Question 1

It will be most helpful for a nurse to describe a relapse to a recovering substance abuser as a(n):

Accepted Answer

A)  error from which to learn. 
B)  indicator of treatment failure. 
C)  event with a physiological cause. 
D)  need for additional environmental support. 
A)  error from which to learn. 
B)  indicator of treatment failure. 
C)  event with a physiological cause. 
D)  need for additional environmental support.

Question 2

In assessing risks and planning interventions,a nurse should recognize that the longer the half-life of a drug of abuse,the:

Accepted Answer

A)  shorter the withdrawal. 
B)  less intense the withdrawal symptoms. 
C)  sooner the patient will begin to crave the drug. 
D)  shorter the withdrawal and the more intense the symptoms. 
A)  shorter the withdrawal. 
B)  less intense the withdrawal symptoms. 
C)  sooner the patient will begin to crave the drug. 
D)  shorter the withdrawal and the more intense the symptoms.

Question 3

When a recovering impaired colleague returns to work,nursing professionals can be most helpful by:

Accepted Answer

A)  directly offering support. 
B)  double-checking all the nurse's activities. 
C)  assigning another nurse to watch the recovering nurse closely. 
D)  avoiding mention of the problem unless the recovering nurse mentions it. 
A)  directly offering support. 
B)  double-checking all the nurse's activities. 
C)  assigning another nurse to watch the recovering nurse closely. 
D)  avoiding mention of the problem unless the recovering nurse mentions it.

Question 4

In the emergency room a nurse learns that a patient has recently taken a large amount of the drug PCP.The nurse should be ready to provide interventions for:

Accepted Answer

A)  acute psychosis, agitation, and violence. 
B)  hypotension, sedation, and respiratory depression. 
C)  heightened sensory perceptions, dizziness, and ataxia. 
D)  paranoid thinking, hyperthermia, hyperactivity, and arrhythmias. 
A)  acute psychosis, agitation, and violence. 
B)  hypotension, sedation, and respiratory depression. 
C)  heightened sensory perceptions, dizziness, and ataxia. 
D)  paranoid thinking, hyperthermia, hyperactivity, and arrhythmias.

Question 5

A patient has been admitted in an acute psychotic state after ingesting PCP.The nurse has not been able to administer the prescribed dose of benzodiazepine because of the patient's aggressive behavior.The most appropriate intervention under these circumstances would be to:

Accepted Answer

A)  provide an alternative activity to channel energy. 
B)  move the patient to a quiet room to minimize stimulation. 
C)  perform a lavage to prevent continuing absorption of drug. 
D)  assign a nurse to stay with the patient to reassure and calm the patient. 
A)  provide an alternative activity to channel energy. 
B)  move the patient to a quiet room to minimize stimulation. 
C)  perform a lavage to prevent continuing absorption of drug. 
D)  assign a nurse to stay with the patient to reassure and calm the patient.

Question 6

A nursing diagnosis universally appropriate for patients who abuse mood-altering drugs would be:

Accepted Answer

A)  confusion. 
B)  ineffective coping. 
C)  imbalanced nutrition. 
D)  impaired environmental interpretation syndrome. 
A)  confusion. 
B)  ineffective coping. 
C)  imbalanced nutrition. 
D)  impaired environmental interpretation syndrome.

Question 7

A nurse suspects that a patient being admitted for outpatient surgery may have a history of alcohol abuse.To further assess this issue,the nurse should consider:

Accepted Answer

A)  using a screening tool, such as AUDIT-C to assess the extent of the abuse. 
B)  asking directly if the patient has ever had problems with abusing alcohol. 
C)  interviewing the family because the patient is likely to deny having a problem. 
D)  addressing the suspicion before discharge since it has no direct effect on the patient's surgery. 
A)  using a screening tool, such as AUDIT-C to assess the extent of the abuse. 
B)  asking directly if the patient has ever had problems with abusing alcohol. 
C)  interviewing the family because the patient is likely to deny having a problem. 
D)  addressing the suspicion before discharge since it has no direct effect on the patient's surgery.

Exam 23: Chemically Mediated Responses and Substance-Related Disorders

It will be most helpful for a nurse to describe a relapse to a recovering substance abuser as a(n):

In assessing risks and planning interventions,a nurse should recognize that the longer the half-life of a drug of abuse,the:

When a recovering impaired colleague returns to work,nursing professionals can be most helpful by:

In the emergency room a nurse learns that a patient has recently taken a large amount of the drug PCP.The nurse should be ready to provide interventions for:

A patient has been admitted in an acute psychotic state after ingesting PCP.The nurse has not been able to administer the prescribed dose of benzodiazepine because of the patient's aggressive behavior.The most appropriate intervention under these circumstances would be to:

A nursing diagnosis universally appropriate for patients who abuse mood-altering drugs would be:

A nurse suspects that a patient being admitted for outpatient surgery may have a history of alcohol abuse.To further assess this issue,the nurse should consider:

Roles and Functions of Psychiatric-Mental Health Nurses: Competent Caring

Therapeutic Nurse-Patient Relationship

The Stuart Stress Adaptation Model of Psychiatric Nursing Care

Evidence-Based Psychiatric Nursing Practice

Biological Context of Psychiatric Nursing Care

Psychological Context of Psychiatric Nursing Care

Social, Cultural, and Spiritual Context of Psychiatric Nursing Care

Legal and Ethical Context of Psychiatric Nursing Care

Policy and Advocacy in Mental Health Care

Families as Resources, Caregivers, and Collaborators

Implementing the Nursing Process: Standards of Practice and Professional Performance

Prevention and Mental Health Promotion

Crisis Intervention

Recovery and Psychiatric Rehabilitation

Anxiety Responses and Anxiety Disorders

Psychophysiological Responses and Somatoform and Sleep Disorders

Self-Concept Responses and Dissociative Disorders

Emotional Responses and Mood Disorders

Self-Protective Responses and Suicidal Behavior

Neurobiological Responses and Schizophrenia and Psychotic Disorders

Social Responses and Personality Disorders

Cognitive Responses and Organic Mental Disorders

Eating Regulation Responses and Eating Disorders

Sexual Responses and Sexual Disorders

Psychopharmacology

Behavior Change and Cognitive Interventions

Preventing and Managing Aggressive Behavior

Somatic Therapies

Complementary and Alternative Therapies

Therapeutic Groups

Family Interventions

Hospital-Based Psychiatric Nursing Care

Community-Based Psychiatric Nursing Care

Child Psychiatric Nursing

Adolescent Psychiatric Nursing

Geropsychiatric Nursing

Care of Survivors of Abuse and Violence

The Military and Their Families

Psychological Care of Patients with Life-Threatening Illness

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