Question 1

The nurse concludes that a significant goal of the care plan for an alcoholic patient has been met when the patient makes which statement?

Accepted Answer

A)  "I drink because I'm lonely." 
B)  "All my difficulties are related to my drinking." 
C)  "I wouldn't need to drink if I had my family back." 
D)  "My drinking helps me cope with the stress of my job." 
A)  "I drink because I'm lonely." 
B)  "All my difficulties are related to my drinking." 
C)  "I wouldn't need to drink if I had my family back." 
D)  "My drinking helps me cope with the stress of my job."

Question 2

The mother of a young woman being treated for amphetamine overdose asks the nurse when the manifestations will subside. What would be the most correct answer by the nurse?

Accepted Answer

A)  "Usually in 8 to 10 hours." 
B)  "She will snap out of it in a day or two." 
C)  "Usually in about 2 hours, but the effects will return in 2 to 3 days." 
D)  "The manifestations may be permanent." 
A)  "Usually in 8 to 10 hours." 
B)  "She will snap out of it in a day or two." 
C)  "Usually in about 2 hours, but the effects will return in 2 to 3 days." 
D)  "The manifestations may be permanent."

Question 3

What age of onset of alcohol consumption is most predictive of alcohol addiction?

Accepted Answer

A)  8 or younger 
B)  10 or younger 
C)  12 or younger 
D)  14 or younger 
A)  8 or younger 
B)  10 or younger 
C)  12 or younger 
D)  14 or younger

Question 4

What should the nurse do when suspecting a co-worker of abusing drugs while at work?

Accepted Answer

A)  Confront the abuser 
B)  Report observations to a supervisor 
C)  Call the state board of nursing 
D)  Discuss the problem with another co-worker 
A)  Confront the abuser 
B)  Report observations to a supervisor 
C)  Call the state board of nursing 
D)  Discuss the problem with another co-worker

Question 5

What must a patient in the late stages of dependence do in order to recover?

Accepted Answer

A)  Gain insight into the addiction 
B)  Receive treatment for substance abuse 
C)  Pledge to lead a completely different lifestyle 
D)  Seek a nondrug-oriented support system 
A)  Gain insight into the addiction 
B)  Receive treatment for substance abuse 
C)  Pledge to lead a completely different lifestyle 
D)  Seek a nondrug-oriented support system

Question 6

During the initial intake assessment of a drug user, the nurse should attempt to obtain which subjective data? (Select all that apply.)

Accepted Answer

A)  Usual pattern of use 
B)  Specific drug 
C)  Previous arrests 
D)  Amount of drug used 
E)  Time of last use 
A)  Usual pattern of use 
B)  Specific drug 
C)  Previous arrests 
D)  Amount of drug used 
E)  Time of last use

Question 7

What should the entire health team focus on during the rehabilitation phase?

Accepted Answer

A)  Establishing a support system 
B)  Seeking and maintaining employment 
C)  Abstaining from drug use 
D)  Addressing the problems related to addiction 
A)  Establishing a support system 
B)  Seeking and maintaining employment 
C)  Abstaining from drug use 
D)  Addressing the problems related to addiction

Question 8

The nurse assesses an alcoholic patient carefully for signs of withdrawal. How soon after cessation of alcohol intake do withdrawal symptoms usually appear?

Accepted Answer

A)  3 hours 
B)  4 hours 
C)  5 hours 
D)  6 hours 
A)  3 hours 
B)  4 hours 
C)  5 hours 
D)  6 hours

Question 9

When a patient is admitted with an overdose of an opioid narcotic, the nurse should anticipate an order for which drug to reverse the effects of the narcotic?

Accepted Answer

A)  Clonidine 
B)  Narcan 
C)  Orlaam 
D)  Methadone 
A)  Clonidine 
B)  Narcan 
C)  Orlaam 
D)  Methadone

Question 10

During the detoxification period, what does the nurse aim to achieve when designing interventions?

Accepted Answer

A)  Enroll the patient in Alcoholics Anonymous (A
A)  
B)  Keep the patient safe from aspiration and seizure 
C)  Help the patient interact in nonaddictive activities 
D)  Help the patient gain insight into the addiction 
A)  Enroll the patient in Alcoholics Anonymous (A
A)  
B)  Keep the patient safe from aspiration and seizure 
C)  Help the patient interact in nonaddictive activities 
D)  Help the patient gain insight into the addiction

Question 11

A nurse suspects her a co-worker is abusing drugs. Which of the following symptoms, noticed in the co-worker, would contribute to the suspicions?

