CHRISTINE MOORE PATIENT REVIEW HESI CASE STUDY WITH LATEST VERIFIED QUESTIONS AND 100% CORRECT ANSWERS ALREADY GRADED A+

CHRISTINE MOORE PATIENT REVIEW HESI CASE STUDY WITH LATEST VERIFIED QUESTIONS AND 100% CORRECT ANSWERS ALREADY GRADED A+ All of the following questions are asked when Christine is admitted for treatment. Which is most important at admission? O "What is your drug of choice?" O "Have you been tested for AIDS?" O "What drugs did you take before coming here?" O "Do you drink?" - ANS-"What drugs did you take before coming here?" It is important to determine Christine's recent drug use. Christine may exhibit withdrawal symptoms or signs of drug overdose, toxicity, or adverse effects. Treatments would vary depending on the specific drug(s) taken. The medication record indicates that Mr. Burr was also medicated for pain at 10:30 PM last evening. He states he did not get any pain relief from either tablet. - ANS-You notify the physician on call about Mr. Burr's pain. A stat dose of Oxycontin (oxycodone), 20 mg in 1 mL oral concentrate (immediate release), is ordered and administered. Twenty minutes later, Mr. Burr continues to complain of pain, although he reports pain as less severe. At this point Christine remains in recovery without relapse. Who should decide what happens next? O Christine. O Christine's nurse manager. O Christine's supervisor. O Christine's drug rehabilitation counselor. O All of the above. - ANS-All of the above. The decision as to how Christine's recovery should progress should be a group decision, with input from Christine, her nurse manager, her supervisor, and her drug rehabilitation counselor. At this point, which of the following comments to Christine would be useful? Select all that apply. O "Christine, you've been stealing and using drugs from patients. You need more than a Narcotics Anonymous Meeting." O "You're an addict Christine, you need to go to treatment!" O "Christine, I know that things are rough right now, and maybe you do need some time off. Maybe things will be better after a few days off." O "Christine, this problem requires more than a Narcotics Anonymous Meeting. The only appropriate recommendation is that you go for treatment of your problem." - ANS-- "Christine, you've been stealing and using drugs from patients. You need more than a Narcotics Anonymous Meeting." - "Christine, this problem requires more than a Narcotics Anonymous Meeting. The only appropriate recommendation is that you go for treatment of your problem." This comment would be useful in trying to break through Christine's denial. It confronts Christine with facts that cannot be disputed. This comment would emphasize the seriousness of Christine's problem without labeling or diagnosing her. It is important to firmly emphasize that professional evaluation and treatment is indicated, for Christine's sake as well as the hospital's. Submit Christine continues to be defensive and says that she needs time to think. She denies the need for treatment, saying that she had been thinking about going to a Narcotics Anonymous Meeting. - ANS-- Christine feels that things are going okay. She is comfortable working days, with lots of activity going on. - ANS-However, Christine remains ambivalent about giving medications again. She would rather not. She feels that she is not carrying a fair share of the workload on the unit if she does not give medications. Christine has admitted that several members of her immediate and extended family abuse drugs, including alcohol, benzodiazepines, and methamphetamine. Which of the following statements about methamphetamine (meth) are true? Select all that apply O It releases dopamine and serotonin in the brain. O It can be taken orally, intra-nasally, intravenously, and by smoking. O It is taken for its calming effect. O It decreases respirations, temperature, and physical activity. O It is highly addictive. - ANS-- It releases dopamine and serotonin in the brain. - It can be taken orally, intra-nasally, intravenously, and by smoking. - It is highly addictive. Once in the body, meth releases high levels of neurotransmitters (dopamine and serotonin) in the brain, leading to a prolonged sense of well being. The effects may last up to 24 hours, depending on the form in which the meth was taken. With repeated and extended use over time, meth leads to a reduction of neurotransmitters. Abnormal body movements, similar to Parkinson's disease, can occur. Meth is reported to have a high rate of abuse and dependence, with severe withdrawal symptoms and intense cravings after effects wear off. Submit Christine has had inadequate coping mechanisms and little social support, and because of all these things, she is a suicide risk. Suicide is often considered a way to escape from physical, emotional, social or spiritual pain.