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Questions and Answers
A 60-year-old man was admitted for cholecystitis. On the 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 60-year-old man was admitted for cholecystitis. On the 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:
The nurse recognizes that alcohol addiction is predictable if the age of onset is:
The nurse recognizes that alcohol addiction is predictable if the age of onset is:
Alcohol is involved in motor vehicle accidents, suicides, and homicides. Approximately how many deaths each year are related to alcohol consumption?
Alcohol is involved in motor vehicle accidents, suicides, and homicides. Approximately how many deaths each year are related to alcohol consumption?
If the nurse's assessment reveals low stress tolerance, negative self-image, and depression, the nurse concludes the patient is a(n):
If the nurse's assessment reveals low stress tolerance, negative self-image, and depression, the nurse concludes the patient is a(n):
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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:
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:
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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?
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?
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The nurse counsels the patient in the late stage of dependence that recovery may not be possible without:
The nurse counsels the patient in the late stage of dependence that recovery may not be possible without:
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The nurse recognizes that there may be a genetic tendency toward alcoholism because sons of alcoholic fathers have what percentage risk of developing alcoholism?
The nurse recognizes that there may be a genetic tendency toward alcoholism because sons of alcoholic fathers have what percentage risk of developing alcoholism?
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When a patient inquires how alcohol acts so quickly on his system, the nurse answers that the effect is felt quickly because alcohol is:
When a patient inquires how alcohol acts so quickly on his system, the nurse answers that the effect is felt quickly because alcohol is:
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The nurse reminds a group of high school students that most states have laws limiting blood alcohol levels of drivers, which is usually:
The nurse reminds a group of high school students that most states have laws limiting blood alcohol levels of drivers, which is usually:
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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:
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:
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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?
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?
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While performing an initial assessment on a newly admitted alcoholic patient, the nurse can best ensure honest answers by:
While performing an initial assessment on a newly admitted alcoholic patient, the nurse can best ensure honest answers by:
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During the detoxification period, the nurse designs interventions to:
During the detoxification period, the nurse designs interventions to:
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During the rehabilitation phase, the entire health team is focused on assisting the patient to:
During the rehabilitation phase, the entire health team is focused on assisting the patient to:
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To decrease disorientation during the detoxification period, the nurse should:
To decrease disorientation during the detoxification period, the nurse should:
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The nurse explains that Alcoholics Anonymous (AA) consists of abstinent alcoholics who help other alcoholics become sober. The foundation of AA is:
The nurse explains that Alcoholics Anonymous (AA) consists of abstinent alcoholics who help other alcoholics become sober. The foundation of AA is:
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The nurse instructs an alcoholic patient that consuming alcohol while taking disulfiram (Antabuse) will result in severe:
The nurse instructs an alcoholic patient that consuming alcohol while taking disulfiram (Antabuse) will result in severe:
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If the patient tells the nurse, 'I'm not an alcoholic. I can stop whenever I want,' the nurse's most therapeutic response is:
If the patient tells the nurse, 'I'm not an alcoholic. I can stop whenever I want,' the nurse's most therapeutic response is:
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When a patient denies any problems related to addiction, the nurse's most therapeutic response is:
When a patient denies any problems related to addiction, the nurse's most therapeutic response is:
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The nurse teaches a young woman about the dangers of which drug that is often used in date rape?
The nurse teaches a young woman about the dangers of which drug that is often used in date rape?
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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 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:
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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?
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?
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The nurse concludes that a significant goal of the care plan for an alcoholic patient has been met when the patient states:
The nurse concludes that a significant goal of the care plan for an alcoholic patient has been met when the patient states:
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While creating a methadone protocol for a patient rehabilitating from heroin addiction, the nurse explains that the patient will take methadone:
While creating a methadone protocol for a patient rehabilitating from heroin addiction, the nurse explains that the patient will take methadone:
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When a 22-year-old patient presents in the emergency department with the characteristics of severe Parkinson's, the nurse suspects an overdose of:
When a 22-year-old patient presents in the emergency department with the characteristics of severe Parkinson's, the nurse suspects an overdose of:
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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 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:
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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:
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:
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When caring for a baby born to a drug-addicted mother, the nurse should include in her interventions to:
When caring for a baby born to a drug-addicted mother, the nurse should include in her interventions to:
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The nurse explains that the greatest problem with lysergic acid diethylamide (LSD) use is that the drug:
The nurse explains that the greatest problem with lysergic acid diethylamide (LSD) use is that the drug:
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To decrease the damage of bruxism seen in a patient who has been abusing the drug ecstasy, the nurse should:
To decrease the damage of bruxism seen in a patient who has been abusing the drug ecstasy, the nurse should:
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When the nurse suspects a co-worker of abusing drugs while working, the nurse should:
When the nurse suspects a co-worker of abusing drugs while working, the nurse should:
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When in a peer assistance program, the impaired nurse:
When in a peer assistance program, the impaired nurse:
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During the initial intake assessment of a drug user, the nurse will attempt to obtain which subjective data? (Select all that apply.)
During the initial intake assessment of a drug user, the nurse will attempt to obtain which subjective data? (Select all that apply.)
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When assessing an alcoholic patient, the nurse notes short-term memory loss, painful extremities, foot drop, and muttered incoherent responses to her questions. These symptoms are most likely related to a condition caused by long-term alcohol abuse, which is known as:
When assessing an alcoholic patient, the nurse notes short-term memory loss, painful extremities, foot drop, and muttered incoherent responses to her questions. These symptoms are most likely related to a condition caused by long-term alcohol abuse, which is known as:
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The nurse uses the CAGE questionnaire to assess a patient. The nurse suspects the patient is an alcoholic if there are affirmative answers for how many items on the questionnaire?
The nurse uses the CAGE questionnaire to assess a patient. The nurse suspects the patient is an alcoholic if there are affirmative answers for how many items on the questionnaire?
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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:
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:
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The nurse assesses a patient for which criteria of addiction? (Select all that apply.)
The nurse assesses a patient for which criteria of addiction? (Select all that apply.)
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Study Notes
Care of the Patient with an Addictive Personality
- Withdrawal symptoms such as sweating, tremors, and elevated blood pressure can signal substance abuse in hospitalized patients.
- Starting alcohol consumption at age 14 or younger significantly increases the risk of developing alcohol addiction (44%).
- Alcohol consumption is linked to about 100,000 deaths annually, including motor vehicle accidents, suicides, and homicides.
- Traits indicative of an addictive personality include low stress tolerance, negative self-image, and depression.
- Loss of control over substance use is a key indicator of addiction progression.
- In the middle stage of dependence, users often feel abnormal without the drug and show withdrawal signs without abstinence.
- Late-stage dependence recovery is unlikely without professional treatment for substance abuse.
- Sons of alcoholic fathers face a 30% to 50% risk of developing alcoholism due to genetic predisposition.
- Alcohol is metabolized rapidly by the liver, resulting in quick effects on the body.
- Most states set the legal blood alcohol concentration limit for driving at 0.10%.
- Even small amounts of alcohol (two drinks a day) can adversely affect a fetus during pregnancy.
- Withdrawal signs can appear as soon as 6 hours after the last alcohol intake.
- A nonjudgmental attitude from healthcare providers encourages honest communication from patients with addiction issues.
- Detoxification focuses on patient safety, managing symptoms such as withdrawal to prevent aspiration and seizures.
- Rehabilitation emphasizes sustaining abstinence from drugs and creating effective support systems.
- The Alcoholics Anonymous (AA) foundation is based on a 12-step program aimed at maintaining sobriety.
- The medication disulfiram (Antabuse) causes severe nausea when alcohol is consumed, acting as aversion therapy.
- Addressing denial in alcoholics may require pointing out the impact of their behavior on their life and relationships.
- Rohypnol, or "roofies," is known for its association with date-rape incidents and is not approved for use in the U.S.
- Encouraging patients to explore new activities helps them transition away from a drug-centered lifestyle.
- Narcan is the standard treatment for reversing narcotic overdose effects.
- Success in treatment for alcoholics is indicated when they recognize their drinking as the source of their problems.
- Methadone assists in heroin rehabilitation by stabilizing patients before gradually reducing the dosage.
- Chronic amphetamine abuse can lead to symptoms resembling severe Parkinson’s disease due to dopamine depletion.
- PCP use can result in hallucinations lasting up to 6 to 12 hours.
- Symptoms of amphetamine overdose may be long-lasting or even permanent.
- Newborns of drug-addicted mothers should be swaddled and placed in low-stimulation environments for comfort.
- LSD can cause unpredictable flashbacks, posing significant risks long after use.
- Bruxism associated with ecstasy can be managed by using pacifiers to protect teeth.
- Observations of a suspected drug-abusing colleague should be reported to a supervisor rather than confronting them directly.
- Nurses in peer assistance programs can retain their licenses while undergoing treatment and monitoring.
- Key assessments for substance abuse include patterns of use, specific drugs, quantity, and last use time.
- Long-term alcohol abuse may lead to Korsakoff syndrome, characterized by memory loss and incoherent speech.
- A CAGE questionnaire score of two or more affirmative answers suggests a need for further evaluation of alcohol use.
- Chronic drug abuse can permanently damage the limbic system, affecting mental functioning.
- Criteria for assessing addiction include excessive use, social and economic dysfunction, uncontrollable consumption, and psychological disturbances.
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Description
This quiz examines the care of patients with an addictive personality, focusing on withdrawal symptoms, risk factors, and traits associated with addiction. Understand the progression of substance abuse and the implications of alcohol consumption from a young age. Explore the impact of genetic predisposition and the importance of professional treatment.
