Exam 49: Substance Abuse

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?

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

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?

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

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

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

What is the rationale for administering acamprosate (Campral)?

What does the biologic model theory of substance abuse hypothesize? (Select all that apply.)

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

Clonidine (Catapres) is used in treating which opioid withdrawal symptom(s)? (Select all that apply.)

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

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

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.)

Which psychological trait(s) is/are linked to substance abuse? (Select all that apply.)

Which theory views addiction as a maladaptive habit that can be examined and changed the same way as other habits?

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 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?

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

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