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