, 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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9% 1.
A client has been prescribed naltrexone (Trexan) for treatment of alcohol dependence. The nu
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
rse has explained the drugs purpose to the client. The nurse determines that the client has unde
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
rstood the instructions when the client identifies which of the following about the drug?
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
A)
Causes itching if alcohol is consumed
9% 9% 9% 9% 9% 9%
B)
Produces the euphoria of alcoho 9% 9% 9% 9%
l C)9%
Reduces the appeal of alcohol 9% 9% 9% 9% 9
% D)
Improves appetite and nutritional status
9% 9% 9% 9%
9% 2.
An adolescent client tells the nurse that he or she occasionally sniffs airplane glue. When disc
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ussing the effects of long-
9% 9% 9% 9%
term use of inhalants, which of the following would the nurse most likely include?
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
A)
Tremors and CNS arousal 9% 9% 9% 9%
B)
Enhanced normal heart rhythms 9% 9% 9% 9%
C)
Enhanced attention focus and memory 9% 9% 9% 9% 9%
D)
www.nursylab.com
,Brain damage and cognitive abnormalities
9% 9% 9% 9% 9%
3.
A client tells the nurse that he is committed to trying to quit smoking. When teaching the client
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9
about smoking cessation, which of the following would the nurse include?
% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
A)
Success usually involves more than one type of intervention.
9% 9% 9% 9% 9% 9% 9% 9% 9
% B)
Relapse is fairly rare within the first year of quittin
9% 9% 9% 9% 9% 9% 9% 9% 9%
g. C)9%
Ear acupressure is a highly proven method for quittin
9% 9% 9% 9% 9% 9% 9% 9%
g. D)9%
Education is key for smoking cessation. 9% 9% 9% 9% 9% 9%
4.
The nurse is completing the admission of a client who is seeking treatment for alcoholism. He
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
tells the nurse that the last time he had any alcohol to drink was at 10:00 AM before he left
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
for the hospital. The nurse closely monitors the client. Which of the following would lead the
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
nurse to suspect that the client is experiencing stage 1 of alcohol withdrawal syndrome? Select
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9
%all that apply.
9% 9%
A)
Slight diaphoresis 9%
9% B)
Hand tremors 9% 9%
C)
Intermittent confusion 9%
9% D)
www.nursylab.com
, Heart rate of 135 beats/min
9% 9% 9% 9% 9
% E)
Normal blood pressure 9% 9% 9%
5.
A nurse is talking with a 57-year-
9% 9% 9% 9% 9% 9%
old client who has been a heavy drinker for many years. The client is being treated for alcoh
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
olism, and this is her second week as an inpatient on the psychiatric unit. It is 5:00 AM, and t
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
he client has been having difficulty sleeping. The client is an orthopedic nurse, and although s
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
he is clothed in a hospital-
9% 9% 9% 9% 9%
issued gown and robe, she is wearing a stethoscope around her neck that the nurse recognizes
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9
%as belonging to one of the staff nurses.
9% 9% 9% 9% 9% 9% 9%
When the nurse asks her why she is wearing the stethoscope and where she got it, the client gi
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ves her a long and involved reply that basically describes how her nursing supervisor came to
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9
%visit and gave it to her to wear so shed remember to get well. The nurse suspects that the cli
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ent may be experiencing which of the following?
9% 9% 9% 9% 9% 9% 9%
A)
Wernickes syndrome 9% 9%
B)
Delirium tremens 9% 9
% C)
Korsakoffs psychosis 9% 9%
D)
Malignant hyperthermia 9%
9% 6.
A nurse is using motivational therapy with a female client with alcoholism. The client, who is
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
unwilling to consider changing her drinking behavior, emphatically states, I am not an alcoholi
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
c; you cant make me stop drinking. Which response by the nurse would be most appropriate?
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
A)
You have to stop drinking and driving; you could kill someone.
9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
9% B)
www.nursylab.com
9% 9% 9% 9% 9% 9% 9% 9%
Chapter 1 Chemimical Neurotransmissin
9% 9% 9%
Chapter Questions on Alcohol abstinence/Alcohol dependence/Alcohol withdrawal
9% 9% 9% 9% 9% 9%
9% 1.
