HC3B Exam 4 | Verified with 100% Correct Answers

HC3B Exam 4 | Verified with 100% Correct Answers A young adult has reported heavy use of alcohol and prescription drugs since mid-adolescence. This individual now has an ataxic gait and uses a cane. Which comment by the nurse presents reality while demonstrating compassion? A) "I know you must feel self-conscious about using a cane at your age, but it will help prevent falls." B) "Addiction is a fatal disease. If you continue to drink like you have done in the past, you will not live another 10 years." C) "It's time to face your addiction. You are disappointing your family and must stop drinking for the sake of the people who love you." D) "Addiction is powerful. You are young yet you cannot walk without a cane. Your health has been significantly affected by your long-term use of drugs and alcohol." The nurse at a local clinic reviews phoned-in requests from patients for prescription refills. As the nurse confers with the health care provider about which prescription refill requests should be authorized, which refill request should be considered first? A) Codeine 10 mg PO q4h PRN for an adult with a persistent cough B) Hydroxyzine (Vistaril) 25 mg PO TID PRN for an adult who experiences uncomfortable muscle spasms C) Lorazepam (Ativan) 1 mg PO BID for an adult who has taken it daily for 3 years for episodes of anxiety D) Lomotil 2 mg PO q6h PRN for an adult experiencing severe diarrhea A patient tells the nurse, "After many years, I finally quit smoking. Now I use e-cigarettes only." Which is an appropriate response? A) "Using e-cigarettes is now more socially acceptable than using traditional cigarettes." B) "Congratulations on quitting, but e-cigarettes contain nicotine and other hazardous chemicals." C) "Nicotine is a powerful addiction. Quitting smoking is a big step toward adopting a healthier lifestyle." D) "I am glad you have quit smoking. Your loved ones will no longer be exposed to the hazards of second-hand smoke." A young adult tells the nurse, "I have a new prescription for medical marijuana. I use it several times a day for my frequent muscle spasms." What information should the nurse provide to this patient? A) Guidance that the prescription should not be shared with peers B) Directions to weigh self once a week and maintain a log of the results C) Instructions about safety issues associated with driving or operating machinery D) Information about the potential for amotivational syndrome and memory problems A nurse teaches a patient with alcohol use disorder about a new prescription for naltrexone. Which comment by the patient indicates the teaching was effective? A) "This medicine will stop my cravings for alcohol." B) "I should take this medication only when I feel cravings to drink alcohol." C) "This medicine is one part of a bigger treatment plan to help me stay sober." D) "I should not use products that contain alcohol, such as cough medicine and aftershave lotion." 16 years ago a toddler died in a tragic accident. Once a year, the parents place flowers at the accident site. How would the nurse characterize the parent's behavior? A) Mourning B) Bereavement C) Complicated grief D) Disenfranchised grief A recently widowed adult says, "I've been calling my neighbors often, but they act like they don't want to talk to me. I just need to talk about it, you know?" What's the nurse's best action? A) Say to the person, "You may call me anytime you need to talk." B) Ask the person, "What do you mean by 'I just need to talk about it'?" C) Educate the person about the importance of finding alternative activities D) Tell the person the location and time of a local bereavement support group A physician informed an adult of the results of diagnostic tests that showed lung cancer. Later in the day, the patient says to the nurse, "My doctor said I have breathing problems, right?" Which nursing diagnosis is applicable? A) Denial related to acceptance of new diagnosis B) Spiritual distress related to unresolved life conflicts C) Situational low self-esteem related to stress of new diagnosis D) Acute confusion related to metastatic changes to cerebral function A nurse leads a bereavement group. Which participant's comment best demonstrates that the work of grief has been successfully completed? A) "Our time together was too short. I only wish we had done more things together." B) "I know our life together was a blessing that I did not deserve. I wish I had said 'I love you' more often." C) "Other people knew my loved one as a good and helpful person. I hope people see me in the same way." D) "Our best vacations always involved water. When