Question 1

Which protects individuals who have been successfully rehabilitated from substance abuse from discrimination related to past addiction?

Accepted Answer

A)  Americans with Disabilities Act (AD
A)  
B)  National Council on Alcoholism and Drug Dependence 
C)  Bureau of Alcohol,Tobacco,Firearms and Explosives (ATF) 
D)  American Medical Association (AM
A)  
A)  Americans with Disabilities Act (AD
A)  
B)  National Council on Alcoholism and Drug Dependence 
C)  Bureau of Alcohol,Tobacco,Firearms and Explosives (ATF) 
D)  American Medical Association (AM
A)  A

Question 2

What important point(s)of patient education should be included about disulfiram (Antabuse)therapy? (Select all that apply.)

Accepted Answer

A)  The patient should return for liver function tests in 10 to 14 days following initiation of therapy. 
B)  Headache,fatigue,and a metallic taste are common adverse effects that usually resolve. 
C)  Avoid alcohol ingestion to prevent a reaction. 
D)  Carefully read all labels for possible alcohol content,including perfumes and over-the-counter (OT
C) medications such as cough syrups. 
E)  Report to the healthcare provider any allergic symptoms,such as hives or pruritus. 
A)  The patient should return for liver function tests in 10 to 14 days following initiation of therapy. 
B)  Headache,fatigue,and a metallic taste are common adverse effects that usually resolve. 
C)  Avoid alcohol ingestion to prevent a reaction. 
D)  Carefully read all labels for possible alcohol content,including perfumes and over-the-counter (OT
C) medications such as cough syrups. 
E)  Report to the healthcare provider any allergic symptoms,such as hives or pruritus. A,B,C,D

Question 3

What is the rationale for administering acamprosate (Campral)?

Accepted Answer

A)  Withdrawal from alcohol addiction 
B)  Maintenance of sobriety 
C)  Improvement of renal function 
D)  Correction of electrolyte imbalances 
A)  Withdrawal from alcohol addiction 
B)  Maintenance of sobriety 
C)  Improvement of renal function 
D)  Correction of electrolyte imbalances B

Question 4

What must be administered before glucose infusions for a patient in alcohol withdrawal to prevent Wernicke's encephalopathy?

Accepted Answer

A)  Chlordiazepoxide (Librium) 
B)  Thiamine 
C)  Diazepam (Valium) 
D)  Bromocriptine (Parlodel) 
A)  Chlordiazepoxide (Librium) 
B)  Thiamine 
C)  Diazepam (Valium) 
D)  Bromocriptine (Parlodel)

Question 5

A patient is admitted into a substance abuse treatment center and is withdrawing from alcohol.Which statement made by the patient's family member shows a need for further education?

Accepted Answer

A)  "Withdrawal symptoms can begin within a few hours of discontinuation of drinking." 
B)  "Withdrawal symptoms will improve within 24 hours." 
C)  "Less than 1% of patients develop delirium tremens." 
D)  "Benzodiazepines are commonly used for detoxification." 
A)  "Withdrawal symptoms can begin within a few hours of discontinuation of drinking." 
B)  "Withdrawal symptoms will improve within 24 hours." 
C)  "Less than 1% of patients develop delirium tremens." 
D)  "Benzodiazepines are commonly used for detoxification."

Question 6

A 16-year-old male has been referred to the community mental health center following legal charges of driving under the influence.Which screening tests would be appropriate to use on this patient?

Accepted Answer

A)  Drug Abuse Screening Test (DAST) 
B)  Adolescent Alcohol Involvement Scale (AAIS) 
C)  Adolescent Drug Abuse Diagnosis (ADA
D)  
D)  Minnesota Multiphasic Personality Inventory (MMPI 2) 
A)  Drug Abuse Screening Test (DAST) 
B)  Adolescent Alcohol Involvement Scale (AAIS) 
C)  Adolescent Drug Abuse Diagnosis (ADA
D)  
D)  Minnesota Multiphasic Personality Inventory (MMPI 2)

Question 7

The nurse is assisting with the development of care plan for a patient withdrawing from cocaine.What would be the first nursing diagnosis priority for this patient?

