Exam 56: Substance-Related Disorders

A patient has been diagnosed with alcoholism.The nurse tells him that he has a physical illness with a genetic predisposition to alcoholism,and the only effective treatment is total abstinence from alcohol.This type of approach characterizes which one of the following theories?

The nurse explains that a test that can detect substance abuse for up to 1 year after only 2 or 3 days of use is performed on ____________________.

A nursing diagnosis that is appropriate for a patient with substance abuse is:

A patient who is an alcoholic is brought to the inpatient psychiatric unit saying that he does not know where he is or what day it is.Because he has a history of heavy drinking,you suspect that he is having:

The nurse counsels a pregnant cocaine abuser that her cocaine use places the baby at risk for:

The treatment plans for abusers of alcohol and drugs are similar-90 meetings in 90 days and 12-step programs.The major difference in the success of the two types of abusers is that:

When an alcoholic,who was brought in 12 hours earlier in an intoxicated state,begins to exhibit tremors,has increased blood pressure,and is agitated,the nurse assesses that the patient is in:

An implementation that can be used to help prevent relapse in a patient who has a substance abuse problem is:

The nurse recommends to an alcoholic that he join Alcoholics Anonymous because this organization is:

The nurse explains that because the drug disulfiram (Antabuse)is deemed inappropriate,the patient has been put on the most reliable substitute,____________________,which causes similar but less severe side effects in the alcoholic who continues to drink.

A patient with an alcohol addiction says,"My drinking is all my wife's fault.She makes me so crazy I just have to have a drink." This is an example of:

In assisting with the development of a nursing care plan for a patient who has been using cocaine for 5 years,the nurse will include provisions to deal with:

During the taking of a medical history,the patient who is addicted to heroin reports he only uses the drug a few times a week.The nurse's best response that would disclose more precise information would be:

The adolescent is extremely vulnerable to substance abuse because the adolescent: (Select all that apply.)

The nurse clarifies that when a urine sample is needed for screening in a case of DWI or other crime,the specimen should: (Select all that apply.)

The nurse clarifies that a hair analysis done on an alcoholic: (Select all that apply.)

Substance abuse might be suspected in a patient who has a(n):

The nurse takes into consideration that alcohol abuse in the older adult may place them at risk for: (Select all that apply.)

The nurse is discharging a patient with a pulmonary disorder to return home with her family.She has had a difficult time while in the hospital and has experienced withdrawal from tobacco.When the nurse tells her that community resources are available to help her to stop smoking,she says,"That's OK.I can stop whenever I want to." This is an example of:

The nurse is aware that the alcoholic is at risk for a syndrome related to thiamine deficiency,which is: