Question 1

The nurse is conducting a health promotion class to adolescents regarding smoking.Which point is most important to convey to this audience?

Accepted Answer

A)  Teens are not strongly influenced by tobacco advertising. 
B)  Smoking causes lung cancer. 
C)  Cost is no deterrent to smoking. 
D)  Alcohol use is strongly associated with smoking. 
A)  Teens are not strongly influenced by tobacco advertising. 
B)  Smoking causes lung cancer. 
C)  Cost is no deterrent to smoking. 
D)  Alcohol use is strongly associated with smoking.

Question 2

A college student is incoherent after taking "downers with beer." For which health problem should the nurse observe in this client?

Accepted Answer

A)  Hallucinations 
B)  Respiratory depression 
C)  Seizure activity 
D)  Signs of withdrawal 
A)  Hallucinations 
B)  Respiratory depression 
C)  Seizure activity 
D)  Signs of withdrawal

Question 3

A client is admitted to the emergency department after overdosing on phencyclidine piperidine (PCP).Based on this actions,which actions are appropriate by the nurse? Select all that apply.

Accepted Answer

A)  Obtain materials to assist with lavage. 
B)  Initiate an IV. 
C)  Initiate seizure precautions. 
D)  Induce vomiting. 
E)  Administer ammonium chloride. 
A)  Obtain materials to assist with lavage. 
B)  Initiate an IV. 
C)  Initiate seizure precautions. 
D)  Induce vomiting. 
E)  Administer ammonium chloride.

Question 4

The nurse is planning care for a client with esophageal cancer due to years of nicotine abuse.Which is the priority nursing diagnosis for this client?

Accepted Answer

A)  Decisional Conflict 
B)  Situational Social Isolation 
C)  Disturbed Body Image 
D)  Ineffective Airway Clearance 
A)  Decisional Conflict 
B)  Situational Social Isolation 
C)  Disturbed Body Image 
D)  Ineffective Airway Clearance

Question 5

A nurse is concerned about potential substance abuse by a coworker.Which of the coworker's behaviors would place the clients on the unit at risk for injury?

Accepted Answer

A)  The nurse in question frequently volunteers to give medications to clients. 
B)  The nurse in question prefers not to be the "medication nurse" on the shift. 
C)  The nurse in question declines to take scheduled breaks. 
D)  The nurse in question frequently requests the largest client care assignment for the shift. 
A)  The nurse in question frequently volunteers to give medications to clients. 
B)  The nurse in question prefers not to be the "medication nurse" on the shift. 
C)  The nurse in question declines to take scheduled breaks. 
D)  The nurse in question frequently requests the largest client care assignment for the shift.

Question 6

The nurse is caring for a client who is diagnosed with a cocaine addiction.For which additional disorder should the nurse assess this client?

Accepted Answer

A)  Anxiety 
B)  Diabetes 
C)  Weight gain 
D)  Kidney stones 
A)  Anxiety 
B)  Diabetes 
C)  Weight gain 
D)  Kidney stones

Question 7

The client with a history of alcohol abuse is being discharged for a treatment facility.Which prescription does the nurse anticipate for this client?

Accepted Answer

A)  Disulfiram 
B)  Naloxone 
C)  Bupropion hydrochloride 
D)  Varenicline 
A)  Disulfiram 
B)  Naloxone 
C)  Bupropion hydrochloride 
D)  Varenicline

Question 8

A nursing instructor is teaching a class about the role of dopamine in substance abuse.Which student statement indicates appropriate understanding?

Accepted Answer

A)  "The dopamine D(1) and dopamine D(2) receptors are responsible for co-occurring disorders." 
B)  "Dopamine increases opioid transmission, and this reinforces the cycle of substance abuse." 
C)  "Dopamine causes changes in brain neurotransmission that enhance the cycle of substance abuse." 
D)  "The dopamine D(3) receptor is involved in drug-seeking behaviors." 
A)  "The dopamine D(1) and dopamine D(2) receptors are responsible for co-occurring disorders." 
B)  "Dopamine increases opioid transmission, and this reinforces the cycle of substance abuse." 
C)  "Dopamine causes changes in brain neurotransmission that enhance the cycle of substance abuse." 
D)  "The dopamine D(3) receptor is involved in drug-seeking behaviors."

Question 9

During visitation on the unit,the nurse is observing the family dynamics of an adolescent client who has an addiction problem and recognizes that the family is experiencing behaviors consistent with codependence.Based on this data,which manifestation does the nurse anticipate from the client's family?

