Exam 18: Addictive Disorders

Select the priority outcome for a patient completing the fourth alcohol-detoxification program in 1 year.Prior to discharge,the patient will:

The nurse can assist a patient to prevent substance abuse relapse by: (Select all that apply. )

A patient overdosed on methamphetamine.Priority nursing and medical measures include: (Select all that apply. )

A nurse prepares for an initial interaction with a patient with a long history of methamphetamine abuse.Which is the nurse's best first action?

During the third week of treatment,the spouse of a patient in an alcoholism rehabilitation program says,"After this treatment program,I think everything will be all right." Which remark by the nurse will be most helpful to the spouse?

A patient was admitted last night with a hip fracture sustained while intoxicated.The patient points to the Buck's traction and screams,"Why did you tie me up? Please let me go." The patient is experiencing:

Police bring a patient to the emergency department after an automobile accident.The patient is ataxic and has slurred speech and mild confusion.The blood alcohol level is 0.4 mg%.Considering the relationship between the behavior and blood alcohol level,which conclusion is most probable? The patient:

A patient asks for information about Alcoholics Anonymous.Select the nurse's best response."Alcoholics Anonymous is a:

A patient is comatose after ingesting six codeine tablets.The patient's friend says,"Often my friend drinks along with taking more of the drug than is prescribed." Use of alcohol with this drug:

A patient admitted to an alcoholism rehabilitation program tells the nurse,"I'm actually a social drinker.I usually have one drink at lunch,two cocktails in the afternoon,wine with dinner,and a few drinks during the evening." Which defense mechanism is evident?

An adult in the emergency department states,"Everything I see waves.I am outside my body looking at myself.I think I'm losing my mind." Vital signs are slightly elevated.The nurse should suspect:

A nurse reviews vital signs for a patient admitted last night with an injury sustained while intoxicated.The medical record shows these blood pressure and pulse readings: Admission,2 AM - 118/78 mm Hg and 72 beats/min 4 AM - 126/80 mm Hg and 76 beats/min 6 AM - 128/82 mm Hg and 72 beats/min 8 AM - 132/88 mm Hg and 80 beats/min 10 AM - 148/94 mm Hg and 96 beats/min What is the nurse's priority action?

A new patient beginning an alcoholism rehabilitation program says,"I'm just a social drinker.I usually have one drink at lunch,two in the afternoon,wine at dinner,and a few drinks during the evening." Select the nurse's most therapeutic responses.Select all that apply.

When assessing a patient who ingested flunitrazepam (Rohypnol),the nurse would expect:

An attractive nurse worked at a community hospital for several months,resigned,then took a position at another hospital.In the new position,the nurse volunteered to be the medication nurse.Several serious medication errors occurred in rapid succession.Investigation uncovered that the nurse was allowed to resign from the community hospital after diverting patient narcotics for own use.The nurse manager retrospectively identified which early indicator of the nurse's drug use? The nurse:

Which assessment findings are likely for an individual who recently injected heroin?

When a patient first began using alcohol,two drinks produced relaxation and drowsiness.After 1 year,four drinks are needed to achieve the same response.Why has this change occurred?

A patient with antisocial behavior was treated several times for substance dependence.Each time,the patient relapsed.Which treatment approach is most appropriate?

In the emergency department,a patient's vital signs are: BP 66/40 mm Hg;pulse 140 beats/min;respirations 8 breaths/min and shallow.The nursing diagnosis is Ineffective breathing pattern related to depression of respiratory center secondary to narcotic overdose.Select the priority outcome.

Select the most therapeutic manner for a nurse working with a patient beginning treatment for alcohol dependence.