I see pictures of the ocean, those memories come flooding in." A nurse who has worked for a community hospice organization for 8 years says, "My patients and their families experience overwhelming suffering. No matter how much I do, it's never enough." Which problem should the nursing supervisor expect? A) The nurse is experiencing spiritual distress B) The nurse is at risk for burnout and compassion fatigue C) The nurse is not receiving adequate recognition from others D) The nurse is at risk for overhelping, which creates dependency Which substance(s) are considered addictive according to the DSM-5? SATA. A) Alcohol B) Caffeine C) Cannabis D) Gambling E) Hallucinogens F) Antianxiety medications Which of these questions is included on the CAGE screening test for alcoholism? A) "Do you feel that you are a normal drinker?" B) "Have you ever felt bad or guilty about your drinking?" C) "Are you always able to stop drinking when you want to?" D) "How often did you have a drink containing alcohol in the past year?" For a person who has an alcohol abuse problem, which rationale supports family involvement in the treatment program? A) Alcoholism involves the entire family and affects all members B) Alcoholics try to hide their drinking from their families C) Family members provide insights into the dynamics behind the drinking D) Family members have been most successful in providing necessary support Which intervention would provide comfort to the client experiencing alcohol toxicity? A) Dim the lights B) Use distraction C) Offer activities D) Stay with the client Which intervention would the nurse use to promote the safety of a client experiencing alcohol withdrawal? A) Infuse IV fluids B) Monitor the level of anxiety C) Obtain frequent vital signs D) Administer chlordiazepoxide Which substance(s) can cause life-threatening dysrhythmias when inhaled? SATA. A) Glue B) Gasoline C) Nicotine D) Cannabis E) Paint thinner Which initial action would the nurse take for a client admitted to an alcohol rehabilitation center who on the fourth day after admission has a strong odor of alcohol on their breath? A) Ask where the client got the alcohol B) Locate the alcoholic substance C) Convey the staff's disappointment in this behavior D) Document the client's drinking Which strategy would be effective for a client with alcohol use disorder who says, "Drinking is a way out of my depression."? A) A self-help group B) Psychoanalytical therapy C) A visit with a religious advisor D) Talking with an alcoholic friend Which food choices would indicate the client with alcohol use disorder understands the teaching about foods high in thiamine? A) Fish, aged cheese, and breads B) Lean beef, organ meat, and nuts C) Poultry, milk products, and eggs D) Green vegetables, lentils, and citrus fruits In the rehabilitation of a client addicted to alcohol, which factor is most important? A) Motivational readiness B) Availability of community resources C) Accepting attitude of the family D) Level of the client's physical state Which intervention would the nurse use in the care of a drug-dependent mother and infant? A) Support the mother's positive responses toward her infant B) Request that family members share responsibility for infant care C) Separate the infant from the mother until the mother is drug free D) Explain the relationship of infant's symptoms to the mother's drug abuse Which clinical manifestations accompany methamphetamine use? SATA. A) Bradypnea B) Tachycardia C) Hyperthermia D) Constricted pupils E) Decreased blood pressure Which is the best response the nurse would make to a male client who is denying addiction to alcohol but says that it is his nagging wife causing him to drink? A) "I don't think that your wife is the problem." B) "Everyone is responsible for his own actions." C) "Perhaps you should have marriage counseling." D) "Why do you think that your wife is the cause of your problems?" Which response would the nurse make to the wife of a client with alcohol use disorder who says, "When the drinking starts it really disrupts my family, and I'm not sure how to handle it."