Accepted Answer

A)  Frustration intolerance 
B)  Enabling 
C)  Argumentative behaviors 
D)  Impatience 
A)  Frustration intolerance 
B)  Enabling 
C)  Argumentative behaviors 
D)  Impatience

Question 10

The nurse is providing care to a client with alcohol and opioid dependency.A family member states,"I don't understand why Naltrexone treatment is prescribed because it causes a high too,right?" Which response by the nurse is appropriate?

Accepted Answer

A)  "Naltrexone will cause your daughter to become violently ill if she drinks alcohol or abuses drugs." 
B)  "Naltrexone is less potent than the street drugs your daughter is currently taking and therefore safer." 
C)  "Naltrexone diminishes the cravings your daughter will feel for alcohol and opioids." 
D)  "Naltrexone will prevent your daughter from getting drunk when she drinks." 
A)  "Naltrexone will cause your daughter to become violently ill if she drinks alcohol or abuses drugs." 
B)  "Naltrexone is less potent than the street drugs your daughter is currently taking and therefore safer." 
C)  "Naltrexone diminishes the cravings your daughter will feel for alcohol and opioids." 
D)  "Naltrexone will prevent your daughter from getting drunk when she drinks."

The nurse is conducting a health promotion class to adolescents regarding smoking.Which point is most important to convey to this audience?

A college student is incoherent after taking "downers with beer." For which health problem should the nurse observe in this client?

A client is admitted to the emergency department after overdosing on phencyclidine piperidine (PCP).Based on this actions,which actions are appropriate by the nurse? Select all that apply.

The nurse is planning care for a client with esophageal cancer due to years of nicotine abuse.Which is the priority nursing diagnosis for this client?

A nurse is concerned about potential substance abuse by a coworker.Which of the coworker's behaviors would place the clients on the unit at risk for injury?

The nurse is caring for a client who is diagnosed with a cocaine addiction.For which additional disorder should the nurse assess this client?

The client with a history of alcohol abuse is being discharged for a treatment facility.Which prescription does the nurse anticipate for this client?

A nursing instructor is teaching a class about the role of dopamine in substance abuse.Which student statement indicates appropriate understanding?

The nurse is providing care to a client with alcohol and opioid dependency.A family member states,"I don't understand why Naltrexone treatment is prescribed because it causes a high too,right?" Which response by the nurse is appropriate?

Cognition

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Development

Family

Grief and Loss

Mood and Affect

Self

Spirituality

Stress and Coping

Violence

Reproduction

Assessment

Caring Interventions

Clinical Decision Making

Collaboration

Communication

Managing Care

Professional Behaviors

Teaching and Learning

Accountability

Advocacy

Ethics

Evidence-Based Practice

Health Care Systems

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Exam 22: Addiction

The nurse is conducting a health promotion class to adolescents regarding smoking.Which point is most important to convey to this audience?

A college student is incoherent after taking "downers with beer." For which health problem should the nurse observe in this client?

A client is admitted to the emergency department after overdosing on phencyclidine piperidine (PCP).Based on this actions,which actions are appropriate by the nurse? Select all that apply.

The nurse is planning care for a client with esophageal cancer due to years of nicotine abuse.Which is the priority nursing diagnosis for this client?

A nurse is concerned about potential substance abuse by a coworker.Which of the coworker's behaviors would place the clients on the unit at risk for injury?

The nurse is caring for a client who is diagnosed with a cocaine addiction.For which additional disorder should the nurse assess this client?

The client with a history of alcohol abuse is being discharged for a treatment facility.Which prescription does the nurse anticipate for this client?

A nursing instructor is teaching a class about the role of dopamine in substance abuse.Which student statement indicates appropriate understanding?

The nurse is providing care to a client with alcohol and opioid dependency.A family member states,"I don't understand why Naltrexone treatment is prescribed because it causes a high too,right?" Which response by the nurse is appropriate?

Cognition

Culture and Diversity

Development

Family

Grief and Loss

Mood and Affect

Self

Spirituality

Stress and Coping

Violence

Reproduction

Assessment

Caring Interventions

Clinical Decision Making

Collaboration

Communication

Managing Care

Professional Behaviors

Teaching and Learning

Accountability

Advocacy

Ethics

Evidence-Based Practice

Health Care Systems

Health Policy

Informatics

Legal Issues

Quality Improvement

Safety

Filters