Stahl's Essential Psychopharmacology 8th Edition Test Bank Chapter 1 Chemimical
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Neurotransmissin
Chapter Questions on Alcohol abstinence/Alcohol dependence/Alcohol withdrawal 1.
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A client has been prescribed naltrexone (Trexan) for treatment of alcohol dependence. The nurse h as e
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xplained the drugs purpose to the client. The nurse determines that the client has understood the instruc
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tions when the client identifies which of the following about the drug?
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A)
Causesitching ifalcohol isconsumed B) Produces
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the euphoria of alcohol
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C)
Reduces theappealofalcohol lx ht ht ht ht
D)
Improvesappetiteandnutritional status ht lx ht
2.
An adolescent client tells the nurse that he or she occasionally sniffs airplane glue. When discussin g th
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e effects of long-
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term use of inhalants, which of thefollowing would the nurse most likely include? A)
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Tremors andCNSarousal B lx ht ht ht
)
Enhancednormalheartrhythms C h t
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Enhanced attention focus and memory D lx lx lx h t
)
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,Brain damageand cognitive abnormalities 3.
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Aclient tells thenursethathe is committed to trying to quitsmoking. When teachingthe client about sm
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oking cessation, which of the following would the nurse include?
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A)
Success usuallyinvolves morethanonetypeof intervention. B) R
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elapse is fairly rare within the first year of quitting. C
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)
Ear acupressureis a highlyproven method for quitting. D)
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Education iskeyforsmokingcessation. 4. lx ht ht ht ht
The nurse is completing the admission of a client who is seeking treatment for alcoholism. He tells the
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nurse that the last time he had any alcohol to drink was at 10:00 AM before he left for the hospit al. The n
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urse closely monitors the client. Which of the following would lead the nurse to suspect tha t the client i
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s experiencing stage 1 of alcohol withdrawal syndrome? Select all that apply.
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A)
Slight diaphoresis lx ht
B)
Handtremors lxh
t C)
Intermittent confusion lx ht
D)
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, Heart rateof135beats/min E lx ht ht ht
)
Normal bloodpressure 5 lx ht
.
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 alcoholism, an
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d this is her second week as an inpatient on the psychiatricunit. It is 5:00 AM, and the client has been h
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avingdifficultysleeping. Theclient is an orthopedic nurse, and although she is clothed in a h ospital-
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issued gown and robe, she is wearing a stethoscope around her neck that the nurse recognizes as be longing t
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o one of the staff nurses.
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When the nurse asks her why she is wearing the stethoscopeand where shegot it, the client gives her a lo
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ng and involved reply that basically describes how her nursing supervisor came to visit and ga ve it t
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o her to wear so shed remember to get well. The nurse suspects that the client may be experie ncing wh
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ich of the following?
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A)
Wernickessyndrome ht
B)
Deliriumtremens ht
C)
Korsakoffspsychosis ht
D)
Malignanthyperthermia ht
6.
A nurse is using motivational therapy with a female client with alcoholism. The client, who is unw illin
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g to consider changing her drinking behavior, emphatically states, I am not an alcoholic; you ca nt mak
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e me stop drinking. Which response by the nurse would be most appropriate?
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A)
You haveto stop drinking and driving; you could kill someone. B)
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