Deck 36: Care of the Patient with an Addictive Personality

Question 1

The nurse instructs an alcoholic patient that consuming alcohol while taking disulfiram (Antabuse)will result in severe:

A) nausea.
B) blackouts.
C) headaches.
D) hypertension.

Answer 1

nausea.

Question 2

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

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?"

Answer 2

"Can you think of any time your behavior created an unpleasant situation in your life?"

Question 3

During the detoxification period,the nurse designs interventions to:

A) enroll the patient in Alcoholics Anonymous (AA).
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.

Answer 3

keep the patient safe from aspiration and seizure.

Question 4

If the patient tells the nurse,"I'm not an alcoholic.I can stop whenever I want to," the nurse's most therapeutic response is:

A) "Well,why don't you?"
B) "Hasn't alcohol use interfered with your employment?"
C) "A positive attitude like that is a good start."
D) "What would you call alcoholism?"

Question 5

The nurse reminds a group of high school students that most states have laws limiting blood alcohol levels of drivers,which is usually:

A) 0.5%.
B) 0.7%.
C) 0.10%.
D) 0.12%.

Question 6

The nurse recognizes that there may be a genetic tendency toward alcoholism because sons of alcoholic fathers have what percentage risk of developing alcoholism?

A) 5% to 10%
B) 15% to 20%
C) 30% to 50%
D) 25% to 30%

Question 7

The nurse counsels the "recreational" user that drugs that make the user feel good have the potential to become progressively addicting until the abuser exhibits:

A) addiction to the drug.
B) increased amounts used.
C) loss of control over use.
D) high level of anxiety.

Question 8

The nurse explains that Alcoholics Anonymous (AA)consists of abstinent alcoholics who help other alcoholics become and stay sober.The foundation of AA is:

A) psychotherapy.
B) a 12-step program.
C) group support.
D) individual counseling.

Question 9

When a patient tells the nurse that he has tried to stop his drug habit,but he doesn't feel "normal" without it,the nurse recognizes the patient is in which stage of dependence?

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

Question 10

If the nurse's assessment reveals low stress tolerance,negative self-image,and depression,the nurse concludes the patient is a(n):

A) recreational drug user.
B) preaddiction stage user.
C) addictive personality user.
D) criminally inclined user.

Question 11

The nurse assesses an alcoholic patient carefully for signs of withdrawal that usually appear as early as how many hours after cessation of alcohol intake?

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

Question 12

When a pregnant adolescent tells the nurse that she "only drinks a little," the nurse responds that the amount necessary to cause an adverse effect in an infant is:

A) one drink a day.
B) two drinks a day.
C) three drinks a day.
D) four drinks a day.

Question 13

The nurse counsels the patient in the late stage of dependence that recovery may not be possible without:

A) gaining insight into the addiction.
B) receiving treatment for substance abuse.
C) pledging to lead a completely different lifestyle.
D) seeking a nondrug-oriented support system.

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,the nurse assesses for:

A) cardiac problems.
B) respiratory problems.
C) withdrawal problems.
D) circulatory problems.

Question 15

When a patient inquires how alcohol acts so quickly on his system,the nurse answers that the effect is felt quickly because alcohol is:

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

Question 16

To decrease disorientation during the detoxification period,the nurse should:

A) place the patient in a room with another recovering patient.
B) instruct the patient to orient himself to his surroundings at bedtime.
C) wake the patient up every 4 hours to eat a small snack.
D) use nightlights and remove extra furniture from the room.

Question 17

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

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

Question 18

During the rehabilitation phase,the entire health team is focused on assisting the patient to:

A) establish a support system.
B) seek and maintain employment.
C) abstain from drug use.
D) address the problems related to addiction.

Question 19

While performing an initial assessment on a newly admitted alcoholic patient,the nurse can best ensure honest answers by:

A) not asking personal questions.
B) having a nonjudgmental attitude.
C) including the family.
D) promising the patient not to tell anyone.

Question 20

The nurse recognizes that alcohol addiction is predicable if the age of onset is:

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

Question 21

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

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

Question 22

To decrease the damage of bruxism seen in a patient who has been abusing the drug ecstasy,the nurse should:

A) turn the patient to his right side.
B) elevate the head of the bed 30 degrees.
C) utilize a pacifier.
D) administer a muscle relaxant.

Question 23

When the nurse suspects a co-worker of abusing drugs while working,the nurse should:

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 24

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

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

Question 25

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 ________ _________.

Question 26

When caring for a baby born to a drug-addicted mother,the nurse should include in her interventions to:

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.

Question 27

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.The nurse's best response would be:

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 28

The nurse concludes that a significant goal of the care plan for an alcoholic patient has been met when the patient states:

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 29

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.

Question 30

The mother of a young woman being treated for amphetamine overdose asks the nurse when the manifestations will subside.The nurse's best answer is:

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 31

The nurse explains that the greatest problem with lysergic acid diethylamide (LSD)use is that the drug:

A) is addictive.
B) stimulates drug-seeking behavior.
C) causes flashbacks.
D) sets off hypertensive episodes.

Question 32

When assessing an alcoholic patient,the nurse notes short-term memory loss,painful extremities,foot drop,and muttered incoherent responses to her questions.The nurse recognizes these symptoms as most likely related to a condition caused by long-term alcohol abuse,which is known as __________ syndrome.

Question 33

When in a peer assistance program,the impaired nurse:

A) has a suspended license.
B) must undergo treatment and periodic monitoring.
C) will be allowed to work with license intact.
D) will be reported to the Healthcare Integrity and Protection Data Bank.

Question 34

While creating a methadone protocol for a patient rehabilitating from heroin addiction,the nurse explains that the patient will take methadone:

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 35

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

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

Question 36

The nurse teaches a young woman about the dangers of which drug that is often used in date rape?

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

Question 37

A college student has brought his hallucinating roommate to the college clinic.The young man says his roommate has been experimenting with phencyclidine (PCP).The nurse recognizes that the hallucinations may last as long as:

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

Question 38

When a 22-year-old patient presents in the emergency department with the characteristics of severe Parkinson's,the nurse suspects an overdose of:

A) marijuana.
B) cocaine.
C) amphetamines.
D) Valium.