Exam 23: Substance-Related and Addictive Disorders

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

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

A client has a history of daily bourbon drinking for the past 6 months.He is brought to an emergency department by family,who report that his last drink was 1 hour ago.It is now 12 midnight.When should a nurse expect this client to exhibit withdrawal symptoms?

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

A recovering alcoholic relapses and drinks a glass of wine.The client presents in the emergency department (ED)experiencing severe throbbing headache,tachycardia,flushed face,dyspnea,and continuous vomiting.What may these symptoms indicate to the ED nurse?

A client's wife has been making excuses for her alcoholic husband's work absences.In family therapy,she states,"I just need to work harder to get him there on time." Which is the appropriate nursing response?

A mother who has a history of chronic heroin use has lost custody of her children due to abuse and neglect.She has been admitted to an inpatient drug rehabilitation program.Which client statement should a nurse associate with a positive prognosis for this client?

In assessing a client with polysubstance abuse,the nurse should recognize that withdrawal from which substance may require a life-saving emergency intervention?

A nurse is caring for a client who has been prescribed disulfiram (Antabuse)as a deterrent to alcohol relapse.Which information should the nurse include when teaching the client about this medication?

A client diagnosed with alcohol use disorder joins a community 12-step program and states,"My life is unmanageable." How should the nurse interpret this client's statement?

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

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

Upon admission for symptoms of alcohol withdrawal,a client states,"I haven't eaten in 3 days." Assessment reveals BP 170/100 mm Hg,P 110,R 28,and T 97°F (36°C)with dry skin,dry mucous membranes,and poor skin turgor.What should be the priority nursing diagnosis?

During group therapy,a client diagnosed with alcohol use disorder states,"I would not have boozed it up if my wife hadn't been nagging me all the time to get a job.She never did think that I was good enough for her." How should a nurse interpret this statement?

Which term should a nurse use to describe the administration of a central nervous system (CNS)depressant during alcohol withdrawal?

Which medication orders should a nurse anticipate for a client who has a history of complicated withdrawal from benzodiazepines?

Which of the following nursing statements exemplify important insights that will promote effective intervention with clients diagnosed with substance use disorders? Select all that apply.

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

A client is admitted for alcohol detoxification.During detoxification,which symptoms should the nurse expect to assess?

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