Nursing care Of The Client With Special Needs: Addictions

35 Questions | Total Attempts: 92

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Nursing care Of The Client With Special Needs: Addictions

Select the best answer from mutiple choice options.


Questions and Answers
  • 1. 
    When caring for clients who have mental illness, the nurse’s priority interventions are focused on:
    • A. 

      Client advocacy

    • B. 

      Client safety

    • C. 

      Medication administration

    • D. 

      Teaching

  • 2. 
    The nurse is teaching a client about a complicated care regimen to follow upon discharge. The client appears distracted and cannot recall basic information reviewed yesterday. When the nurse asks the client to describe feelings about leaving the hospital, the client states, “There’s just too much to learn. I know I’m going to get home and mess something up.” The nurse recognizes that the client may be experiencing what level of anxiety?
    • A. 

      Mild

    • B. 

      Moderate

    • C. 

      Severe

    • D. 

      Panic

  • 3. 
    What change, if any, should the nurse expect in the dietary patterns of a client who is clinically depressed?
    • A. 

      Either overeating or eating little to nothing

    • B. 

      Intake is decreased

    • C. 

      Intake is increased

    • D. 

      None

  • 4. 
    When a nurse is teaching a client for whom Parnate, a monoamine oxidase inhibitor, has been prescribed, which of these instructions is essential?
    • A. 

      Drink plenty of fluids.

    • B. 

      Get at least 8 hours of sleep daily.

    • C. 

      Do not take any medications unless they are prescribed by a health care provider.

    • D. 

      The drug is contraindicated during pregnancy and breastfeeding.

  • 5. 
              What are the MOST common types of hallucinations?      
    • A. 

      Visual and olfactory

    • B. 

      Auditory and visual

    • C. 

      Tactile and visual

    • D. 

      Olfactory and tactile

  • 6. 
    Which type of hallucination is the MOST serious because it often results in the client causing harm to him- or herself or others?
    • A. 

      Auditory

    • B. 

      Command

    • C. 

      Ideation

    • D. 

      Visual

  • 7. 
              Most hospital readmissions for the client who has schizophrenia are the result of which of these factors?          
    • A. 

      Injuries caused by self-harming behaviors

    • B. 

      Noncompliance with the prescribed medication regimen

    • C. 

      Side effects of pharmacological therapies

    • D. 

      Worsening of symptoms despite medication and outpatient therapy

  • 8. 
    Which of these statements about attention-deficit hyperactivity disorder (ADHD) is TRUE?
    • A. 

      It is commonly associated with individuals who have been neglected by caregivers

    • B. 

      It usually disappears by adolescence

    • C. 

      It increases client sensitivity to the environment and surroundings

    • D. 

      It is evident when a client exhibits lack of attention.

  • 9. 
    A client who is experiencing complications of anorexia nervosa has a nursing diagnosis of Fluid volume deficit related to inadequate intake of liquids, self-induced vomiting, laxative, and diuretic use. What is an appropriate nursing goal for this diagnosis?
    • A. 

      The client’s intake and output will be approximately equal by the 4th hospital day

    • B. 

      The client will demonstrate increased consumption of nutrients as evidenced by daily weight gain.

    • C. 

      The client will verbalize feelings regarding the disease and coping strategies by the time of discharge.

    • D. 

      The client will verbalize plans for the future

  • 10. 
    When teaching a client about substance abuse, the nurse would BEST define a substance as:             
    • A. 

      A street drug that is frequently abused

    • B. 

      A readily obtained drug that compels a person to overdose

    • C. 

      A homemade concoction that produces desired effects

    • D. 

      A drug, legal or illegal, that may cause physical or mental impairment

  • 11. 
              Which population group is unaffected by substance-abuse disorders?
    • A. 

      Female teenagers

    • B. 

      Male professionals, ages 24 to 45

    • C. 

      Older adults

    • D. 

      None

  • 12. 
              Which of these terms describes the reversible effect on the central nervous system that occurs soon after the use of a substance?
    • A. 

