Question 1

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. C

Question 2

What stage of dependence is described by a patient when he tells the nurse that he has tried to stop his drug habit,but he does not feel "normal" without it?

Accepted Answer

A) Early 
B) Prodromal 
C) Middle 
D) Late 
A) Early 
B) Prodromal 
C) Middle 
D) Late C

Question 3

What nursing intervention should be included in the plan of care for a baby born to a drug-addicted mother?

Accepted Answer

A) Swaddle the baby closely 
B) Place the baby in a brightly lit area 
C) Hold and rock the baby frequently 
D) Place the baby in a busy part of the nursery for stimulation 
A) Swaddle the baby closely 
B) Place the baby in a brightly lit area 
C) Hold and rock the baby frequently 
D) Place the baby in a busy part of the nursery for stimulation A

Question 4

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 5

A patient seems bewildered when he confides in the nurse that all of his friends and leisure time have been centered on a drug culture.Which would be the best response by the nurse?

Accepted Answer

A) "What other sort of activities might you enjoy?" 
B) "You will need to get new friends." 
C) "Returning to those activities will get you back here and in trouble." 
D) "You need to get a hobby." 
A) "What other sort of activities might you enjoy?" 
B) "You will need to get new friends." 
C) "Returning to those activities will get you back here and in trouble." 
D) "You need to get a hobby."

Question 6

What should the nurse do to decrease the damage of bruxism seen in a patient who has been abusing the drug ecstasy?

Accepted Answer

A) Turn the patient to his right side 
B) Elevate the head of the bed 30 degrees 
C) Provide the patient with a pacifier 
D) Administer a muscle relaxant 
A) Turn the patient to his right side 
B) Elevate the head of the bed 30 degrees 
C) Provide the patient with a pacifier 
D) Administer a muscle relaxant

Question 7

What is the best response by a nurse when a patient inquires how alcohol acts so quickly on his system?

Accepted Answer

A) Alcohol is digested quickly. 
B) Alcohol is converted to glycogen immediately. 
C) Alcohol is metabolized into ethanol rapidly. 
D) Alcohol is excreted in urine slowly. 
A) Alcohol is digested quickly. 
B) Alcohol is converted to glycogen immediately. 
C) Alcohol is metabolized into ethanol rapidly. 
D) Alcohol is excreted in urine slowly.

Question 8

Which drug is often used in date rape?

Accepted Answer

A) Dalmane 
B) Xanax 
C) Narcan 
D) Rohypnol 
A) Dalmane 
B) Xanax 
C) Narcan 
D) Rohypnol

Question 9

While creating a methadone protocol for a patient rehabilitating from heroin addiction,the nurse explains that the patient will take methadone for what length of time?

Accepted Answer

A) Daily for the rest of his life 
B) Daily until stabilized, then gradually reduce the dose to zero 
C) Weekly for at least 6 months, then decrease the dose to once a month 
D) Monthly for 6 to 10 months, then decrease the dose to zero 
A) Daily for the rest of his life 
B) Daily until stabilized, then gradually reduce the dose to zero 
C) Weekly for at least 6 months, then decrease the dose to once a month 
D) Monthly for 6 to 10 months, then decrease the dose to zero

Question 10

A college student has brought his hallucinating roommate to the college clinic.The young man says his roommate has been experimenting with phencyclidine (PCP).How long should the nurse expect the hallucinations to last?

Accepted Answer

A) 30 to 60 minutes 
B) 1 to 4 hours 
C) 4 to 6 hours 
D) 6 to 12 hours 
A) 30 to 60 minutes 
B) 1 to 4 hours 
C) 4 to 6 hours 
D) 6 to 12 hours

Question 11

The nurse reminds a group of high school students that most states have laws limiting blood alcohol levels of drivers.What is the legal blood alcohol serum level in most states?

Accepted Answer

A) 0.08% 
B) 0.20% 
C) 0.40% 
D) 0.50% 
A) 0.08% 
B) 0.20% 
C) 0.40% 
D) 0.50%

Question 12

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 13

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 14

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 15

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

Question 16

The nurse cautions that a person who chronically abuses drugs may experience mental impairment.The area of the brain that can be affected and permanently damaged is the ________ _________.

Accepted Answer

limbic system
The most commonl

Question 17

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 18

The nurse should assess a patient for which criteria of addiction? (Select all that apply.)

Accepted Answer

A) Excessive use of the substance 
B) Increase in social function 
C) Uncontrollable consumption 
D) Increase in economic function 
E) Psychological disturbances 
A) Excessive use of the substance 
B) Increase in social function 
C) Uncontrollable consumption 
D) Increase in economic function 
E) Psychological disturbances

Question 19

Alcohol is involved in motor vehicle accidents,suicides,and homicides.Approximately how many deaths each year are related to alcohol consumption?

Accepted Answer

A) 50,000 
B) 70,000 
C) 80,000 
D) 100,000 
A) 50,000 
B) 70,000 
C) 80,000 
D) 100,000

Question 20

When a patient denies any problems related to addiction,what is the nurse's most therapeutic response?

Accepted Answer

A) "What do you call this hospitalization?" 
B) "How can anybody help you if you don't see a problem?" 
C) "Would your family agree that you have no problems?" 
D) "Can you think of any time your behavior created an unpleasant situation in your life?" 
A) "What do you call this hospitalization?" 
B) "How can anybody help you if you don't see a problem?" 
C) "Would your family agree that you have no problems?" 
D) "Can you think of any time your behavior created an unpleasant situation in your life?"

Exam 35: Care of the Patient with an Addictive Personality

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

What stage of dependence is described by a patient when he tells the nurse that he has tried to stop his drug habit,but he does not feel "normal" without it?

What nursing intervention should be included in the plan of care for a baby born to a drug-addicted mother?

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

A patient seems bewildered when he confides in the nurse that all of his friends and leisure time have been centered on a drug culture.Which would be the best response by the nurse?

What should the nurse do to decrease the damage of bruxism seen in a patient who has been abusing the drug ecstasy?

What is the best response by a nurse when a patient inquires how alcohol acts so quickly on his system?

Which drug is often used in date rape?

While creating a methadone protocol for a patient rehabilitating from heroin addiction,the nurse explains that the patient will take methadone for what length of time?

A college student has brought his hallucinating roommate to the college clinic.The young man says his roommate has been experimenting with phencyclidine (PCP).How long should the nurse expect the hallucinations to last?

The nurse reminds a group of high school students that most states have laws limiting blood alcohol levels of drivers.What is the legal blood alcohol serum level in most states?

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?

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

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

The nurse cautions that a person who chronically abuses drugs may experience mental impairment.The area of the brain that can be affected and permanently damaged is the ________ _________.

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

The nurse should assess a patient for which criteria of addiction? (Select all that apply.)

Alcohol is involved in motor vehicle accidents,suicides,and homicides.Approximately how many deaths each year are related to alcohol consumption?

When a patient denies any problems related to addiction,what is the nurse's most therapeutic response?

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

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Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

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Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

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Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

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The nurse cautions that a person who chronically abuses drugs may experience mental impairment.The area of the brain that can be affected and permanently damaged is the _.