Accepted Answer

A)  Altered nutrition; less than body requirements 
B)  Risk for altered peripheral tissue perfusion 
C)  Risk for fluid volume deficit 
D)  High risk for self-directed violence 
A)  Altered nutrition; less than body requirements 
B)  Risk for altered peripheral tissue perfusion 
C)  Risk for fluid volume deficit 
D)  High risk for self-directed violence

Question 8

The nurse is transcribing an order for disulfiram on a patient in alcohol rehabilitation.When planning the time of day to administer this medication,the nurse will document that disulfiram be given:

Accepted Answer

A)  before breakfast. 
B)  with lunch. 
C)  before dinner. 
D)  at bedtime. 
A)  before breakfast. 
B)  with lunch. 
C)  before dinner. 
D)  at bedtime.

Question 9

A health professional colleague is suspected of having a substance abuse problem because of the person's frequent absenteeism,mood swings when at work,diminished alertness,and poor patient care.Which action(s)will the nurse take? (Select all that apply.)

Accepted Answer

A)  Confront the individual. 
B)  Document specific examples of inappropriate actions. 
C)  Avoid assigning this individual to patients with narcotic medication orders or high acuities. 
D)  Notify law enforcement of the suspicions. 
E)  Submit a confidential report to an appropriate supervisor. 
A)  Confront the individual. 
B)  Document specific examples of inappropriate actions. 
C)  Avoid assigning this individual to patients with narcotic medication orders or high acuities. 
D)  Notify law enforcement of the suspicions. 
E)  Submit a confidential report to an appropriate supervisor.

Question 10

What does a urinalysis that is positive for the drug tested indicate?

Accepted Answer

A)  It indicates illegal drug use. 
B)  It verifies drug dependency. 
C)  It is a violation of the individual's constitutional rights. 
D)  It verifies whether the drug is present in the specimen. 
A)  It indicates illegal drug use. 
B)  It verifies drug dependency. 
C)  It is a violation of the individual's constitutional rights. 
D)  It verifies whether the drug is present in the specimen.

Question 11

What effect will occur if a patient being treated with naltrexone (ReVia)for substance abuse ingests opioids or alcohol?

Accepted Answer

A)  Increased euphoria 
B)  Nausea,vomiting,and diarrhea 
C)  Deep sedation 
D)  An absence of the "high" associated with drugs 
A)  Increased euphoria 
B)  Nausea,vomiting,and diarrhea 
C)  Deep sedation 
D)  An absence of the "high" associated with drugs

Question 12

A nurse working the night shift suspects that a colleague is abusing alcohol.Which action by the nurse is most important?

Accepted Answer

A)  "Good faith" reporting is unfaithful to a colleague. 
B)  Reporting will result in loss of the colleague's license. 
C)  It is not of concern,and the nurse won't be penalized for refusing to get involved. 
D)  State guidelines may mandate to report substance abuse. 
A)  "Good faith" reporting is unfaithful to a colleague. 
B)  Reporting will result in loss of the colleague's license. 
C)  It is not of concern,and the nurse won't be penalized for refusing to get involved. 
D)  State guidelines may mandate to report substance abuse.

Question 13

Which patient assessment will the nurse expect to observe when a patient has ingested alcohol while on disulfiram (Antabuse)?

Accepted Answer

A)  Unconsciousness 
B)  Hypertension 
C)  GI bleeding 
D)  Severe vomiting 
A)  Unconsciousness 
B)  Hypertension 
C)  GI bleeding 
D)  Severe vomiting

Question 14

A patient has completed substance abuse treatment for alcoholism.What will assist in long-term goal attainment and promote abstinence? (Select all that apply.)

Accepted Answer

A)  Naltrexone therapy 
B)  Regular attendance at NA 
C)  Regular contact with his program sponsor 
D)  Following the 12-step program of AA 
E)  Diazepam therapy to reduce the likelihood of DTs 
A)  Naltrexone therapy 
B)  Regular attendance at NA 
C)  Regular contact with his program sponsor 
D)  Following the 12-step program of AA 
E)  Diazepam therapy to reduce the likelihood of DTs

Question 15

A patient admitted 48 hours ago has a diagnosis of gastrointestinal (GI)bleeding and is receiving IV hydration and transfusions.When making rounds,the nurse observes the patient to be having a tonic-clonic seizure.What may be the cause of the seizure?

Accepted Answer

A)  Low blood counts as a result of bleeding 
B)  Alcohol withdrawal 
C)  Alkalosis 
D)  Inadequate nutrition 
A)  Low blood counts as a result of bleeding 
B)  Alcohol withdrawal 
C)  Alkalosis 
D)  Inadequate nutrition

Question 16

What will the nurse instruct patients who are on daily disulfiram (Antabuse)to avoid?

