Question 1

To better ensure successful rehabilitation from substance abuse,it is essential that the patient,family,and medical professional:

Accepted Answer

Collaboration is basic for success of rehabilitation.The patient and family must be part of the decision-making process for the formulation of treatment goals.

Question 2

The nurse explains the difference between an enabler and a co-dependent is that a co-dependent:

Accepted Answer

The co-dependent "fixes" things by overcompensating to prevent the abuser from facing reality.Enabling refers to "helping" a person so that the person's consequences from unhealthy behavior are less severe;thus enabling "helps" the unhealthy behavior to continue.

Question 3

The nurse explains that an alternative to disulfiram (Antabuse)is the drug naltrexone (ReVia),which can:

Accepted Answer

Naltrexone (ReVia)can be used to block the craving for alcohol and to prevent relapse in the recovery phase.

Question 4

The nurse encourages the recovering alcoholic to participate in group therapy because of the major and long-lasting benefit of:

Accepted Answer

The learning of the skill of self-discipline is the long-lasting benefit from group therapy.The other options are also benefits,but the major one is self-discipline,a skill a drug abuser must acquire for successful rehabilitation.

Question 5

The nurse is aware that when Korsakoff's syndrome is suspected from behavioral cues,the syndrome can be confirmed by:

Accepted Answer

The individual with Korsakoff's syndrome has grossly impaired memory and gait disturbance.Confabulation (making up stories)frequently is seen as an attempt to communicate.A brain scan will show brain atrophy;currently there is no treatment to reverse the condition.

Question 6

A patient who is still intoxicated has been admitted for detoxification at the treatment center.The nurse takes into consideration that the patient will be supported in his withdrawal with the use of:

Accepted Answer

The alcoholic in withdrawal is supported with symptomatic relief for nausea and vomiting,cramps,and possible seizure.

Question 7

The nurse is concerned about a coworker who exhibits a sign of amphetamine abuse,such as:

Accepted Answer

Excited speech,euphoric behavior,increased alertness,and anorexia are indications of abuse of amphetamines.

Question 8

The nurse explains that,no matter whether you drink a 12-ounce beer,a 6-ounce glass of wine,or 1.5 ounces of straight liquor,it takes approximately _____ minutes for the body to metabolize it.

Accepted Answer

The metabolization of any amount of alcohol takes approximately 1 hour.

Question 9

After detoxification from substance abuse,the patient says,"I feel better than I have in years! All I needed was some rest.I am not an alcoholic." The nurse should respond to this by saying:

Accepted Answer

Confronting denial and encouraging self-diagnosis is the point of the treatment phase after detoxification.Asking for the patient's definition of alcoholism allows for the patient to intellectualize the problem.Stating that alcoholism is "hard" is a sympathetic and unhelpful response."Alcoholism has ruined your life" is accusatory and counterproductive.

Question 10

The nurse is aware that the newly admitted patient who overdosed on lorazepam (Ativan)will show signs of withdrawal in _____ hours.

Accepted Answer

Because of the long half-life of benzodiazepines,the withdrawal from them is delayed for up to 3 to 5 days.

Question 11

The wife of an alcoholic tells the nurse,"My husband only drinks on the weekends to relax.He has a very stressful job." The nurse recognizes the defense mechanism of:

Accepted Answer

Rationalization is a justification for an unreasonable act to make it appear reasonable.Rationalization is used by many families to allay their own anxiety about the substance abuse of a family member.Repression refers to unconsciously blocking an unwanted thought or memory from open expression.Denial is ignoring reality in spite of hard evidence.Denial is a mechanism frequently used by substance abusers.Identification refers to modeling behaviors after another individual.

Question 12

When a patient is admitted after abusing a hallucinogenic substance,the care plan must be altered to include interventions for:

Accepted Answer

People under the influence of hallucinogenic drugs cannot separate fact from fantasy and have a distortion of senses.They can do unpredictable and dangerous things that can bring them to harm because of their impaired judgment.

Question 13

The alcoholic patient says to the nurse,"I am not an alcoholic.I can quit any time I want to." The nurse recognizes the defense mechanism of:

Accepted Answer

Denial is ignoring reality in spite of hard evidence.Denial is a mechanism frequently used by substance abusers.Repression refers to unconsciously blocking an unwanted thought or memory from open expression.Rationalization attempts to justify a behavior or action by making an excuse or an explanation.Intellectualization is the excessive reasoning and logic to counter emotional distress.

Question 14

The nurse is caring for an undernourished alcoholic patient.The nurse is helping the patient to select items from the menu.The patient's diet should ideally:

Accepted Answer

The diet for the malnourished alcoholic patient should be high in protein and consist of at least 50% carbohydrates.There are no specific limitations for fat and cholesterol.

Question 15

The nurse is aware that many people who abuse Cannabis (marijuana)rationalize their use because of the drug's ability to:

Accepted Answer

Many young people offer the increased sensitivity to sound,colors,and other environmental elements as a rationale for using the nonaddicting drug.

Question 16

The nurse is caring for a patient who is undergoing detoxification from alcohol.Which supplement can the nurse expect to be included in the prescribed medications?

Accepted Answer

The treatment for the alcoholic undergoing detoxification includes the administration of large doses of thiamine (vitamin B?).Thiamine acts as a nerve insulator in the body and is absent in the diets of most chronic alcoholics.

Question 17

A patient who has been given naloxone (Narcan)for an overdose of opiates is rapidly recovering from the effect of his heroin overdose when suddenly he relapses and his level of consciousness and respirations decrease.The nurse should:

Accepted Answer

Narcan has a short half-life,and opiate action may resume and cause respiratory depression.Narcan may be repeated,or the nurse can request a continuous IV infusion of the drug.

Question 18

A person in jail for public intoxication has been without alcohol for 12 hours.The jail nurse would be alert for withdrawal signs of:

Accepted Answer

Marked irritability is the early sign (6 to 12 hours after last drink)of alcohol withdrawal.

Question 19

The nurse uses the CAGE challenge to alcoholics who persist in denial.The "G" in the set of questions from CAGE stands for:

Accepted Answer

A commonly used screening tool for alcohol abuse is the CAGE assessment.Two or more "yes" answers has a 90% correlation with an alcohol abuse problem.The "G" stands as a reminder for the question,"Do you feel guilty about your drinking?"

Question 20

The nurse is aware that before nurses can be effective in dealing with substance abusers,nurses must:

Accepted Answer

Nurses must be aware of their own biases and attitude toward substance abuse and substance abusers before they can relate effectively with the patient.While consistency is important to the interaction,it is most important for nurses to have an awareness of their own personal positions on the matter.

Quiz 47: Care of Patients With Substance Abuse Disorders