LEC Quiz 14 - Care of Clients with Substance Used Disorders (2024) PDF

LEC Quiz 14 - Care of Clients with Substance Used 7. Clients addicted to alcohol use denial as one of their 13. The client’s friend asks anxiously, “Do you think she Disorders (2024) prime defense mechanisms. The nurse understands that...

LEC Quiz 14 - Care of Clients with Substance Used 7. Clients addicted to alcohol use denial as one of their 13. The client’s friend asks anxiously, “Do you think she Disorders (2024) prime defense mechanisms. The nurse understands that will live?” Which of the following replies would be best for these clients use denial to: the nurse to make? 1.The client consumed about 6 ounces of alcohol just before coming to the hospital. Which of the following Live up to others expectation methods would be best for the nursing staff to use to Her condition is serious. You sound very worried about promote alcohol destruction in the client’s body? Make them look better in the eyes of others her?” Make them seem more independent “We can only wait and see” Have the client breathe pure oxygen through a face mask Reduce their feeling of guilt “Do you know her well?” Provide the client with a restful room so that he can sleep “She is very ill and may not live” off the effects of alcohol Give the client black coffee to drink 8. Which of the following remarks that the client might Walk the client around the unit following a cold shower make before his discharge would show the most realistic analysis of his situation in relation to avoiding future 14. The nurse talks further with the client’s friend and tries drinking problems? to determine the nature of their relationship. Which of the following motivations provides the best justification for the 2. Hospital policy requires that the client’s belongings be nurse’s inquiries? searched for contraband on admission. In view of the “I can whip this drinking business if my wife keeps off my client’s drinking problem, which of his possessions is most back.” likely to be confiscated by the nursing staff? To ascertain the friend’s capabilities as a source of “I promise I’ll never get drunk again” support for the client electric razor “I’m going to try hard to stay away from that first drink.” hair dress “I’ll just have one or two drinks at the most, now and then” To learn whether the client’s relationship with the friend shaving cream ! may have caused the suicide attempt antiseptic mouthwash To determine whether the friend can be trusted with confidential information about the client 9. Which client statement would indicate to the nurse that To encourage the friend to realize the seriousness of the 3. While obtaining a nursing history, the nurse questions further teaching about Disulfiram (Antabuse) is necessary: client’s condition the client about the amount of alcohol he consumes daily. The nurse expects the client to likely answer the question by “A metallic or garlic taste in my mouth us normal when starting in Antabuse.” 15. Before hospitalization, the client needed increasingly Indicating that he does not know the amount d. “Reading labels on cough syrup, after-shave lotion and larger doses of barbiturates to achieve the same euphoric mouthwash is important because they might contain effect she initially realized from their use. From this Expressing uncertainty about the amount alcohol.”“Reading labels on cough syrup, after-shave lotion information, the nurse should plan care taking into account Exaggerating the amount and mouthwash is important because they might contain that the client is likely alcohol.” Underestimating the amount “I can drink one or two beers and not get sick while on Antabuse.” Tolerance 4. The most important reason for investigating the amount of alcohol the client has consumed during the 24 to 48 “I need to stop taking Antabuse for at least 2 weeks Addiction hours before admission is to help determine before I can drink alcohol without experiencing an Dependence alcohol-Antabuse reaction.” Habituation Whether the client should be considered an alcoholic Whether the client will experience delirium tremens How far the disease has progressed 10. For clients with alcoholism, the primary rehabilitator is The severity of withdrawal the: entire health team 16. Which of the following outcomes would be the most 5. In planning care for the patient, priority focused on: important during the drug withdrawal? Offering desirable alternatives to alcohol problem client Helping patient acknowledge that he has alcoholic nurse problems physician Informing patient of the possible development medical Remains safe during the process problem resulting from alcoholism. Acknowledges negative consequences of Preparing patient to immediate physical and social substance-abuse behavior 11. A client is brought by ambulance to the hospital rehabilitation emergency room after taking an overdose of barbiturates. Participates in self-help group When the went into shock at home and is semi-comatose Identifies triggers to relapse on admission the cause of death would most likely be: Internal hemorrhage 17. A client is brought to the ER by ambulance. When you Respiratory depression do the initial assessment, you find that the client has a 6. When thinking about alcohol and drug abuse the nurse Kidney failure clammy skin, pinpoint pupils, and shallow respiration. The should be aware that: client has overdosed. What type of drug would result in Cardiac standstill these symptoms? 12. A male friend arrive a short time later carrying some of Cannabis the client’s personal belongings. He reports that the client has been taking about eight “reds” (800 mg. of Amphetamines secobarbital [Seconal] daily besides drinking more alcohol unhappy childhood is a causative factor in many Hallucinogens than usual. Which of the following terms best describes the addiction interaction of barbiturates and alcohol? Narcotics most alcoholics become polydrug users Suppressive 18. The nurse is aware that marijuana intoxication causes: addictive individuals tent to use hostile, abusive behavior Addictive most polydrug abusers also abuse alcohol Potentiating Dilated pupils Antagonistic Drowsiness Constricted pupils  Conjunctiva redness 19. What is the most widely used illegal drug? Narcoticss Cannabis Alcohol Amphetamines 20. During assessment of a client present with dilated pupils, sweating, palpitations, & tachycardia. The nurse suspect the client is overdosed with: Hallucinogen Sedative Stimulants Opioid