Exam 18: Addictive Disorders

An alcohol-dependent patient admitted yesterday believes the window blinds are snakes trying to get in the room.The patient is anxious,agitated,and diaphoretic.The nurse can anticipate the health care provider will prescribe a:

An alcohol dependent patient says,"Drinking helps me cope with being a single parent." Which response by the nurse would help the patient conceptualize the drinking more objectively?

A hospitalized,alcohol-dependent patient believes spiders are spinning entrapping webs in the room.The patient is fearful,agitated,and diaphoretic.Which nursing intervention is indicated?

A nurse with a history of narcotic abuse became unconscious in the locker room after overdosing.After stabilization,the nurse was transferred to the inpatient psychiatric unit.Which action by nursing staff may be enabling?

Select the priority nursing intervention when caring for a patient after an overdose of amphetamines.

A patient admitted for injuries sustained while intoxicated has been hospitalized for 48 hours.The patient is now shaky,irritable,anxious,diaphoretic,and reports nightmares.The pulse rate is 130 beats/min.The patient shouts,"Bugs are crawling on my bed.I've got to get out of here." Select the most accurate assessment of this situation.The patient:

An alcohol-dependent patient was hospitalized at 4 AM on Saturday.The patient's last drink was at 2 AM.When would the nurse expect withdrawal symptoms to peak then disappear or progress to delirium?

A patient admitted yesterday for injuries sustained while intoxicated believes bugs are crawling on the bed.The patient is anxious,agitated,and diaphoretic.What is the priority nursing diagnosis?

Select the most accurate description of substance dependence.

Symptoms of withdrawal from central nervous system depressants for which the nurse should assess include:

A patient has smoked two packs of cigarettes daily for many years.When the patient tries to reduce smoking,he experiences anxiety,craving,poor concentration,and headache.This scenario describes:

A patient is thin,tense,jittery,and has dilated pupils.The patient says,"I'm burning up.I need help." The patient allows a temperature to be taken (it is 104° F),then becomes suspicious and says,"You could be trying to kill me." The patient refuses further examination.Abuse of which substance is most likely?

The treatment team discusses a patient diagnosed with paranoid schizophrenia and cannabis abuse who is having increased hallucinations and delusions.The patient has recently used cannabis on a daily basis.To plan effective treatment,the team should:

Which medication to maintain abstinence would most likely be prescribed for patients with either alcoholism or opioid addiction?

When a patient comes to an outpatient appointment,a nurse smells alcohol.The nurse should: