Deck 95: Extended Care

Question 1

The nurse counseling clients diagnosed with chemical abuse issues discusses the warning signs with their families. Which is a sign of chemical abuse?

A) Recurrent use-related legal problems
B) Need for more of the drug to cause intoxication
C) Withdrawal symptoms occur when the client stops using the drug
D) Client cannot stop using the drug

Answer 1

Recurrent use-related legal problems

Question 2

The school nurse is teaching adolescents about the danger of chemical dependency. Which teaching point should the nurse include?

A) Chemical dependency can lead to diabetes mellitus.
B) Chemical dependency can lead to various mental disorders.
C) Chemical dependency is based on direct biologic transmission.
D) Chemical dependency is often considered the most potent precipitating factor of low self-esteem.

Answer 2

Chemical dependency can lead to various mental disorders.

Question 3

The nurse is counseling a client who is in the intermediate stage of cocaine addiction. Which would be a typical response to the question, "Why do you use cocaine?"

A) "I use it to feel better."
B) "I use it to keep from feeling bad."
C) "I use it to have fun with my friends."
D) "I use it because I am afraid of losing control."

Answer 3

"I use it to keep from feeling bad."

Question 4

Many substance abusers use defense mechanisms to cope with their stress. Which defense mechanisms are pertinent to substance abuse? Select all that apply.

A) Denial
B) Rationalization
C) Reaction formation
D) Displacement
E) Projection
F) Sublimation

Question 5

The nurse is working with a healthcare team to treat clients with substance abuse. Which statement accurately describes a step in the management of this condition?

A) The addicted person must be the one to recognize the problem to initiate therapy.
B) Active interventions must occur; if no one intervenes, the addiction usually continues.
C) Treatment of addiction responds best to unstructured, short-term therapy.
D) Very few recovered chemically dependent people are able to lead a productive life.

Question 6

The nurse should be alert for signs and symptoms of chemical dependency (CD) or withdrawal in all clients. Which is a characteristic of a chemically dependent person?

A) All chemically dependent people display the similar addictive tendencies.
B) Most chemically dependent people are forthcoming about their addiction.
C) Abusers of one drug may have built up tolerance to related drugs.
D) Up to 25% of clients receiving care for general conditions have underlying CD.

Question 7

A nurse is gathering data from a client suspected of abusing alcohol. Which question will provide the most accurate information for predicting withdrawal?

A) Ask the time when the client had the last drink.
B) Ask what type of alcoholic drink the client prefers.
C) Ask if alcohol is being combined with any other drug.
D) Ask for details regarding the amount of alcohol is being consumed.

Question 8

The emergency department nurse is caring for an alcohol intoxicated client who needs stitches following a motor vehicle accident. Which action is an appropriate nursing intervention for this client?

A) Use restraints if the client is combative.
B) Touch the client often to reassure him or her.
C) Give the client some alone time to stabilize emotionally.
D) Remember that an injury can precipitate withdrawal symptoms.

Question 9

A nurse is caring for an alcohol intoxicated client admitted to the emergency department. Which intervention is most important when caring for the client?

A) Touch and calm the client frequently.
B) Monitor the level of consciousness of the client.
C) Monitor the client for an increase in respiratory rate.
D) Encourage the client to watch television as a distraction.

Question 10

The nurse is caring for an alcoholic client admitted who is currently alcohol intoxicated. The client is diagnosis with unmanaged withdrawal. Which is a nursing consideration for this client?

A) Remember that acute detoxification is usually completed in 24 hours.
B) Watch for acute detoxification beginning within 36 hours of last ingestion.
C) Follow suicide precautions because suicide risk increases during detoxification.
D) Keep the client NPO for the first 48 hours to avoid refeeding syndrome.

Question 11

The nurse caring for a client who has overdosed on cocaine should monitor for the client for which signs or symptoms? Select all that apply.

A) Hemorrhage
B) Seizures
C) Hypothermia
D) Irregular heart beat
E) Abnormal respirations
F) Joint pain

Question 12

The nurse is caring for clients recovering from alcohol abuse in a treatment center. Which nursing diagnosis would be considered the priority?

A) High Risk for Violence: Self-Directed or Directed at Others
B) Self-Care Deficit
C) Self-Esteem Disturbance
D) Altered Nutrition: Less than Body Requirements

Question 13

A client is addicted to barbiturates. The action of reducing his intake of the drug increases the risk for which condition?

A) Hallucinations
B) Tremors
C) Overdose
D) Alcohol abuse

Question 14

The nurse is caring for a client who is experiencing acute tremulousness caused by alcohol withdrawal. Which would be the drug of choice for this condition?

A) 10 to 30 mg oxazepam
B) 0.5 to 2 mg lorazepam
C) 2 to 10 mg diazepam
D) 5 to 25 mg chlordiazepoxide

Question 15

The nurse is caring for a client who is withdrawing from amphetamines. Which nursing intervention should be performed first for this client?

A) Manage nausea and vomiting
B) Initiate suicide precautions
C) Perform liver function tests.
D) Administer vitamins, as ordered.

