Chapter 14, 18 &19 test bank exam
questions from textbook correct
answers
Which would the nurse consider a priority intervention when planning care for a
medically unstable client diagnosed with alcohol use disorder?
1) Simplifying the environment
2) Addressing physical needs
3) Providing opportunities for success experiences
4) Establishing a trusting interpersonal relationship - Answer-ANS 2: Physical
problems must be addressed prior to meeting any psychosocial needs of a client
who is medically unstable. According to Maslow's hierarchy of needs, physiological
needs should be prioritized over all other needs.
3.A client diagnosed with alcohol use disorder says to the nurse, "I'm tired of using
and I want to stop. Is there a medication that can help me maintain sobriety?" About
which medication would the nurse provide information?
1) Carbamazepine (Tegretol)
2) Clonidine (Catapres)
3) Disulfiram (Antabuse)
4) Folic acid (Folvite) - Answer-ANS 3: Disulfiram is used as a deterrent to drinking.
Ingestion of alcohol while disulfiram is in the body results in a syndrome of
symptoms that can cause varying degrees of discomfort. It can even result in death if
blood alcohol levels are high. It is important that the client understands that all
alcohol, oral or topical, and medications that contain alcohol, are strictly prohibited
when taking this drug.
Which primary factor is critical in maintaining abstinence for the client diagnosed with
alcohol use disorder?
1) Attendance at Alcoholics Anonymous (AA) meetings
2) Personal commitment to change
3) Family involvement
4) Compliance with pharmacological therapy - Answer-ANS 2: The first step in the
recovery process necessitates the client to accept ownership of his or her problem
and establish a behavioral change commitment to continued abstinence.
The emergency department nurse assesses a confused client diagnosed with
alcohol use disorder and notes the use of confabulation. Which complication of this
disorder would the nurse suspect?
1) Korsakoff's psychosis
2) Vascular neurocognitive disorder
3) Wernicke's encephalopathy
4) Esophageal varices - Answer-ANS 1: The symptoms described are those
associated with Korsakoff's psychosis. Korsakoff's psychosis is identified by a
syndrome of confusion, loss of memory, and confabulation. Confabulation is the
creating of imaginary events to fill in memory gaps.
, An impaired nurse is admitted to an inpatient substance use disorder treatment
facility. Which applies to this nurse's situation?
1) The nurse must relinquish driver's license to the office of motor vehicles.
2) The nurse is mandated to comply with treatment and prescribed therapies.
3) The nurse is not mandated to meet specific requirements because all civil rights
are ensured.
4) The nurse must relinquish RN license to the state board of nursing. - Answer-ANS
3: Although some variations occur from state to state, currently, psychiatric clients
basically maintain all of their civil rights. This nurse is not mandated to meet specific
requirements because all civil rights are ensured.
A client is brought to the emergency department. The client is aggressive, has
slurred speech, and has impaired motor coordination. Blood alcohol level is 347
mg/dL. Among the physician's orders is thiamine. Which is the rationale for this
intervention?
1) To prevent nutritional deficits
2) To prevent pancreatitis
3) To prevent alcohol-induced hepatitis
4) To prevent Wernicke's encephalopathy - Answer-ANS 4: Wernicke's
encephalopathy is the most serious form of thiamine deficiency in clients diagnosed
with alcoholism. If thiamine replacement therapy is not undertaken quickly, death will
ensue.
Which is the most serious symptom experienced during an alcohol withdrawal
syndrome?
1) Blackout
2) Delirium tremens
3) Hypotension
4) Seizure - Answer-ANS 4: During alcohol withdrawal syndrome, the central
nervous system (CNS) rebounds from the effects of suppression caused by alcohol
intake. This excitation of the CNS can lead to grand mal seizures and other
complications, which are life threatening. This is the most serious complication of
alcohol withdrawal syndrome.
A client diagnosed with a gambling disorder asks the nurse about medications that
may be ordered by the client's physician to treat this disorder. The nurse would give
the client information on which medications?
1) Paroxetine (Paxil) and loxapine (Loxitane)
2) Clomipramine (Anafranil) and fluvoxamine (Luvox)
3) Lithium carbonate (Lithobid) and risperidone (Risperdal)
4) Carbamazepine (Tegretol) and aripiprazole (Abilify) - Answer-ANS 2: The SSRIs
(like Luvox) and clomipramine have been used successfully in the treatment of
pathological gambling as a form of obsessive-compulsive disorder.
