Exam 19: Addictions and Compulsions

Which question has the highest priority when assessing a newly admitted patient with a history of alcohol abuse?

A patient who was admitted for a heroin overdose received naloxone (Narcan),which improved the breathing pattern.Two hours later,the patient reports muscle aches,abdominal cramps,gooseflesh and says,"I feel terrible." Which analysis is correct?

Select the most appropriate outcome for a patient completing the fourth alcohol detoxification program in 1 year.Before discharge,the patient will

Which assessment findings will the nurse expect in an individual who has just injected heroin?

Which is an important nursing intervention when giving care to a patient withdrawing from a central nervous system (CNS)stimulant?

A patient has smoked two packs of cigarettes daily for many years.When the patient does not smoke or tries to cut back,anxiety,craving,poor concentration,and headache result.What does this scenario describe?

Which nursing diagnosis would likely apply to both patients with paranoid schizophrenia and patients with amphetamine-induced psychosis?

The treatment team plans care for a person diagnosed with paranoid schizophrenia and cannabis abuse.The person has recently used cannabis daily and is experiencing increased hallucinations and delusions.Which principle applies to care planning?

A new patient in an alcoholism rehabilitation program says,"I'm just a social drinker.I usually have a drink or two at brunch,a few cocktails in the afternoon,wine at dinner,and a few drinks in the evening." Which response by the nurse will help the patient view the drinking more honestly?

A patient asks for information about Alcoholics Anonymous (AA).Which is the nurse's best response?

Which assessment findings best correlate to the withdrawal from central nervous system depressants?

A patient admitted yesterday for injuries sustained while intoxicated believes the window blinds are snakes trying to get into the room.The patient is anxious,agitated,and diaphoretic.Which medication can the nurse anticipate the health care provider will prescribe?

Which assessment findings support a nurse's suspicion that a patient has been using inhalants?

Which statement most accurately describes substance dependence?

A woman in the last trimester of pregnancy drinks 8 to 12 ounces of alcohol daily.The nurse plans for the delivery of an infant who is:

A patient admitted to an alcoholism rehabilitation program says,"I'm just a social drinker.I usually have a drink or two at brunch,a few cocktails in the afternoon,wine at dinner,and several drinks during the evening." Which defense mechanism is evident?

An alcohol-dependent individual says,"Drinking helps me cope with being a single parent." Which response by the nurse would help the individual conceptualize the drinking more objectively?

A nurse with a history of narcotic dependence is found unconscious in the hospital locker room after overdosing.The nurse is transferred to the inpatient chemical dependence unit for care.Which attitudes or behaviors by nursing staff may be enabling?

A patient undergoing alcohol rehabilitation decides to accept disulfiram (Antabuse)therapy to avoid impulsively responding to drinking cues.Which information should be included in the discharge teaching for this patient? Select all that apply.

A patient was admitted last night with a hip fracture sustained in a fall while intoxicated.The patient points to the Buck traction and screams,"Somebody tied me up with ropes." The patient is experiencing: