Crisis: Theory and Intervention

Suicide: Prevention and Intervention

Violence: Anger, Abuse, and Aggression

Forensic Nursing

Psychopharmacology

Therapies: Theory and Clinical Practice

Complementary and Alternative Therapies

Grief: In Loss and Death

Mental and Emotional Responses to Medical Illness

Community Mental Health Nursing for Patients with Severe and Persistent Mental Illness

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