Chapter 23. SubstanceRelated and Addictive Disorders My Nursing Test Banks1. What should be the priority nursing diagnosis for a client experiencing
... [Show More] alcohol withdrawal? A. Risk for injury R/T central nervous system stimulation B. Disturbed thought processes R/T tactile hallucinations C. Ineffective coping R/T powerlessness over alcohol use D. Ineffective denial R/T continued alcohol use despite negative consequences ANS: A The priority nursing diagnosis for a client experiencing alcohol withdrawal should be risk for injury R/T central nervous system stimulation. Alcohol withdrawal may In store Test Bank for Strategic Management An Integrated Approach 10th Edition by Hill $ 30.00 View Details Solution Manual for Corporate Finance Home Other Subject (Business, math,etc..) Search for other book Privacy Policy & Terms Review Contact: [email protected] 3/25/2021 Chapter 23. Substance-Related and Addictive Disorders My Nursing Test Banks - Test Bank Go!-all FREE!! https://web.archive.org/web/20180813101954/http://testbankgo.eu/chapter-23-substance-related-and-addictive-disorders/ 2/19 include the following symptoms: course tremors of hands, tongue, or eyelids; seizures; nausea or vomiting; malaise or weakness; tachycardia; sweating; elevated blood pressure; anxiety; depressed mood; hallucinations; headache; and insomnia. KEY: Cognitive Level: Analysis | Integrated Processes: Nursing Process: Analysis | Client Need: Physiological Integrity: Reduction of Risk Potential 2. A nurse evaluates a clients patient-controlled analgesia (PCA) pump and notices 100 attempts within a 30-minute period. Which is the best rationale for assessing this client for substance use disorder? A. Narcotic pain medication is contraindicated for all clients with active substance-use problems. B. Clients who are regularly using alcohol or benzodiazepines may have developed cross-tolerance to analgesics and require increased doses to achieve effective pain control. C. There is no need to assess the client for substance use disorder. There is an obvious PCA malfunction. D. The client is experiencing symptoms of withdrawal and needs to be accurately assessed for lorazepam (Ativan) dosage. ANS: B The nurse should assess the client for substance use disorder because clients who are regularly using alcohol or benzodiazepines may have developed cross-tolerance to analgesics and require increased doses to achieve effective pain control. Cross-tolerance occurs when one drug lessens the clients response to another drug. KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need: Physiological Integrity 3. On the first day of a clients alcohol detoxification, which nursing intervention should take priority? Canadian 2nd Edition by Berk $ 30.00 View Details Test Bank for Operations Management First Canadian Edition 1st Edition by Heizer $ 30.00 View Details Test Bank for Organizational Behavior 10th Edition by Griffin $ 30.00 View Details 3/25/2021 Chapter 23. Substance-Related and Addictive Disorders My Nursing Test Banks - Test Bank Go!-all FREE!! https://web.archive.org/web/20180813101954/http://testbankgo.eu/chapter-23-substance-related-and-addictive-disorders/ 3/19 A. Strongly encourage the client to attend 90 Alcoholics Anonymous meetings in 90 days. B. Educate the client about the biopsychosocial consequences of alcohol abuse. C. Administer ordered chlordiazepoxide (Librium) in a dosage according to protocol. D. Administer vitamin B to prevent Wernicke-Korsakoff syndrome. ANS: C The priority nursing intervention for this client should be to administer ordered chlordiazepoxide (Librium) in a dosage according to protocol. Chlordiazepoxide (Librium) is a benzodiazepine and is often used for substitution therapy in alcohol withdrawal. Substitution therapy may be required to reduce life-threatening effects of the rebound stimulation of the central nervous system that occurs during withdrawal. KEY: Cognitive Level: Analysis | Integrated Processes: Nursing Process: Implementation | Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies 4. Which client statement indicates a knowledge deficit related to substance use? A. Although its legal, alcohol is one of the most widely abused drugs in our society. B. Tolerance to heroin develops quickly. C. Flashbacks from LSD use may reoccur spontaneously. D. Marijuana is like smoking cigarettes. Everyone does it. Its essentially harmless. ANS: D The nurse should determine that the client has a knowledge deficit related to substance use when the client compares marijuana to smoking cigarettes and claims it to be harmless. Both of these substances have potentially Solution Manual for Visual Anatomy and Physiology Lab Manual Pig Version 1st Edition by Sarikas $ 30.00 View Details Test Bank for Music An Appreciation 11th Edition by Kamien $ 30.00 View Details Solution Manual for Marketing Management 1st Edition by Marshall 1 3/25/2021 Chapter 23. Substance-Related and Addictive Disorders My Nursing Test Banks - Test Bank Go!