Accepted Answer

A)  All forms of cough syrup 
B)  Alcohol 
C)  Benzodiazepines 
D)  Aspirin products 
A)  All forms of cough syrup 
B)  Alcohol 
C)  Benzodiazepines 
D)  Aspirin products

Exam 48: Substance Abuse

Which protects individuals who have been successfully rehabilitated from substance abuse from discrimination related to past addiction?

What important point(s)of patient education should be included about disulfiram (Antabuse)therapy? (Select all that apply.)

What is the rationale for administering acamprosate (Campral)?

What must be administered before glucose infusions for a patient in alcohol withdrawal to prevent Wernicke's encephalopathy?

A patient is admitted into a substance abuse treatment center and is withdrawing from alcohol.Which statement made by the patient's family member shows a need for further education?

A 16-year-old male has been referred to the community mental health center following legal charges of driving under the influence.Which screening tests would be appropriate to use on this patient?

The nurse is assisting with the development of care plan for a patient withdrawing from cocaine.What would be the first nursing diagnosis priority for this patient?

The nurse is transcribing an order for disulfiram on a patient in alcohol rehabilitation.When planning the time of day to administer this medication,the nurse will document that disulfiram be given:

A health professional colleague is suspected of having a substance abuse problem because of the person's frequent absenteeism,mood swings when at work,diminished alertness,and poor patient care.Which action(s)will the nurse take? (Select all that apply.)

What does a urinalysis that is positive for the drug tested indicate?

What effect will occur if a patient being treated with naltrexone (ReVia)for substance abuse ingests opioids or alcohol?

A nurse working the night shift suspects that a colleague is abusing alcohol.Which action by the nurse is most important?

Which patient assessment will the nurse expect to observe when a patient has ingested alcohol while on disulfiram (Antabuse)?

A patient has completed substance abuse treatment for alcoholism.What will assist in long-term goal attainment and promote abstinence? (Select all that apply.)

A patient admitted 48 hours ago has a diagnosis of gastrointestinal (GI)bleeding and is receiving IV hydration and transfusions.When making rounds,the nurse observes the patient to be having a tonic-clonic seizure.What may be the cause of the seizure?

What will the nurse instruct patients who are on daily disulfiram (Antabuse)to avoid?

Drug Definitions, standards, and Information Sources

Basic Principles of Drug Action and Drug Interactions

Drug Action Across the Life Span

The Nursing Process and Pharmacology

Patient Education to Promote Health

Principles of Medication Administration and Medication Safety

Percutaneous Administration

Enteral Administration

Parenteral Administration: Safe Preparation of Parenteral Medications

Parenteral Administration: Intradermal, subcutaneous, and Intramuscular Routes

Parenteral Administration: Intravenous Route

Drugs Affecting the Autonomic Nervous System

Drugs Used for Sleep

Drugs Used to Treat Neurodegenerative Disorders

Drugs Used for Anxiety Disorders

Drugs Used for Depressive and Bipolar Disorders

Drugs Used for Psychoses

Drugs Used for Seizure Disorders

Drugs Used for Pain Management

Introduction to Cardiovascular Disease and Metabolic Syndrome

Drugs Used to Treat Dyslipidemias

Drugs Used to Treat Hypertension

Drugs Used to Treat Dysrhythmias

Drugs Used to Treat Angina Pectoris

Drugs Used to Treat Peripheral Vascular Disease

Drugs Used to Treat Thromboembolic Disorders

Drugs Used to Treat Heart Failure

Drugs Used for Diuresis

Drugs Used to Treat Upper Respiratory Disease

Drugs Used to Treat Lower Respiratory Disease

Drugs Used to Treat Oral Disorders

Drugs Used to Treat Gastroesophageal Reflux and Peptic Ulcer Disease

Drugs Used to Treat Nausea and Vomiting

Drugs Used to Treat Constipation and Diarrhea

Drugs Used to Treat Diabetes Mellitus

Drugs Used to Treat Thyroid Disease

Corticosteroids

Gonadal Hormones

Drugs Used in Obstetrics

Drugs Used in Mens and Womens Health

Drugs Used to Treat Disorders of the Urinary System

Drugs Used to Treat Glaucoma and Other Eye Disorders

Drugs Used to Treat Cancer

Drugs Used to Treat the Musculoskeletal System

Antimicrobial Agents

Nutrition

Herbal and Dietary Supplement Therapy

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