Exam 22: Addiction

A nurse manager in the intensive care unit (ICU)notes a pattern for a staff nurse who excessively "wastes" narcotics,and the manager suspects the staff nurse may be impaired.Which clinical situation may have contributed to the staff nurse's problem?

The nurse assesses a client with a history of alcoholism who is hospitalized with anorexia,dysphagia,odynophagia,and chest pressure after eating.Which nursing diagnosis is a priority for this client?

The nurse provides a wellness program to a group of pregnant adolescents at risk for substance abuse.Which participant statement indicates that teaching has been effective?

The nurse is conducting a health history for a client and wants to determine the client's alcohol use.What question from the nurse will provide the greatest amount of information?

A young adult client is at 28 weeks' gestation.The prenatal history reveals past drug abuse,and urine screening indicates that she has recently used heroin.Which potential fetal health problem should the nurse use to select a nursing diagnosis to guide care?

A nurse working in an outpatient primary care clinic is caring for a client with asthma who has an 80 pack-year smoking history.When assessing the client's current use of nicotine,which question is most appropriate?

The employee health nurse is providing care to an employee who was injured on the job.The client has a history of drug addiction and is currently enrolled in a 12-step recovery program.In order to determine whether the employee was impaired at the time of the accident,which diagnostic tool will the nurse use?

A college student attends a seminar on alcohol abuse.Which statement would alert the nurse that the student needs more education?

A pregnant woman,who admits to intravenous drug use,had a negative human immunodeficiency virus (HIV)screening test just after missing her first menstrual period.Which assessment data would indicate the client needs to be retested for HIV?

A nurse is caring for a client who is pregnant and requires IV antibiotic therapy for treatment of pyelonephritis.Prior to administering the medication,the nurse discovers the medication is Category B for pregnancy.When planning care for this client,which will the nurse take into consideration regarding this medication?

The nurse is conducting a crisis assessment for a client who admits to cocaine use.Which questions are appropriate for the nurse to ask the client during this process? Select all that apply.

A client who is attending a Narcotics Anonymous (NA)program asks the nurse what the most important initial goal of attending the meetings is.When responding to the client,which will the nurse take into account?

The nurse is providing care to a client who admits to smoking 2 packs of per day for 34 years.The client also has a history of intermittent claudication,chronic bronchitis,and emphysema.After 6 weeks of smoking cessation the client reports,"yelling at my spouse" and "flying off the handle." Which effects of cigarette smoking are associated with the data collected from the client? Select all that apply.

The nurse is completing a health history with an adolescent client and determines the client would benefit from teaching about substance abuse.Which client statements caused the nurse to come to this conclusion? Select all that apply.

After an assessment of a new client,a nursing student expresses a belief that drug addiction is not a real illness,as these clients "did it to themselves." Which response by the staff nurse is appropriate?

A client with alcoholism is receiving court-ordered care in a residential treatment facility.After alcohol is discovered in the client's room,the client states,"It is not mine." Which responses by the nurse are appropriate in this situation? Select all that apply.

The nurse is planning to implement addiction treatment groups at the inner city clinic.Which knowledge regarding addictions and its related therapies will facilitate implementation of the groups?

The nurse is providing education to a client who wants to quit smoking.Which statements are appropriate for the nurse to include in the teaching session with this client? Select all that apply.

A nurse educator is a teaching a group of students about the comprehensive theory of addiction by George Engel.Which statements indicate that the students understand the theory? Select all that apply.

While practicing at an outpatient addiction clinic,the nurse is summarizing a diagram in the orientation handbook for a new nurse who requires orientation.Which statement made by the new nurse most closely aligns with the meaning of this diagram?