A client has been prescribed naltrexone (Trexan) for treatment of alcohol dependence. The nu
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
rse has explained the drugs purpose to the client. The nurse determines that the client has unde
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
rstood the instructions when the client identifies which of the following about the drug?
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
A)
Causes itching if alcohol is consumed
9% 9% 9% 9% 9% 9%
B)
Produces the euphoria of alcoho 9% 9% 9% 9%
l C)9%
Reduces the appeal of alcohol 9% 9% 9% 9% 9
% D)
Improves appetite and nutritional status
9% 9% 9% 9%
9% 2.
An adolescent client tells the nurse that he or she occasionally sniffs airplane glue. When disc
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ussing the effects of long-
9% 9% 9% 9%
term use of inhalants, which of the following would the nurse most likely include?
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
A)
Tremors and CNS arousal 9% 9% 9% 9%
B)
Enhanced normal heart rhythms 9% 9% 9% 9%
C)
Enhanced attention focus and memory 9% 9% 9% 9% 9%
D)
www.nursylab.com
,Brain damage and cognitive abnormalities
9% 9% 9% 9% 9%
3.
A client tells the nurse that he is committed to trying to quit smoking. When teaching the client
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9
about smoking cessation, which of the following would the nurse include?
% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
A)
Success usually involves more than one type of intervention.
9% 9% 9% 9% 9% 9% 9% 9% 9
% B)
Relapse is fairly rare within the first year of quittin
9% 9% 9% 9% 9% 9% 9% 9% 9%
g. C)9%
Ear acupressure is a highly proven method for quittin
9% 9% 9% 9% 9% 9% 9% 9%
g. D)9%
Education is key for smoking cessation. 9% 9% 9% 9% 9% 9%
4.
The nurse is completing the admission of a client who is seeking treatment for alcoholism. He
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
tells the nurse that the last time he had any alcohol to drink was at 10:00 AM before he left
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
for the hospital. The nurse closely monitors the client. Which of the following would lead the
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
nurse to suspect that the client is experiencing stage 1 of alcohol withdrawal syndrome? Select
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9
%all that apply.
9% 9%
A)
Slight diaphoresis 9%
9% B)
Hand tremors 9% 9%
C)
Intermittent confusion 9%
9% D)
www.nursylab.com
, Heart rate of 135 beats/min
9% 9% 9% 9% 9
% E)
Normal blood pressure 9% 9% 9%
5.
A nurse is talking with a 57-year-
9% 9% 9% 9% 9% 9%
old client who has been a heavy drinker for many years. The client is being treated for alcoh
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
olism, and this is her second week as an inpatient on the psychiatric unit. It is 5:00 AM, and t
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
he client has been having difficulty sleeping. The client is an orthopedic nurse, and although s
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
he is clothed in a hospital-
9% 9% 9% 9% 9%
issued gown and robe, she is wearing a stethoscope around her neck that the nurse recognizes
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9
%as belonging to one of the staff nurses.
9% 9% 9% 9% 9% 9% 9%
When the nurse asks her why she is wearing the stethoscope and where she got it, the client gi
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ves her a long and involved reply that basically describes how her nursing supervisor came to
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9
%visit and gave it to her to wear so shed remember to get well. The nurse suspects that the cli
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ent may be experiencing which of the following?
9% 9% 9% 9% 9% 9% 9%
A)
Wernickes syndrome 9% 9%
B)
Delirium tremens 9% 9
% C)
Korsakoffs psychosis 9% 9%
D)
Malignant hyperthermia 9%
9% 6.
A nurse is using motivational therapy with a female client with alcoholism. The client, who is
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
unwilling to consider changing her drinking behavior, emphatically states, I am not an alcoholi
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
c; you cant make me stop drinking. Which response by the nurse would be most appropriate?
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
A)
You have to stop drinking and driving; you could kill someone.
9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
9% B)
www.nursylab.com