Deck 46: Care of Patients with Substance Abuse Disorders

Question 1

How long does it take the body to metabolize a single can of beer?

A) 20 minutes
B) 30 minutes
C) 40 minutes
D) 60 minutes

Answer 1

60 minutes

Question 2

The alcoholic patient says to the nurse,"I am not an alcoholic.I can quit any time I want to." The nurse recognizes that the patient is using which defense mechanism?

A) Repression
B) Denial
C) Rationalization
D) Intellectualization

Answer 2

Denial

Question 3

The nurse is aware that when Korsakoff syndrome is suspected from behavioral cues,the syndrome can be confirmed by which diagnostic test?

A) Liver biopsy
B) Brain scan
C) Magnetic resonance imaging
D) Spinal tap

Answer 3

Brain scan

Question 4

The nurse is caring for a patient who was admitted for a lorazepam (Ativan)overdose.Which assessment finding indicates that the patient is experiencing withdrawal?

A) Lethargy
B) Urine output of 40 mL/hr
C) Heart rate of 48 beats/min
D) Blood pressure of 140/90

Question 5

The nurse uses the CAGE challenge to alcoholics who persist in denial.What does the "G" in the set of questions from CAGE represent?

A) Get: "Do you feel like you must get alcohol?"
B) Go: "Do you go out to drink?"
C) Gone: "Is memory of drinking episodes gone?"
D) Guilty: "Do you feel guilty about your drinking?"

Question 6

A patient is admitted after abusing an inhalant.Which safety precaution is most important for the nurse to take?

A) Check the patient's temperature hourly.
B) Place the patient on seizure precautions.
C) Monitor carefully for changes in urine output.
D) Ensure that respiratory support equipment is present at the bedside.

Question 7

Shortly after receiving one dose of naloxone (Narcan)for an overdose of opiates,a patient experiences a change in level of consciousness and a decreased respiratory rate.What should the nurse do first?

A) Inform the charge nurse.
B) Repeat the Narcan.
C) Notify the health care provider.
D) Update family members.

Question 8

An intoxicated patient is admitted to a treatment center for detoxification.The nurse understands that his withdrawal will be supported with which method?

A) Psychotherapy support
B) Large doses opioids to ensure sedation for 72 hours
C) Symptomatic relief until the substance clears his symptoms
D) Titrated amounts of alcohol until severe withdrawal resolves

Question 9

The nurse is caring for an undernourished alcoholic patient.The nurse is helping the patient to select items from the menu.What dietary goal should the nurse try to help the patient achieve?

A) Construct a diet that consists of at least 30% protein.
B) Limit all fat and cholesterol.
C) Limit sodium intake to less than 1.5 grams.
D) Construct a diet that consists of at least 50% carbohydrates.

Question 10

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?

A) Potassium chloride
B) Thiamine
C) Riboflavin
D) Folic acid

Question 11

Why do many people who abuse Cannabis (marijuana)rationalize their use?

A) Cannabis sedates them.
B) Cannabis expands their senses.
C) Cannabis heightens sexual pleasure.
D) Cannabis may be obtained legally for therapeutic purposes.

Question 12

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 that the patient's wife is using which defense mechanism?

A) Repression
B) Denial
C) Rationalization
D) Identification

Question 13

The nurse explains that an alternative to disulfiram (Antabuse)is the drug naltrexone (ReVia).Which information should the nurse include in the teaching plan?

A) Naltrexone (ReVia) causes severe headaches if alcohol is consumed while using the drug.
B) Naltrexone (ReVia) can cause a dependence on the medication itself if taken improperly.
C) Naltrexone (ReVia) releases endorphin-like enzymes that mimic intoxication.
D) Naltrexone (ReVia) blocks craving and prevents relapse.

Question 14

Which action best aids in successful rehabilitation from substance abuse?

A) The patient and family members collaborate to develop treatment goals.
B) The patient and family members accurately list signs of relapse.
C) The patient and family members commit to discarding all drugs and paraphernalia.
D) The patient and family members commit to a 12-step program.

Question 15

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." Which response is best for the nurse to make?

A) "What were you doing that got you admitted to the detoxification center?"
B) "Alcoholism has many definitions. What is yours?"
C) "Admitting to alcoholism is hard."
D) "Alcoholism has ruined your life. How can you say you are not an alcoholic?"

Question 16

Which statement accurately explains the difference between an enabler and a co-dependent?

