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Exam 2: NR 326/ NR326 (Latest 2025/ 2026 Update) Mental Health Nursing Guide | Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Chamberlain

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Exam 2: NR 326/ NR326 (Latest 2025/ 2026 Update) Mental Health Nursing Guide | Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Chamberlain Q: what is the blood alcohol content to be considered illegally intoxicated: Answer: 0.08% (80mg/dL) Q: signs of alcohol intoxication Answer: 1. Slurred speech 2. IMPAIRED MOTOR SKILLS 3. HIGH BLOOD PRESSURE 4. altered judgement 5. Decreased level of consciousness/respirations 6. atelactisis Chronic use: 1. Liver damage 2. CAD Q: alcohol withdrawal starts Answer: 4--12 hours of last intake and continues up to a week. Q: *alcohol withdrawal signs and symptoms*: know this Answer: WITHDRAWAL IS LIFE THREATENING! CAN OCCUR 2--3 DAYS AFTER LAST DRINK. 1. HALLUCINATIONS 2. hypertension 3. HIGH TEMPERATURES 4. INC. RESPIRATIONS 5. seizures 6. insomnia 7 .HEADACHES 8 .UNCONTROLLABLE SWEATING 9. tremors Q: *DELIRIUM TREMENS* Answer: A disorder involving sudden and severe DELIRIUM or seizures caused by abruptly stopping the use of alcohol 1. HALLUCINATIONS 2. CADIAC DYSRHYTHMIAS 3. SEIZURES 4. SEVERE HYPERTENSION 4. SUDDEN ONSET OF DELIRIUM 5. disorientation 6 tremors 7. DILATED PUPILS CAN LEAD TO DEATH ! Q: *MEDICATION USED TO TREAT ALCOHOL WITHDRAWAL* Answer: 1. BENZODIAZEPENES like *lorazepam* Q: Long term use of alcohol can lead to Answer: 1. encephalopathy (shrinking of the brain/alc) 2. cardiomyopathy eatitis 4. gi distress 5. immunosuppression 6. muscle pain 7. LEUKOPENIA/THROMBOCYTOPENIA Q: aloholism causes what deficiencies *know this* Answer: 1. *THIAMINE DEFICIENCY* (causes wernicke's ecephalopathy) 2. vitamin deficiency 3. Q: Wernicke-Korsakoff syndrome Answer: LACK OF THIAMINE and vitamins which result due to prolonged usage of alcohol resulting in ecephalopathy of the brain and changes in consciousness. Signs and Symptoms: -Paralysis of the ocular muscles -ataxia -stupor -somnelescence/stupor -confusion/confabulation TREATMENT IS THIAMINE REPLACEMENT Q: *nursing interventions for alcohol withdrawal* Answer: 1. REDUCE ENVIRONMENTAL STIMULI and reorient ( place them in a quiet room not with a lot of people) 2. Place suicide precautions 3. Place seizure precautions 4. ADMINISTER BENZODIAZEPENES (relieves withdawal) 5. GIVE NALTREXONE (also used for opioids to REDUCE ADDICTION) 6. Monitor vitals especially CARDIAC, RESPIRATORY, MENTAL STATUS; initiate oxygen as needed 7. Place 12 lead ekg and monitor hear with telemetry 8. Refer patient to individual and group therapy. Builds up support group 9. MULTIVITAMIN REPLACEMENT THERAPY (THIAMINE!!!!) Q: alcohol abuse meds for *LONG TERM MAINTAINENCE* Answer: 1. *DISULFRAM*: can only be taken after 10 days of not drinking. Will induce vomiting, palpitations, and hypotension if taken with alcohol. 2. Naltrexone: USED TO treat ALCOHOL & OPIOD CRAVING 3. Acamprosate: USED TO TREAT ANXIETY ANND WRESTLESSNESS ; pill taken 3 times a day

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Examl 2:l NRl 326/l NR326l (Latestl 2025/l
2026l Update)l Mentall Healthl Nursingl
Guidel |l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l
Chamberlain

Q:l whatl isl thel bloodl alcoholl contentl tol bel consideredl illegallyl intoxicated:

Answer:
0.08%l (80mg/dL)




Q:l signsl ofl alcoholl intoxication

Answer:
1.l Slurredl speechl
2.l IMPAIREDl MOTORl SKILLS
3.l HIGHl BLOODl PRESSURE
4.l alteredl judgement
5.l Decreasedl levell ofl consciousness/respirations
6.l atelactisisl


Chronicl use:
1.l Liverl damage
2.l CAD




Q:l alcoholl withdrawall starts

,Answer:
4--12l hoursl ofl lastl intakel andl continuesl upl tol al week.




