Exam 23: Chemically Mediated Responses and Substance-Related Disorders

An unconscious patient is brought to the emergency department.It is suspected the patient overdosed on heroin.What drug can the nurse anticipate will be administered?

A patient asks a nurse,"What is the primary aim of self-help groups for alcohol abusers?" The nurse should reply,"The goal is first to:

A nurse using cognitive behavioral therapy to treat a patient with substance abuse problems will:

A patient sustained a fractured femur while driving under the influence of drugs.Family members indicate that the patient has "dabbled in drugs" for years.When the patient obtains little relief from the prescribed dose of narcotic analgesic,the nurse suspects the ineffective pain relief is related to:

A short-term goal for a patient in the early stage of therapy for addiction to sedatives and stimulants is,"The patient will:

The most positive initial action for a health care agency to take for an impaired nurse would be:

The spouse of a patient with alcoholism asks,"How do I respond in a helpful way even though this abuse is so harmful to my family?" The nurse's best response would be:

Care planning for a patient undergoing detoxification for both alcohol and sedative-hypnotics is based on the treatment principle that states that:

An individual who is admitted to an alcohol detoxification unit has had no alcohol intake for 3 days.On admission the patient is noted to have tremors,anxiety,insomnia,and disorientation accompanied by tachycardia and diaphoresis.These signs and symptoms are characteristic of the syndrome known as:

Short-term goals related to substance abstinence include which of the following? (Select all that apply.)

Whenever possible,physical exercise and meditation should be a daily component of the ongoing program of treatment for a person with an addiction.The basis for these aspects of treatment is to make use of the body's natural:

The following are goals for a patient being treated for alcoholism.Select the order in which these goals should be approached. A.Developing alternative coping skills B.Attaining physiological stabilization C.Learning about dependence and recovery D.Abstinence and development of a support system

A novice nurse on the chemical dependence unit mentions,"The drugs of abuse all seem to cause patients to become violent." The best reply would be:

A patient addicted to both alcohol and benzodiazepines tells a nurse,"I can control my drug use anytime I want to." This statement is an example of the patient's use of:

The nursing intervention of highest priority relative to alcohol withdrawal delirium is:

An appropriate short-term goal related to abstinence for a drug abuser would be "The patient will:

A patient is brought to the emergency department to be assessed after an auto accident.The patient has slurred speech and ataxia and reacts aggressively when examined.The patient's blood alcohol level (BAL) is 0.4 g/dl.From the relationship between the behavior and the BAL,the nurse can make the assessment that the patient:

When designing a teaching plan for a patient taking disulfiram (Antabuse),a nurse should include an explanation on the importance of avoiding certain over-the-counter substances.With the appropriate instruction,which substance could the patient identify as being safe to use?

A nurse should specifically assess a patient opiate withdrawal for:

A nurse has concerns about erratic behavior and slurred speech of another member of the nursing staff.The most appropriate action for the concerned nurse to take is to: