Care of the Patient with an Addictive Personality

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:

Cardiac problems

Respiratory problems

Circulatory problems

Withdrawal problems (correct)

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

12 or younger

14 or younger (correct)

8 or younger

10 or younger

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

80,000

50,000

100,000 (correct)

70,000

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

Addictive personality user Signup and view all the answers

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:

Loss of control over use Signup and view all the answers

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?

Middle Signup and view all the answers

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

Receiving treatment for substance abuse Signup and view all the answers

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

30% to 50% Signup and view all the answers

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

Metabolized into ethanol rapidly Signup and view all the answers

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

0.10% Signup and view all the answers

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:

Two drinks a day Signup and view all the answers

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?

6 Signup and view all the answers

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

Having a nonjudgmental attitude Signup and view all the answers

During the detoxification period, the nurse designs interventions to:

Keep the patient safe from aspiration and seizure Signup and view all the answers

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

Abstain from drug use Signup and view all the answers

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

Use nightlights and remove extra furniture from the room Signup and view all the answers

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

A 12-step program Signup and view all the answers

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

Nausea Signup and view all the answers

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

'Hasn't alcohol use interfered with your employment?' Signup and view all the answers

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

'Can you think of any time your behavior created an unpleasant situation in your life?' Signup and view all the answers

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

Rohypnol Signup and view all the answers

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:

'What other sort of activities might you enjoy?' Signup and view all the answers

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?

Narcan Signup and view all the answers

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

'All my difficulties are related to my drinking.' Signup and view all the answers

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

Daily until stabilized, then gradually reduce the dose to zero Signup and view all the answers

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

Amphetamines Signup and view all the answers

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:

6 to 12 hours Signup and view all the answers

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 manifestations may be permanent.' Signup and view all the answers

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

Swaddle the baby closely Signup and view all the answers

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

Causes flashbacks Signup and view all the answers

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

Utilize a pacifier Signup and view all the answers

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

Report observations to a supervisor Signup and view all the answers

When in a peer assistance program, the impaired nurse:

Will be allowed to work with license intact Signup and view all the answers

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

Specific drug Signup and view all the answers

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:

Korsakoff Signup and view all the answers

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?

2 Signup and view all the answers

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:

limbic system Signup and view all the answers

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

Decrease in economic function Signup and view all the answers

Study Notes