Question 1

Which nursing activity can the nurse delegate to unlicensed assistive personnel (UAP)who are working in a family practice clinic?

Accepted Answer

A)  Make referrals to community substance abuse treatment centers. 
B)  Teach patients about the use of prescribed nicotine replacement products. 
C)  Administer and score the Alcohol Use Disorders Identification Test (AUDIT). 
D)  Obtain patient histories regarding alcohol, tobacco, and other substance abuse. 
A)  Make referrals to community substance abuse treatment centers. 
B)  Teach patients about the use of prescribed nicotine replacement products. 
C)  Administer and score the Alcohol Use Disorders Identification Test (AUDIT). 
D)  Obtain patient histories regarding alcohol, tobacco, and other substance abuse.

Question 2

A newly admitted patient complains of waking frequently during the night.The nurse observes the patient wearing a nicotine patch (Nicoderm CQ)on the right upper arm.Which action is best for the nurse to take?

Accepted Answer

A)  Question the patient about use of the patch at night. 
B)  Suggest that the patient go to bed earlier in the evening. 
C)  Ask the health care provider about prescribing a sedative drug for nighttime use. 
D)  Remind the patient that the benefits of the patch outweigh the short-term insomnia. 
A)  Question the patient about use of the patch at night. 
B)  Suggest that the patient go to bed earlier in the evening. 
C)  Ask the health care provider about prescribing a sedative drug for nighttime use. 
D)  Remind the patient that the benefits of the patch outweigh the short-term insomnia.

Question 3

A patient admitted with shortness of breath and chest pain who is a pack-a-day smoker tells the nurse,"I am just not ready to quit smoking yet." Which response by the nurse is best?

Accepted Answer

A)  "This would be a really good time to quit." 
B)  "Your smoking is the cause of your chest pain." 
C)  "What health problems do you think smoking has caused?" 
D)  "Are you familiar with the various nicotine replacement options?" 
A)  "This would be a really good time to quit." 
B)  "Your smoking is the cause of your chest pain." 
C)  "What health problems do you think smoking has caused?" 
D)  "Are you familiar with the various nicotine replacement options?"

Question 4

A young adult patient scheduled for an annual physical examination arrives in the clinic smelling of cigarette smoke and carrying a pack of cigarettes.Which action will the nurse plan to take?

Accepted Answer

A)  Urge the patient to quit smoking as soon as possible. 
B)  Avoid confronting the patient about smoking at this time. 
C)  Wait for the patient to start the discussion about quitting smoking. 
D)  Explain that the "cold turkey" method is most effective in stopping smoking. 
A)  Urge the patient to quit smoking as soon as possible. 
B)  Avoid confronting the patient about smoking at this time. 
C)  Wait for the patient to start the discussion about quitting smoking. 
D)  Explain that the "cold turkey" method is most effective in stopping smoking.

Question 5

A 75-year-old patient is admitted for pancreatitis.Which tool would be the most appropriate for the nurse to use during the admission assessment?

Accepted Answer

A)  Drug Abuse Screening Test (DAST-10) 
B)  Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar) 
C)  Screening Test-Geriatric Version (SMAST-G) 
D)  Mini-Mental State Examination 
A)  Drug Abuse Screening Test (DAST-10) 
B)  Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar) 
C)  Screening Test-Geriatric Version (SMAST-G) 
D)  Mini-Mental State Examination

Exam 11: Substance Abuse

Which nursing activity can the nurse delegate to unlicensed assistive personnel (UAP)who are working in a family practice clinic?

A newly admitted patient complains of waking frequently during the night.The nurse observes the patient wearing a nicotine patch (Nicoderm CQ)on the right upper arm.Which action is best for the nurse to take?

A patient admitted with shortness of breath and chest pain who is a pack-a-day smoker tells the nurse,"I am just not ready to quit smoking yet." Which response by the nurse is best?

A young adult patient scheduled for an annual physical examination arrives in the clinic smelling of cigarette smoke and carrying a pack of cigarettes.Which action will the nurse plan to take?

A 75-year-old patient is admitted for pancreatitis.Which tool would be the most appropriate for the nurse to use during the admission assessment?

Professional Nursing Practice

Health Disparities and Culturally Competent Care

Health History and Physical Examination

Patient and Caregiver Teaching

Chronic Illness and Older Adults

Complementary and Alternative Therapies

Stress and Stress Management

Sleep and Sleep Disorders

Pain

Palliative Care at End of Life

Inflammation and Wound Healing

Genetics and Genomics

Altered Immune Responses, and Transplantation

Infection and Human Immunodeficiency Virus Infection

Cancer

Fluid, Electrolyte, and Acid-Base Imbalances

Nursing Management: Preoperative Care

Nursing Management: Intraoperative Care

Nursing Management: Postoperative Care

Nursing Assessment: Visual and Auditory Systems

Nursing Management: Visual and Auditory Problems

Nursing Assessment: Integumentary System

Nursing Management: Integumentary Problems

Nursing Management: Burns

Nursing Assessment: Respiratory System

Nursing Management: Upper Respiratory Problems

Nursing Management: Lower Respiratory Problems

Nursing Management: Obstructive Pulmonary Diseases

Nursing Assessment: Hematologic System

Nursing Management: Hematologic Problems

Nursing Assessment: Cardiovascular System

Nursing Management: Hypertension

Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome

Nursing Management: Heart Failure

Nursing Management: Dysrhythmias

Nursing Management: Inflammatory and Structural Heart Disorders

Nursing Management: Vascular Disorders

Nursing Assessment: Gastrointestinal System

Nursing Management: Nutritional Problems

Nursing Management: Obesity

Nursing Management: Upper Gastrointestinal Problems

Nursing Management: Lower Gastrointestinal Problems

Nursing Management: Liver,Pancreas,and Biliary Tract Problems

Nursing Assessment: Urinary System

Nursing Management: Renal and Urologic Problems

Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

Nursing Assessment: Endocrine System

Nursing Management: Diabetes Mellitus

Nursing Management: Endocrine Problems

Nursing Assessment: Reproductive System

Nursing Management: Breast Disorders

Nursing Management: Sexually Transmitted Infections

Nursing Management: Female Reproductive Problems

Nursing Management: Male Reproductive Problems

Nursing Assessment: Nervous System

Nursing Management: Acute Intracranial Problems

Nursing Management: Stroke

Nursing Management: Chronic Neurologic Problems

Nursing Management: Alzheimer's Disease,Dementia,and Delirium

Nursing Management: Peripheral Nerve and Spinal Cord Problems

Nursing Assessment: Musculoskeletal System

Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery

Nursing Management: Musculoskeletal Problems

Nursing Management: Arthritis and Connective Tissue Diseases

Nursing Management: Critical Care

Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple Organ Dysfunction Syndrome

Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome

Nursing Management: Emergency, Terrorism, and Disaster Nursing

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