Substance Use Disorders: Assessment, Prevention, and Treatment, Quizzes of Nursing

Download Substance Use Disorders: Assessment, Prevention, and Treatment and more Quizzes Nursing in PDF only on Docsity! Chapter 25: Addiction and Substance-Related Disorders A nurse is assessing a client with substance abuse for evidence of possible long-term complications. Which finding would alert the nurse to the development of a complication affecting the hematologic system? Select all that apply.  Leukemia  Anemia  Hematomas  Pancreatitis  Ulcers A client is brought to the emergency department by law enforcement after suspicion of driving under the influence. A blood alcohol level is drawn and is found to be 0.10 mg%. Which of the following would the nurse expect to assess?  Giddiness  Impaired judgment  Mood changes  Difficulty coordinating movements When discussing methadone treatment with a client, the nurse should include what?  It is a nonaddictive treatment.  It takes 1 to 2 years to cure an opiate addict.  The cure rate is extremely high.  It decreases the severity of heroin withdrawal symptoms. The public health nurse is planning community education on substance use. Which will the nurse prioritize?  prevention  treatment  collaboration  intervention The nurse is caring for an adult client that has been admitted to the detoxification unit. Due to acute withdrawal, what cues will the nurse likely assess?  anhidrosis, hypotonicity, and delusions  psychomotor hypoactivity and hypotension  bradycardia and generalized seizures  flushed face, headache, and tremors A client is admitted for a drug overdose with a barbiturate. Which is the priority nursing action when planning care for this client?  Monitor respiratory function.  Prepare a dose of ipecac, an emetic.  Check the client's belongings for additional drugs.  Pad the side rails of the bed because seizures are likely. The nurse is talking with a client that grew up in a home where both parents were alcoholics. Which behavior(s) does the nurse identify when assessing this client that correlate with this home life? Select all that apply.  Drinks alcohol to excess 3 days a week  Went back to college to complete a degree in nursing  Divorced 3 times with tumultuous relationships with spouses  States that they hold on to bad relationships due to fear of being alone  Several trusting relationships with friends During an assessment, a client states the inability to have long-term relationships and fears being abandoned. Which question would the nurse ask to help identify the reason for the client’s feelings?  “How many siblings do you have?”  “Did your parents consume alcohol when you were growing up?”  “How much alcohol do you consume?”  “Which substances do you routinely use?” The body can metabolize how much beer per hour without intoxication?  28 oz  16 oz  Indicates that the client experiences tolerance and withdrawal symptoms A nurse is caring for a client with an acute substance intoxication. The client’s pupils are dilated, and the nurse notes the client’s blood pressure is 166/108 mm Hg. Which substance is the most likely cause of the client’s symptoms?  heroin  cocaine  marijuana  methadone A client is experiencing severe alcohol withdrawal. Which would the nurse identify during the assessment that correlates with the withdrawal symptoms? Select all that apply.  Increased appetite  Heart rate around 72 beats/min  Marked diaphoresis  Auditory hallucinations  Gross uncontrollable tremors Which characteristic of the 12-step program distinguishes it from other programs?  The philosophy that it is possible to reduce the use of substances without abstaining.  Persons who use this program are independent in their sobriety.  Infrequent attendance is usually successful.  It is a self-help group that focuses on total abstinence. The nurse is working with a client with alcohol use disorder that has difficult behaviors to manage. Which action by the nurse is a priority to effectively care for this client?  The nurse should inform the client that all negative behaviors will stop prior to their sessions.  The nurse must recognize their own beliefs, backgrounds, and attitudes related to substance use disorder.  The nurse identifies that they retain their own ideas about how client’s behavior is managed.  The nurse must attend substance use disorder training prior to taking care of clients with these issues. Which factor would contraindicate the use of disulfiram in the treatment of a client who has an alcohol use disorder?  The client uses marijuana in addition to alcohol.  The client has a demonstrated family history of alcoholism.  The client had six drinks a few hours ago.  The client engages in binge drinking a few times a week rather than drinking consistently each day. A client is admitted for the third time for a substance use disorder. Which statement indicates the nurse is approaching the client with an open and objective attitude?  “Sometimes it takes a few times before relapses stop occurring.”  “I don’t understand why you keep going back to using the drug.”  “You need to really commit to this process.”  “There has to be a reason rehabilitation is not working for you.” The mental health nurse is preparing a presentation about prescription drug abuse to a local community group. When describing the incidence, which age group would the nurse identify as experiencing an increase?  Chronically ill females  Adolescents  Cognitively impaired older adults  Middle-age males A client with opioid addiction is prescribed methadone maintenance therapy. When explaining this treatment to the client, which of the following would the nurse need to keep in mind?  Methadone is a non-opioid drug.  Methadone is a not physiologically addictive.  Methadone simulates the high of heroin.  The drug helps to satisfy the craving for the opioid. A nurse is conducting a class for a group of high school students about marijuana use and abuse. The nurse determines that the class needs further discussion when they state which of the following?  Marijuana interferes with coordination and balance.  Marijuana has cardiovascular effects.  Users of marijuana always experience relaxation and euphoria.  Some active ingredients in marijuana have been approved for medical uses. A client will be taking disulfiram after discharge from an alcohol treatment program. Which statement would indicate that teaching has been effective?  "Drinking alcohol while taking disulfiram can cause dangerous symptoms."  "Disulfiram will block my cravings for alcohol, so I'll have less desire to drink."  "If I drink while taking disulfiram, it will make me vomit before the alcohol affects me."  "Disulfiram is safe to take with any over-the-counter cold medication." The nurse is working with a group of health care professionals on a program to address the use of substances in the community. Which information would the nurse emphasize to include in the program?  recognizing levels of tolerance  actions to prevent relapse  value of spontaneous remission  use of medication Disulfiram should not be administered until a client has abstained from alcohol for at least how long?  12 hours  16 hours  8 hours  4 hours The nurse is caring for a client with chronic alcohol use disorder that is experiencing an alteration in memory function. Which laboratory result will the nurse correlate with this assessment finding?  Thiamine  Magnesium sulfate  Folic acid A client has entered treatment for alcohol dependency at the client's spouse's insistence. The client's spouse has threatened to leave the marriage unless the client seeks treatment. The client admits that the client drinks every day, but that the drinking is well in control. The nurse recognizes the client's comments as denial. What is the best response by the nurse?  “What negative consequences have resulted from your drinking?”  “How much do you drink per day as compared to your friends?”  “Your spouse doesn't seem to think your drinking is in control. Do you know why?”  “You're in denial, which is common in the early stages of recovery.” The family of a client admitted for substance use disorder is being taught about enabling behaviors. Which statement(s) by the family demonstrates their understanding of the information provided by the nurse? Select all that apply.  “We will not participate in social events with them.”  “We will have to be more assertive and less passive.”  “We will be shamed when the church finds out.”  “We can no longer make excuses or lie for them.”  “We are not responsible for their money failures.” Suspicion that a nursing professional is impaired by a substance abuse problem is most supported by which situation?  Asking to be scheduled for weekend shifts as much as possible  Spending a considerable amount of shift time off the unit  Having several clients complain that their pain medication is not working  Frequently calling off work for undefined illnesses A psychiatric-mental health nurse is teaching a client about the physiological effects of long- term alcohol use. Which effect(s) may occur in the client with long-term alcohol use? Select all that apply.  pancreatitis  cardiac myopathy  Wernicke encephalopathy  diabetes mellitus  cirrhosis As a component of the standard nursing admission assessment at the hospital, a nurse is using the CAGE tool. Which of the following questions will the nurse ask the client?  “How many drinks do you have in a typical week?”  “Have you ever felt like you should cut down on your drinking?”  “Do you consider yourself to be an alcoholic?”  “Have you ever required medical treatment for an illness related to alcohol use?” The nurse is talking with the friend of a client with alcoholism. The friend tells the nurse that the friend's relationship with the client was codependent and enabling. Which behavior identified does the nurse correlate with codependent behavior?  The friend refused to go out drinking with the client to celebrate the client's birthday.  The friend confronted the client on the effect of the client's drinking on their relationship.  The friend called Alcoholics Anonymous when the client expressed a need to stop drinking.  The friend called the client every night to make sure the client got home safely and looks for the client if not at home. A client with alcohol use disorder is admitted for treatment. Which statement indicates that the nurse has an issue with the client’s condition?  “So you attended Alcoholics Anonymous meetings for how long?”  “Tell me how you are feeling right now.”  “I have family members with the same problem.”  “Explain to me when you started using alcohol.” A nurse suspects that a client is experiencing alcohol withdrawal based on assessment of which of the following?  Bradycardia  Hypotension  Slurred speech  Elevated temperature The nurse is teaching a client admitted with acute alcohol withdrawal about medications used to prevent complications during the withdrawal from alcohol. The nurse recognizes that teaching has been effective when the client makes which statement?  "I will be given a benzodiapine over several days as a substitution for alcohol."  "Antipsychotic medications will be given to me gradually for my withdrawal."  "A narcotic antagonist will be given to me to block the alcohol in my system."  "By taking a disulfide, I will be able to start my recovery process sooner." A client has been trying to stop smoking. The nurse at the clinic has helped with education on the risks and benefits of smoking cessation. Which statement(s) made by the client indicates an understanding of withdrawal? Select all that apply.  “My appetite may increase, so I may see weight gain.”  “I may have trouble sleeping and be irritable.”  “I may experience an elevated heart rate.”  “My mood should improve since I want to do this.”  “There may be times of decreased concentration.” A client is brought for emergency care for symptoms that developed after ingesting mescaline, a hallucinogen. Which action will the nurse make a priority when caring for the client?  Reduce environmental stimuli.  Apply a warming blanket.  Provide a caffeinated beverage.  Prevent falling asleep. The nurse suspects another nurse of substance use disorder while working in the long-term care facility. Which behavior(s) will the observing nurse report to the nurse manager? Select all that apply.  The observing nurse finds oral narcotics blister packs torn in the back.  The narcotic count is incorrect when the nurse ends the shift.  The clients are reporting a lack of pain control when the nurse is working.  The nurse administers narcotics and then goes to use the bathroom.  The nurse has poor hygiene practices and has an offensive body odor. An adolescent client is brought for emergency care after being found stuporous from sniffing glue. Which treatment will the nurse anticipate for the client?  temporary pacemaker