Prescriber's Guide –
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Stahl's Essential Psychopharmacology 6th Edition
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Test Bank
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TEST BANK g
,Prescriber's Guide- Stahl's Essential Psychopharmacology 6th Edition Test Bank
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Chapter Questions on Alcohol abstinence/Alcohol dependence/Alcohol withdrawal
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g1.
A client has been prescribed naltrexone (Trexan) for treatment of alcohol dependence. The nurse
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has explained the drugs purpose to the client. The nurse determines that the client has understood
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the instructions when the client identifies which of the following about the drug?
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A)
Causes itching if alcohol is consumed
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Produces the euphoria of alcohol g g g g
gC)
Reduces the appeal of alcoholg g g g
gD)
Improves appetite and nutritional status
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g2.
An adolescent client tells the nurse that he or she occasionally sniffs airplane glue. When
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discussing the effects of long-term use of inhalants, which of the following would the nurse most
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likely include?
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A)
Tremors and CNS arousal g g g
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Enhanced normal heart rhythms g g g
gC)
Enhanced attention focus and memory g g g g
gD)
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,Brain damage and cognitive abnormalities
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3.
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A client tells the nurse that he is committed to trying to quit smoking. When teaching the client
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about smoking cessation, which of the following would the nurse include?
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A)
Success usually involves more than one type of intervention.
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g B)
Relapse is fairly rare within the first year of quitting.
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C)
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Ear acupressure is a highly proven method for quitting.
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D)
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Education is key for smoking cessation. g g g g g
4.
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The nurse is completing the admission of a client who is seeking treatment for alcoholism. He
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tells the nurse that the last time he had any alcohol to drink was at 10:00 AM before he left for
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the hospital. The nurse closely monitors the client. Which of the following would lead the nurse
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to suspect that the client is experiencing stage 1 of alcohol withdrawal syndrome? Select all that
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apply.
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A)
Slight diaphoresis g
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Hand tremors g
C)
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Intermittent confusion g
D)
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, Heart rate of 135 beats/min
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E)
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Normal blood pressure g g
5.
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A nurse is talking with a 57-year-old client who has been a heavy drinker for many years. The
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client is being treated for alcoholism, and this is her second week as an inpatient on the
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psychiatric unit. It is 5:00 AM, and the client has been having difficulty sleeping. The client is an
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orthopedic nurse, and although she is clothed in a hospital-issued gown and robe, she is wearing
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a stethoscope around her neck that the nurse recognizes as belonging to one of the staff nurses.
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When the nurse asks her why she is wearing the stethoscope and where she got it, the client gives
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her a long and involved reply that basically describes how her nursing supervisor came to visit
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and gave it to her to wear so shed remember to get well. The nurse suspects that the client may
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be experiencing which of the following?
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A)
Wernickes syndrome g
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Delirium tremens g
C)
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Korsakoffs psychosis g
D)
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Malignant hyperthermia g
6.
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A nurse is using motivational therapy with a female client with alcoholism. The client, who is
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unwilling to consider changing her drinking behavior, emphatically states, I am not an alcoholic;
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you cant make me stop drinking. Which response by the nurse would be most appropriate?
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A)
You have to stop drinking and driving; you could kill someone.
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g B)
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