, Prescriber's Guide- Stahl's Essential Psychopharmacology 8th Edition Test Bank
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Chapter 1 Chemimical Neurotransmissin
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Chapter Questions on Alcohol abstinence/Alcohol dependence/Alcohol withdrawal
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1.
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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B)
Produces the euphoria of alcohol l8 l8 l8 l8 l8
C)
Reduces the appeal of alcohol l8 l8 l8 l8 l8
D)
Improves appetite and nutritional status l8 l8 l8 l8 l8
2.
An adolescent client tells the nurse that he or she occasionally sniffs airplane glue. When discuss
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ing the effects of long-
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term use of inhalants, which of the following would the nurse most likely include?
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A)
Tremors and CNS arousal l8 l8 l8 l8
B)
Enhanced normal heart rhythms l8 l8 l8 l8
C)
Enhanced attention focus and memory l8 l8 l8 l8 l8
D)
www.nursylab.com
,Brain damage and cognitive abnormalities 3
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.
A client tells the nurse that he is committed to trying to quit smoking. When teaching the client ab
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out smoking cessation, which of the following would the nurse include?
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A)
Success usually involves more than one type of intervention. B
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)
Relapse is fairly rare within the first year of quitting.
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C)
Ear acupressure is a highly proven method for quitting.
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D)
Education is key for smoking cessation. 4 l8 l8 l8 l8 l8 l8
.
The nurse is completing the admission of a client who is seeking treatment for alcoholism. He te
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lls the nurse that the last time he had any alcohol to drink was at 10:00 AM before he left for the
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8hospital. The nurse closely monitors the client. Which of the following would lead the nurse to s
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uspect that the client is experiencing stage 1 of alcohol withdrawal syndrome? Select all that appl
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y.
A)
Slight diaphoresis l8 l
8 B)
Hand tremors l8 l8
C)
Intermittent confusion l8 l
8 D)
www.nursylab.com
, Heart rate of 135 beats/min l8 l8 l8 l8 l8
E)
Normal blood pressure l8 l8 l8
5.
A nurse is talking with a 57-year-
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old client who has been a heavy drinker for many years. The client is being treated for alcoholis
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m, and this is her second week as an inpatient on the psychiatric unit. It is 5:00 AM, and the clie
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nt has been having difficulty sleeping. The client is an orthopedic nurse, and although she is clot
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hed in a hospital- l8 l8 l8
issued gown and robe, she is wearing a stethoscope around her neck that the nurse recognizes as
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8belonging to one of the staff nurses. l8 l8 l8 l8 l8 l8
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 a
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nd gave it to her to wear so shed remember to get well. The nurse suspects that the client may b
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e experiencing which of the following?
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A)
Wernickes syndrome l8 l8
B)
Delirium tremens l8 l8
C)
Korsakoffs psychosis l8 l8
D)
Malignant hyperthermia l8 l
8 6.
A nurse is using motivational therapy with a female client with alcoholism. The client, who is u
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nwilling to consider changing her drinking behavior, emphatically states, I am not an alcoholic; y
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ou 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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B)
www.nursylab.com
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Chapter 1 Chemimical Neurotransmissin
l8 l8 l8
Chapter Questions on Alcohol abstinence/Alcohol dependence/Alcohol withdrawal
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1.
A client has been prescribed naltrexone (Trexan) for treatment of alcohol dependence. The nurse
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
has explained the drugs purpose to the client. The nurse determines that the client has understood
8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
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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B)
Produces the euphoria of alcohol l8 l8 l8 l8 l8
C)
Reduces the appeal of alcohol l8 l8 l8 l8 l8
D)
Improves appetite and nutritional status l8 l8 l8 l8 l8
2.
An adolescent client tells the nurse that he or she occasionally sniffs airplane glue. When discuss
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ing the effects of long-
l8 l8 l8 l8
term use of inhalants, which of the following would the nurse most likely include?
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A)
Tremors and CNS arousal l8 l8 l8 l8
B)
Enhanced normal heart rhythms l8 l8 l8 l8
C)
Enhanced attention focus and memory l8 l8 l8 l8 l8
D)
www.nursylab.com
,Brain damage and cognitive abnormalities 3
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.
A client tells the nurse that he is committed to trying to quit smoking. When teaching the client ab
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
out smoking cessation, which of the following would the nurse include?
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A)
Success usually involves more than one type of intervention. B
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)
Relapse is fairly rare within the first year of quitting.
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C)
Ear acupressure is a highly proven method for quitting.
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D)
Education is key for smoking cessation. 4 l8 l8 l8 l8 l8 l8
.
The nurse is completing the admission of a client who is seeking treatment for alcoholism. He te
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
lls the nurse that the last time he had any alcohol to drink was at 10:00 AM before he left for the
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8hospital. The nurse closely monitors the client. Which of the following would lead the nurse to s
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
uspect that the client is experiencing stage 1 of alcohol withdrawal syndrome? Select all that appl
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
y.
A)
Slight diaphoresis l8 l
8 B)
Hand tremors l8 l8
C)
Intermittent confusion l8 l
8 D)
www.nursylab.com
, Heart rate of 135 beats/min l8 l8 l8 l8 l8
E)
Normal blood pressure l8 l8 l8
5.
A nurse is talking with a 57-year-
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old client who has been a heavy drinker for many years. The client is being treated for alcoholis
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
m, and this is her second week as an inpatient on the psychiatric unit. It is 5:00 AM, and the clie
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
nt has been having difficulty sleeping. The client is an orthopedic nurse, and although she is clot
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
hed in a hospital- l8 l8 l8
issued gown and robe, she is wearing a stethoscope around her neck that the nurse recognizes as
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
8belonging to one of the staff nurses. l8 l8 l8 l8 l8 l8
When the nurse asks her why she is wearing the stethoscope and where she got it, the client gives
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
her a long and involved reply that basically describes how her nursing supervisor came to visit a
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
nd gave it to her to wear so shed remember to get well. The nurse suspects that the client may b
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
e experiencing which of the following?
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A)
Wernickes syndrome l8 l8
B)
Delirium tremens l8 l8
C)
Korsakoffs psychosis l8 l8
D)
Malignant hyperthermia l8 l
8 6.
A nurse is using motivational therapy with a female client with alcoholism. The client, who is u
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
nwilling to consider changing her drinking behavior, emphatically states, I am not an alcoholic; y
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ou 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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B)
www.nursylab.com