Q:l *alcoholl withdrawall signsl andl symptoms*:l knowl this

Answer:
WITHDRAWALl ISl LIFEl THREATENING!l CANl OCCURl 2--3l DAYSl AFTERl LASTl
DRINK.l

1.l HALLUCINATIONS
2.l hypertension
3.l HIGHl TEMPERATURESl
4.l INC.l RESPIRATIONS
5.l seizures
6.l insomnial
7l .HEADACHES
8l .UNCONTROLLABLEl SWEATING
9.l tremors




Q:l *DELIRIUMl TREMENS*

Answer:
Al disorderl involvingl suddenl andl severel DELIRIUMl orl seizuresl causedl byl abruptlyl
stoppingl thel usel ofl alcohol

1.l HALLUCINATIONS
2.l CADIACl DYSRHYTHMIAS
3.l SEIZURES
4.l SEVEREl HYPERTENSIONl
4.l SUDDENl ONSETl OFl DELIRIUMl
5.l disorientation
6l tremors
7.l DILATEDl PUPILS

CANl LEADl TOl DEATHl !

,Q:l *MEDICATIONl USEDl TOl TREATl ALCOHOLl WITHDRAWAL*

Answer:
1.l BENZODIAZEPENESl likel *lorazepam*




Q:l Longl terml usel ofl alcoholl canl leadl to

Answer:
1.l encephalopathyl (shrinkingl ofl thel brain/alc)l
2.l cardiomyopathyl
3.pancreatitis
4.l gil distress
5.l immunosuppressionl
6.l musclel painl
7.l LEUKOPENIA/THROMBOCYTOPENIA




Q:l aloholisml causesl whatl deficienciesl *knowl this*

Answer:
1.l *THIAMINEl DEFICIENCY*l (causesl wernicke'sl ecephalopathy)l
2.l vitaminl deficiencyl
3.




Q:l Wernicke-Korsakoffl syndrome

Answer:
LACKl OFl THIAMINEl andl vitaminsl whichl resultl duel tol prolongedl usagel ofl alcoholl
resultingl inl ecephalopathyl ofl thel brainl andl changesl inl consciousness.l

, Signsl andl Symptoms:
-Paralysisl ofl thel ocularl muscles
-ataxia
-stupor
-somnelescence/stupor
-confusion/confabulationl


TREATMENTl ISl THIAMINEl REPLACEMENT




Q:l *nursingl interventionsl forl alcoholl withdrawal*

Answer:
1.l REDUCEl ENVIRONMENTALl STIMULIl andl reorientl (l placel theml inl al quietl rooml
notl withl al lotl ofl people)
2.l Placel suicidel precautions
3.l Placel seizurel precautions
4.l ADMINISTERl BENZODIAZEPENESl (relievesl withdawal)l

5.l GIVEl NALTREXONEl (alsol usedl forl opioidsl tol REDUCEl ADDICTION)

6.l Monitorl vitalsl especiallyl CARDIAC,l RESPIRATORY,l MENTALl STATUS;l initiatel
oxygenl asl needed

7.l Placel 12l leadl ekgl andl monitorl hearl withl telemetry

8.l Referl patientl tol individuall andl groupl therapy.l Buildsl upl supportl group

9.l MULTIVITAMINl REPLACEMENTl THERAPYl (THIAMINE!!!!)




Q:l alcoholl abusel medsl forl *LONGl TERMl MAINTAINENCE*

Answer:
1.l *DISULFRAM*:l canl onlyl bel takenl afterl 10l daysl ofl notl drinking.l Willl inducel
vomiting,l palpitations,l andl hypotensionl ifl takenl withl alcohol.

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