Question 16

A nurse at the detoxification center is caring for a severely malnourished client with a history of chronic alcohol abuse. Which nursing care measure should be employed when caring for the client during the time of withdrawal?

A) Provide high-calorie, carbohydrate-rich food to the client.
B) Encourage the client to drink only water but in large quantities.
C) Avoid the joint administration of electrolytes and intravenous fluids.
D) Position the client on the side if the client has vomiting or nausea.

Question 17

A nurse caring for a client undergoing withdrawal from alcohol is severely malnourished. To prevent refeeding syndrome, which nutrient should be introduced into the starving person's system slowly?

A) Protein
B) Carbohydrates
C) Vitamin C
D) Fats

Question 18

The nurse is assisting the healthcare team to provide dialectical behavioral therapy for a client with a history of alcohol abuse. Which is the focus of this type of therapy?

A) An individual's values and beliefs control behavior.
B) Each person possesses inborn (inner) health capacity or ability to lead a healthy life.
C) Treatment programs for families are conducted simultaneously with the client
Treatment.
D) The "wise mind", a midway point between being totally rational and totally emotional.

Question 19

A nurse is caring for a 30-year-old client who has been involved in a drunken driving accident. Which is the permitted maximum legal level of blood alcohol content when driving?

A) 0.1 g/dL
B) 0.3 g/dL
C) 0.4 g/dL
D) 0.5 g/dL

Question 20

The nurse is caring for a client in the emergency department who was using alcohol and does not appear intoxicated. What breathalyzer test result would indicate that this person has alcohol dependence?

A) 0.09 g/dL
B) 0.3 g/dL
C) 0.4 g/dL
D) 0.5 g/dL

Question 21

A nurse is caring for a client diagnosed with Wernicke-Korsakoff syndrome. The nurse observes rapid eyeball movement from side to side. What term should the nurse use to document rapid eyeball movement from side to side in the client?

A) Delirium tremens
B) Palmar erythema
C) Spider angioma
D) Horizontal nystagmus

Question 22

The nurse is caring for a client who has built up a tolerance to alcohol. Which nursing consideration is appropriate for this client?

A) Many painkillers will have a more potent effect on the client.
B) A female will become intoxicated slower than a male.
C) The use of the antacid ranitidine slows the absorption of alcohol.
D) The use of aspirin enhances the absorption of alcohol.

Question 23

The nurse is caring for a client who is undergoing unmanaged alcohol withdrawal. Which is a sign or symptom of the autonomic hyperactivity stage of this process?

A) Tremors
B) Panic
C) Hallucinations
D) Seizures

Question 24

The nurse is caring for a client undergoing stage 3 of the alcohol withdrawal process. The client reports that "bugs are crawling all over my skin." This is a manifestation of what withdrawal symptom?

A) Delirium tremens
B) Alcohol hallucinosis
C) Blackouts
D) Tweaking

Question 25

The nurse is counseling the "enabler" spouse of an alcohol abusing client. Which should the nurse consider for this type of counseling?

A) In many cases, preventing crises and shielding the alcoholic solves the problem.
B) Enablers must understand that alcoholics have a bad disease but are not bad people.
C) Enablers must realize that alcohol abusers will stop if they stop enabling them.
D) Enabling can prevent a life-threatening condition from progressing.

Question 26

The nurse is caring for a client who is taking disulfiram as aversion therapy to maintain sobriety. What is the correct dosage for this medication?

A) 500 mg/day for 2 weeks, followed by a daily maintenance dose of 250 mg
B) 750 mg/day for 4 weeks, followed by a daily maintenance dose of 250 mg
C) 250 mg/day for 2 weeks, followed by a daily maintenance dose of 125 mg
D) 500 mg/day for 4 weeks, followed by a daily maintenance dose of 250 mg

Question 27

A heroin-dependent client is enrolled in a methadone maintenance program. What interventions should the nurse implement when caring for this client? Select all that apply.

A) Administer 200 mg as methadone tablets per dose.
B) Mix the methadone powder with 120 mL of orange juice.
C) Take regular blood samples of the client for analysis.
D) Reinforce the importance of participating in group therapy.
E) Supervise the collection of required urine specimens

Question 28

A nurse is caring for a client with a history of methamphetamine abuse. The nurse observes rapid eye movements and jerky body movements in the client. How should the nurse document this condition of the client?

A) Formication
B) Delirium
C) Tweaking
D) Hallucinosis

Question 29

A nurse is caring for a client suspected of mescaline abuse. Which symptom may confirm the abuse of mescaline?

A) Lacrimation
B) Macropsia
C) Diaphoresis
D) Dementia

Question 30

An alcoholic client has been consuming excessive amounts of cola and chocolate. The healthcare provider advises against disproportionate use of over-the-counter
Preparations containing caffeine. What should the nurse tell the client about the effect of caffeine on the body?

A) Causes extreme sleepiness
B) Leads to respiratory depression
C) Adds to the depressive effect of alcohol
D) Decreases the volume of urine