Test Bank For Prescriber's Guide: Stahl's Essential Psychopharmacology 8th Edition By Stephen M. Stahl ISBN-9781009464741 All Chapters Complete Guide

, 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.
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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 C/ C/ C/ C/



C)
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Reduces the appeal of alcohol C/ C/ C/ C/ C/



D)


Improves appetite and nutritional status C/ C/ C/ C/



2.
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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 C/ C/ C/ C/



B)


Enhanced normal heart rhythms C/ C/ C/ C/



C)


Enhanced attention focus and memory C/ C/ C/ C/ C/



D)




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,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)C/




Ear acupressure is a highly proven method for quitting
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. D)C/




Education is key for smoking cessation.
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4.


The nurse is completing the admission of a client who is seeking treatment for alcoholism. He
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tells the nurse that the last time he had any alcohol to drink was at 10:00 AM before he left fo
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r the hospital. The nurse closely monitors the client. Which of the following would lead the nur
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se to suspect that the client is experiencing stage 1 of alcohol withdrawal syndrome? Select all
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that apply. C/



A)


Slight diaphoresis C/



C/ B)


Hand tremors C/ C/



C)


Intermittent confusion C/



C/ D)




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, Heart rate of 135 beats/min
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E)
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Normal blood pressure C/ C/ C/



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 C/ C/



B)


Delirium tremens C/ C



C)
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Korsakoffs psychosis C/ C/



D)


Malignant hyperthermia C/



C/ 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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B)
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