A) A codependent covers up the substance abuser's behavior.
B) A codependent rationalizes the substance abuser's behavior.
C) An enabler uses the substance abuser's behavior to build up his or her own self-esteem.
D) An enabler is also a substance abuser.

Question 17

The nurse is concerned about a coworker who she suspects is abusing amphetamines.Which behavior best validates the nurse's concern?

A) Frantic, excited speech
B) Poor attention to detail
C) Poor personal hygiene
D) Insatiable hunger

Question 18

Which action is most important for the nurse to take before providing care for substance abusers?

A) Become familiar with self-help programs.
B) Examine personal bias relative to substance abuse.
C) Become knowledgeable about theories of addiction.
D) Ensure consistency with each patient.

Question 19

A person in jail for public intoxication has been without alcohol for 12 hours.Which finding indicates that the patient may be withdrawing from alcohol?

A) Irritability
B) Nausea and vomiting
C) Hallucinations
D) Seizures

Question 20

The nurse encourages the recovering alcoholic to participate in group therapy.Which benefit is most important for the nurse to mention?

A) Development of improved social skills
B) Progression toward sobriety
C) Provision of a sense of belonging
D) Increasing self-discipline

Question 21

Which actions describe diagnostic criteria for the diagnosis of substance abuse?

A) Failure to meet obligations
B) Putting self and others in potential harm
C) Experiencing conflict with law enforcement authorities
D) Developing physical debilitation
E) Denying existence of a problem

Question 22

Which criteria are part of alcohol dependency diagnosis guidelines?

A) Identifiable withdrawal signs and symptoms
B) Decreasing tolerance
C) Altered family relationships
D) Blackouts or amnesia pertinent to drinking episodes
E) Altered occupational productivity

Question 23

In what ways do support groups benefit substance abusers?

A) Support groups provide healthy relationships.
B) Support groups offer opportunities to practice new coping skills.
C) Support groups decrease stress and anxiety.
D) Support groups improve social skills.
E) Provide cathartic opportunities.
F)None of above

Question 24

The nurse clarifies terms relative to substance abuse.Match the option with the definition.

Needs substance to feel good

A)Abuse
B)Psychological dependence
C)Addiction
D)Tolerance
E)Withdrawal

Question 25

Which findings indicate that the recovering alcoholic may be developing Wernicke encephalopathy?

A) Confusion
B) Hallucinations
C) Verbally aggressive behavior
D) Ataxia
E) Seizures

Question 26

Patients who use inhalants and hallucinogens are likely to experience which negative effects?

A) Distortion of senses
B) Intense pruritus
C) Uncontrolled flashbacks
D) Koilonychia
E) Severely impaired judgment

Question 27

The nurse is caring for a patient who has a heightened risk for seizures during his alcohol detoxification.Which medication may be included in the patient's care?

A) Magnesium sulfate
B) Chlordiazepoxide (Valium)
C) Promethazine (Phenergan)
D) Dicyclomine (Bentyl)

Question 28

The nurse cautions the recovering alcoholic who is on disulfiram (Antabuse)should avoid even small exposure to alcohol.Which signs and symptoms are characteristic of a reaction of disulfiram (Antabuse)with alcohol?

A) Chest pain
B) Nausea and vomiting
C) Hypertension
D) Blurred vision
E) Blinding headache

Question 29

What actions does becoming substance free involve?

A) Committing to a lifestyle change.
B) Developing new coping skills.
C) Committing to honesty in communication.
D) Gaining an awareness of possible periods of relapse.
E) Completing a program in 12 months.

Question 30

The nurse clarifies terms relative to substance abuse.Match the option with the definition.

Symptomatology related to cessation of drug

A)Abuse
B)Psychological dependence
C)Addiction
D)Tolerance
E)Withdrawal

Question 31

The nurse clarifies terms relative to substance abuse.Match the option with the definition.

Needs increasing amounts of substance to achieve desired effect

A)Abuse
B)Psychological dependence
C)Addiction
D)Tolerance
E)Withdrawal

Question 32

The nurse clarifies terms relative to substance abuse.Match the option with the definition.

Uses psychoactive drugs in nontherapeutic manner

A)Abuse
B)Psychological dependence
C)Addiction
D)Tolerance
E)Withdrawal

Question 33

The nurse clarifies terms relative to substance abuse.Match the option with the definition.

Needs substance to prevent symptoms of withdrawal

A)Abuse
B)Psychological dependence
C)Addiction
D)Tolerance
E)Withdrawal