      Abuse

    • B. 

      Intoxication

    • C. 

      Tolerance

    • D. 

      Withdrawal

  • 13. 
    Which of these terms describes the recurrent use of a substance where abstinence does not cause withdrawal symptoms?
    • A. 

      Abuse

    • B. 

      Dependence

    • C. 

      Intoxication

    • D. 

      Tolerance

  • 14. 
    Over a 12-month period, a client has been arrested twice for driving while intoxicated. The client is able to perform activities of daily living (ADLs) without the use of alcohol and restricts drinking to weekend social situations. This client meets the criteria for:
    • A. 

      Alcohol withdrawal syndrome

    • B. 

      Personal bad judgment

    • C. 

      Substance abuse

    • D. 

      Substance dependence

  • 15. 
    Which of these statements about the 19th Amendment to the U.S. Constitution is TRUE?
    • A. 

      It made the manufacture and sale of alcohol illegal.

    • B. 

      It made the use of certain narcotics illegal.

    • C. 

      It placed a tax on the sale of marijuana.

    • D. 

      It required accurate labeling of drugs.

  • 16. 
    According to the Comprehensive Drug Abuse Prevention and Control Act of 1970, a substance with high abuse and dependence potential, accepted medical use, obtainable only with a health care provider’s prescription that may not be refilled would be classified as which schedule of controlled substances?
    • A. 

      I (C-I)

    • B. 

      II (C-II)

    • C. 

      IV (C-IV)

    • D. 

      V (C-V)

  • 17. 
    Primary prevention of substance abuse focuses mainly on which of these groups?
    • A. 

      School age childen

    • B. 

      Adolescents

    • C. 

      Anyone who is presently using drugs

    • D. 

      Current drug abusers

  • 18. 
    When a person tests positive for drugs, what does this indicate?
    • A. 

      It is evidence of substance abuse.

    • B. 

      It is evidence of drug addiction.

    • C. 

      The person uses drugs on a recreational basis.

    • D. 

      The person has been exposed to the substance.

  • 19. 
    The student nurse is aware that alcohol is classified as:
    • A. 

      An amphetamine

    • B. 

      A barbiturate

    • C. 

      A central nervous system (CNS) depressant

    • D. 

      An opiate

  • 20. 
               When a person makes up information to fill in memory gaps as a result of abusing or depending on alcohol, what term describes this process?        
    • A. 

      Confabulation

    • B. 

      Impaired thinking

    • C. 

      Lying

    • D. 

      Moral deterioration

  • 21. 
    Which of these conditions is NOT directly associated with chronic alcohol abuse?     
    • A. 

      Esophageal varices

    • B. 

      Jaundice

    • C. 

      Fatty liver

    • D. 

      Pancreatic cancer

  • 22. 
    The teratogenic effects of alcohol may cause which of these conditions?
    • A. 

      Cirrhosis

    • B. 

      Fetal alcohol syndrome

    • C. 

      Korsakoff’s psychosis

    • D. 

      Wernicke’s encephalopathy

  • 23. 
    The most advanced stage of alcohol withdrawal, which develops 2 to 3 days after alcohol drinking has stopped and includes symptoms such as disorientation and inability to recognize familiar objects or persons, is called:
    • A. 

      Alcohol withdrawal syndrome

    • B. 

      Delirium tremens

    • C. 

      Detoxification

    • D. 

      Teratogenic effect

  • 24. 
               During detoxification, an alcoholic client becomes hypoglycemic. Which of these actions should the nurse take FIRST?             
    • A. 

      Administer dextrose.

    • B. 

      Encourage the client to eat to minimize withdrawal symptoms.

    • C. 

      Give the client thiamine prior to dextrose administration.

    • D. 

      Administer oxygen before starting an IV.

  • 25. 
    Which of these drugs when mixed with alcohol is known as the “date rape drug”?
    • A. 

      Valium

    • B. 

      Librium

    • C. 

      Rohypnol

    • D. 

      Seconal

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