Accepted Answer

A)  Spending more time with co-workers 
B)  Frequently absent from the unit 
C)  Rapid changes in mood and performance 
D)  Increased somatic complaints 
E)  Patients report they did not receive their medications 
A)  Spending more time with co-workers 
B)  Frequently absent from the unit 
C)  Rapid changes in mood and performance 
D)  Increased somatic complaints 
E)  Patients report they did not receive their medications

Question 12

The nurse uses the CAGE questionnaire to assess a patient. The nurse suspects the patient is an alcoholic if there are affirmative answers for _____ items on the questionnaire.

Accepted Answer

2
two
An affirmative answer on

Question 13

Which statement describes the impaired nurse who is in a peer assistance program?

Accepted Answer

A)  The nurse has a revoked nursing license. 
B)  The nurse does not have to notify her employer. 
C)  The nurse will be allowed to work as a nurse under supervision. 
D)  The nurse will be reported to the Healthcare Integrity and Protection Data Bank. 
A)  The nurse has a revoked nursing license. 
B)  The nurse does not have to notify her employer. 
C)  The nurse will be allowed to work as a nurse under supervision. 
D)  The nurse will be reported to the Healthcare Integrity and Protection Data Bank.

Question 14

A 60-year-old man was admitted for cholecystitis that resulted in a cholecystectomy. On his third day of hospitalization, he begins to sweat profusely, tremble, and has a blood pressure of 160/100. Based on these findings, what focused assessment should the nurse complete?

Accepted Answer

A)  Cardiac problems 
B)  Respiratory problems 
C)  Withdrawal problems 
D)  Circulatory problems 
A)  Cardiac problems 
B)  Respiratory problems 
C)  Withdrawal problems 
D)  Circulatory problems

Question 15

The nurse is performing an initial assessment on an alcoholic patient. Which of the following actions by the nurse would best ensure honest answers?

Accepted Answer

A)  Not asking personal questions 
B)  Having a nonjudgmental attitude 
C)  Including the family 
D)  Promising the patient not to tell anyone 
A)  Not asking personal questions 
B)  Having a nonjudgmental attitude 
C)  Including the family 
D)  Promising the patient not to tell anyone

Question 16

What severe side effect will occur if an alcoholic patient consumes alcohol while taking disulfiram (Antabuse)?

Accepted Answer

A)  Nausea 
B)  Blackouts 
C)  Headaches 
D)  Hypertension 
A)  Nausea 
B)  Blackouts 
C)  Headaches 
D)  Hypertension

Exam 35: Care of the Patient with an Addictive Personality

The nurse concludes that a significant goal of the care plan for an alcoholic patient has been met when the patient makes which statement?

The mother of a young woman being treated for amphetamine overdose asks the nurse when the manifestations will subside. What would be the most correct answer by the nurse?

What age of onset of alcohol consumption is most predictive of alcohol addiction?

What should the nurse do when suspecting a co-worker of abusing drugs while at work?

What must a patient in the late stages of dependence do in order to recover?

During the initial intake assessment of a drug user, the nurse should attempt to obtain which subjective data? (Select all that apply.)

What should the entire health team focus on during the rehabilitation phase?

The nurse assesses an alcoholic patient carefully for signs of withdrawal. How soon after cessation of alcohol intake do withdrawal symptoms usually appear?

When a patient is admitted with an overdose of an opioid narcotic, the nurse should anticipate an order for which drug to reverse the effects of the narcotic?

During the detoxification period, what does the nurse aim to achieve when designing interventions?

A nurse suspects her a co-worker is abusing drugs. Which of the following symptoms, noticed in the co-worker, would contribute to the suspicions?

The nurse uses the CAGE questionnaire to assess a patient. The nurse suspects the patient is an alcoholic if there are affirmative answers for _____ items on the questionnaire.

Which statement describes the impaired nurse who is in a peer assistance program?

A 60-year-old man was admitted for cholecystitis that resulted in a cholecystectomy. On his third day of hospitalization, he begins to sweat profusely, tremble, and has a blood pressure of 160/100. Based on these findings, what focused assessment should the nurse complete?

The nurse is performing an initial assessment on an alcoholic patient. Which of the following actions by the nurse would best ensure honest answers?

What severe side effect will occur if an alcoholic patient consumes alcohol while taking disulfiram (Antabuse)?

Evolution of Nursing

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