? A) "Include your husband in the family's activities even when he's been drinking." B) "Attend Al-Anon meetings and avoid assuming responsibility for your husband's behavior." C) "Search the house regularly for hidden alcohol and accompany your husband outside the home." D) "Help your husband avoid embarrassment by making excuses for him when it's impossible for him to function." Which initial outcome criterion would be appropriate for a client who is a poly-substance abuser and is mandated to seek drug and alcohol counseling? A) Verbalizes that a substance abuse problem exists B) Discusses the effect of drug use on self and others C) Explores the use of substances and problematic behaviors D) Expresses negative feelings about the current life situation When planning for a client's care during the detoxification phase of early alcohol withdrawal, which action would the nurse take? A) Check on the client frequently B) Keep the client's room lights dim C) Address the client in a loud, clear voice D) Restrain the client during periods of agitation Which type of group is Alcoholics Anonymous (AA)? A) Social group B) Self-help group C) Resocialization group D) Psychotherapeutic group The CAGE questionnaire is used to screen the client's use of which substance? A) Alcohol B) Barbiturates C) Hallucinogens D) Multiple drugs Which action would be required of the client with alcohol use disorder who attends AA meetings? A) Speaking aloud at weekly meetings B) Maintaining controlled drinking after 6 months C) Promising to attend at least 12 meetings yearly D) Acknowledging an inability to control the alcoholism Which substance would pose the greatest risk of addiction for clients attending an alcohol rehabilitation program? A) Heroin B) Cocaine C) Nicotine D) Phencyclidine Which behavior would indicate that a client with a long-term history of alcohol use disorder is ready for treatment? A) Drinking only socially B) Avoiding drinking for a week C) Being hospitalized for detoxification D) Verbalizing an honest desire for help An individual is found unconscious and is admitted to the hospital with heroin overdose. Which nursing action is the priority? A) Monitoring LOC B) Establishing a patent airway C) Monitoring for heroin withdrawal D) Establishing a therapeutic relationship Which rationale would explain the reason a client abuses alcohol? A) To blunt reality B) To precipitate euphoria C) To promote social interaction D) To stimulate the CNS Which behavior is expected of members of Alcoholics Anonymous (AA)? A) Speaking at and participating in weekly meetings B) Promising to attend at least 12 meetings yearly C) Maintaining controlled drinking after 6 months D) Acknowledging an inability to control the drinking A client has been instructed to stop smoking. Which action would the nurse take upon discovering a pack of cigarettes in the client's bathrobe? A) Notify the HCP B) Report this to the nurse manager C) Tell the client about finding the cigarettes D) Discard the cigarettes without telling the client Which defense mechanism is most commonly used by client who are alcoholics? A) Denial B) Projection C) Displacement D) Compensation Which strategy would the nurse recommend that is most effective for a client who has decided to stay sober after completing alcohol detoxification and rehabilitation treatment? A) Daily administration of disulfiram B) Individual or group psychotherapy C) Admission to an alcoholic unit in a hospital D) Active membership in Alcoholics Anonymous Which initial statement would the nurse use when a client with a history of alcoholism returns to a previously attended residential alcohol treatment program? A) "It's too bad that you failed. What could you do to make things better?" B) "You could die if you keep drinking. Nobody wants to see that happen." C) "You've made progress; let's focus on strategies to prevent a relapse." D) "The program won't work unless you comply with recommendations." Which response would the nurse use when a client is observed hiding a bottle of whiskey in the back of a drawer? A) Wait and try to catch the client drinking alcohol B) Confiscate the alcohol when the client is not looking C) Wait for the client to bring up the subject of drinking D) Ask the client how much alcohol she or he consumes in a week For Alcoholics Anonymous, which goal is the priority? A) Acknowledging and changing destructive behavior B) Developing functional social and family relationships C) Identifying how people present themselves to others D) Understanding interactional patterns within the group Which imbalance is associated with alcohol-induced amnestic disorder? A) Thiamine deficiency B) A reduced iron intake C) An increase in serotonin D) Riboflavin malabsorption Which rationale best explains how addiction to alcohol occurs? A) Person eventually requires alcohol for functioning B) Person lacks the motivation or will to stop drinking C) Person has developed very few coping mechanisms D) Person enjoys the social aspects of drinking alcohol As a client addicted to cocaine withdraws from the drug, which behavior would the nurse observe? A) Excitability B) Depression C) Disinhibition D) Hyperactivity