, 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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0 1.
A client has been prescribed naltrexone (Trexan) for treatment of alcohol dependence. The nur
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se has explained the drugs purpose to the client. The nurse determines that the client has unders
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tood 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 e0 e0 e0 e0
e0 C)
Reduces the appeal of alcohol e0 e0 e0 e0 e0
D)
Improves appetite and nutritional status e0 e0 e0 e0
e0 2.
An adolescent client tells the nurse that he or she occasionally sniffs airplane glue. When discu
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ssing 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 e0 e0 e0 e0
B)
Enhanced normal heart rhythms e0 e0 e0 e0
C)
Enhanced attention focus and memory e0 e0 e0 e0 e0
D)
www.nursylab.com
,Brain damage and cognitive abnormalities
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3.
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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B)
Relapse is fairly rare within the first year of quitting
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. C)e0
Ear acupressure is a highly proven method for quitting
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. D)e0
Education is key for smoking cessation. e0 e0 e0 e0 e0 e0
4.
The nurse is completing the admission of a client who is seeking treatment for alcoholism. He
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0tells the nurse that the last time he had any alcohol to drink was at 10:00 AM before he left f
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or the hospital. The nurse closely monitors the client. Which of the following would lead the n
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urse to suspect that the client is experiencing stage 1 of alcohol withdrawal syndrome? Select al
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l that apply.
e0 e0
A)
Slight diaphoresis e0
e0 B)
Hand tremors e0 e0
C)
Intermittent confusion e0
e0 D)
www.nursylab.com
, Heart rate of 135 beats/min
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0 E)
Normal blood pressure e0 e0 e0
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 alcohol
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ism, and this is her second week as an inpatient on the psychiatric unit. It is 5:00 AM, and the
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client has been having difficulty sleeping. The client is an orthopedic nurse, and although she i
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s clothed in a hospital-
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issued gown and robe, she is wearing a stethoscope around her neck that the nurse recognizes
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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 giv
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es her a long and involved reply that basically describes how her nursing supervisor came to v
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isit and gave it to her to wear so shed remember to get well. The nurse suspects that the client
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may be experiencing which of the following?
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A)
Wernickes syndrome e0 e0
B)
Delirium tremens e0 e
0 C)
Korsakoffs psychosis e0 e0
D)
Malignant hyperthermia e0
e0 6.
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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0 B)
www.nursylab.com
e0 e0 e0 e0 e0 e0 e0 e0
Chapter 1 Chemimical Neurotransmissin
e0 e0 e0
Chapter Questions on Alcohol abstinence/Alcohol dependence/Alcohol withdrawal
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0 1.
A client has been prescribed naltrexone (Trexan) for treatment of alcohol dependence. The nur
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
se has explained the drugs purpose to the client. The nurse determines that the client has unders
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
tood the instructions when the client identifies which of the following about the drug?
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
A)
Causes itching if alcohol is consumed
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B)
Produces the euphoria of alcohol e0 e0 e0 e0
e0 C)
Reduces the appeal of alcohol e0 e0 e0 e0 e0
D)
Improves appetite and nutritional status e0 e0 e0 e0
e0 2.
An adolescent client tells the nurse that he or she occasionally sniffs airplane glue. When discu
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ssing the effects of long-
e0 e0 e0 e0
term use of inhalants, which of the following would the nurse most likely include?
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
A)
Tremors and CNS arousal e0 e0 e0 e0
B)
Enhanced normal heart rhythms e0 e0 e0 e0
C)
Enhanced attention focus and memory e0 e0 e0 e0 e0
D)
www.nursylab.com
,Brain damage and cognitive abnormalities
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3.
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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B)
Relapse is fairly rare within the first year of quitting
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. C)e0
Ear acupressure is a highly proven method for quitting
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. D)e0
Education is key for smoking cessation. e0 e0 e0 e0 e0 e0
4.
The nurse is completing the admission of a client who is seeking treatment for alcoholism. He
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e
0tells the nurse that the last time he had any alcohol to drink was at 10:00 AM before he left f
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
or the hospital. The nurse closely monitors the client. Which of the following would lead the n
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
urse to suspect that the client is experiencing stage 1 of alcohol withdrawal syndrome? Select al
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
l that apply.
e0 e0
A)
Slight diaphoresis e0
e0 B)
Hand tremors e0 e0
C)
Intermittent confusion e0
e0 D)
www.nursylab.com
, Heart rate of 135 beats/min
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0 E)
Normal blood pressure e0 e0 e0
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 alcohol
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ism, and this is her second week as an inpatient on the psychiatric unit. It is 5:00 AM, and the
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
client has been having difficulty sleeping. The client is an orthopedic nurse, and although she i
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
s clothed in a hospital-
e0 e0 e0 e0
issued gown and robe, she is wearing a stethoscope around her neck that the nurse recognizes
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
as belonging to one of the staff nurses.
e0 e0 e0 e0 e0 e0 e0
When the nurse asks her why she is wearing the stethoscope and where she got it, the client giv
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
es her a long and involved reply that basically describes how her nursing supervisor came to v
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
isit and gave it to her to wear so shed remember to get well. The nurse suspects that the client
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
may be experiencing which of the following?
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A)
Wernickes syndrome e0 e0
B)
Delirium tremens e0 e
0 C)
Korsakoffs psychosis e0 e0
D)
Malignant hyperthermia e0
e0 6.
A nurse is using motivational therapy with a female client with alcoholism. The client, who is
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
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?
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
A)
You have to stop drinking and driving; you could kill someone.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e
0 B)
www.nursylab.com