-all FREE!! https://web.archive.org/web/20180813101954/http://testbankgo.eu/chapter-23-substance-related-and-addictive-disorders/ 4/19 harmful effects. Cannabis is the second most widely abused drug in the United States. KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need: Health Promotion and Maintenance 5. A lonely, depressed divorce has been self-medicating with cocaine for the past year. Which term should a nurse use to best describe this individuals situation? A. The individual is experiencing psychological addiction. B. The individual is experiencing physical addiction. C. The individual is experiencing substance addiction. D. The individual is experiencing social addiction. ANS: A The nurse should use the term psychological addiction to best describe this clients situation. A client is considered to be psychologically addicted to a substance when there is an overwhelming desire to use a substance in order to produce pleasure or avoid discomfort. KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need: Psychosocial Integrity 6. Which term should a nurse use to describe the administration of a central nervous system (CNS) depressant during alcohol withdrawal? A. Antagonist therapy B. Deterrent therapy C. Codependency therapy D. Substitution therapy ANS: D A CNS depressant such as Ativan is used during alcohol withdrawal as substitution therapy to prevent lifethreatening symptoms that occur because of the rebound reaction of the central nervous system. $ 30.00 View Details Test Bank for The Economic Way of Thinking 13th Edition by Heyne $ 30.00 View Details Solution Manual for New Venture Creation Entrepreneurship for the 21st Century 10th Edition by Spinelli $ 30.00 View Details Solution Manual for Statistics for Management and Economics 10th 3/25/2021 Chapter 23. Substance-Related and Addictive Disorders My Nursing Test Banks - Test Bank Go!-all FREE!! https://web.archive.org/web/20180813101954/http://testbankgo.eu/chapter-23-substance-related-and-addictive-disorders/ 5/19 KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies 7. A client diagnosed with chronic alcohol use disorder is being discharged from an inpatient treatment facility after detoxification. Which client outcome related to Alcoholics Anonymous (AA) would be most appropriate for a nurse to discuss with the client during discharge teaching? A. After discharge, the client will immediately attend 90 AA meetings in 90 days. B. After discharge, the client will rely on an AA sponsor to help control alcohol cravings. C. After discharge, the client will incorporate family in AA attendance. D. After discharge, the client will seek appropriate deterrent medications through AA. ANS: A The most appropriate client outcome for the nurse to discuss during discharge teaching is attending 90 AA meetings in 90 days after discharge. AA is a major selfhelp organization for the treatment of alcoholism. It accepts alcoholism as an illness and promotes total abstinence as the only cure. KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Planning | Client Need: Psychosocial Integrity 8. A client with a history of heavy alcohol use is brought to an emergency department (ED) by family members who state that the client has had nothing to drink in the last 24 hours. Which client symptom should the nurse immediately report to the ED physician? A. Antecubital bruising B. Blood pressure of 180/100 mm Hg C. Mood rating of 2/10 on numeric scale Edition by Gerald Keller $ 30.00 View Details 3/25/2021 Chapter 23. Substance-Related and Addictive Disorders My Nursing Test Banks - Test Bank Go!-all FREE!! https://web.archive.org/web/20180813101954/http://testbankgo.eu/chapter-23-substance-related-and-addictive-disorders/ 6/19 D. Dehydration ANS: B The nurse should recognize that high blood pressure is a symptom of alcohol withdrawal and should promptly report this finding to the physician. Complications associated with alcohol withdrawal may progress to alcohol withdrawal delirium and possible seizure activity on about the second or third day following cessation of prolonged alcohol consumption. KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need: Physiological Integrity: Reduction of Risk Potential 9. Which client statement demonstrates positive progress toward recovery from a substance use disorder? A. I have completed detox and therefore am in control of my drug use. B. I will faithfully attend Narcotic Anonymous (NA) when I cant control my cravings. C. As a church deacon, my focus will now be on spiritual renewal. D. Taking those pills got out of control. It cost me my job, marriage, and children. [Show Less]