Which issues influence an individual's predisposition to substance use disorder?
Select all that apply.
1) Genetic history
2) Fixation at the oral stage of psychosexual development
3) Punitive ego
4) Personality traits
questions from textbook correct
answers
Which would the nurse consider a priority intervention when planning care for a
medically unstable client diagnosed with alcohol use disorder?
1) Simplifying the environment
2) Addressing physical needs
3) Providing opportunities for success experiences
4) Establishing a trusting interpersonal relationship - Answer-ANS 2: Physical
problems must be addressed prior to meeting any psychosocial needs of a client
who is medically unstable. According to Maslow's hierarchy of needs, physiological
needs should be prioritized over all other needs.
3.A client diagnosed with alcohol use disorder says to the nurse, "I'm tired of using
and I want to stop. Is there a medication that can help me maintain sobriety?" About
which medication would the nurse provide information?
1) Carbamazepine (Tegretol)
2) Clonidine (Catapres)
3) Disulfiram (Antabuse)
4) Folic acid (Folvite) - Answer-ANS 3: Disulfiram is used as a deterrent to drinking.
Ingestion of alcohol while disulfiram is in the body results in a syndrome of
symptoms that can cause varying degrees of discomfort. It can even result in death if
blood alcohol levels are high. It is important that the client understands that all
alcohol, oral or topical, and medications that contain alcohol, are strictly prohibited
when taking this drug.
Which primary factor is critical in maintaining abstinence for the client diagnosed with
alcohol use disorder?
1) Attendance at Alcoholics Anonymous (AA) meetings
2) Personal commitment to change
3) Family involvement
4) Compliance with pharmacological therapy - Answer-ANS 2: The first step in the
recovery process necessitates the client to accept ownership of his or her problem
and establish a behavioral change commitment to continued abstinence.
The emergency department nurse assesses a confused client diagnosed with
alcohol use disorder and notes the use of confabulation. Which complication of this
disorder would the nurse suspect?
1) Korsakoff's psychosis
2) Vascular neurocognitive disorder
3) Wernicke's encephalopathy
4) Esophageal varices - Answer-ANS 1: The symptoms described are those
associated with Korsakoff's psychosis. Korsakoff's psychosis is identified by a
syndrome of confusion, loss of memory, and confabulation. Confabulation is the
creating of imaginary events to fill in memory gaps.
, An impaired nurse is admitted to an inpatient substance use disorder treatment
facility. Which applies to this nurse's situation?
1) The nurse must relinquish driver's license to the office of motor vehicles.
2) The nurse is mandated to comply with treatment and prescribed therapies.
3) The nurse is not mandated to meet specific requirements because all civil rights
are ensured.
4) The nurse must relinquish RN license to the state board of nursing. - Answer-ANS
3: Although some variations occur from state to state, currently, psychiatric clients
basically maintain all of their civil rights. This nurse is not mandated to meet specific
requirements because all civil rights are ensured.
A client is brought to the emergency department. The client is aggressive, has
slurred speech, and has impaired motor coordination. Blood alcohol level is 347
mg/dL. Among the physician's orders is thiamine. Which is the rationale for this
intervention?
1) To prevent nutritional deficits
2) To prevent pancreatitis
3) To prevent alcohol-induced hepatitis
4) To prevent Wernicke's encephalopathy - Answer-ANS 4: Wernicke's
encephalopathy is the most serious form of thiamine deficiency in clients diagnosed
with alcoholism. If thiamine replacement therapy is not undertaken quickly, death will
ensue.
Which is the most serious symptom experienced during an alcohol withdrawal
syndrome?
1) Blackout
2) Delirium tremens
3) Hypotension
4) Seizure - Answer-ANS 4: During alcohol withdrawal syndrome, the central
nervous system (CNS) rebounds from the effects of suppression caused by alcohol
intake. This excitation of the CNS can lead to grand mal seizures and other
complications, which are life threatening. This is the most serious complication of
alcohol withdrawal syndrome.
A client diagnosed with a gambling disorder asks the nurse about medications that
may be ordered by the client's physician to treat this disorder. The nurse would give
the client information on which medications?
1) Paroxetine (Paxil) and loxapine (Loxitane)
2) Clomipramine (Anafranil) and fluvoxamine (Luvox)
3) Lithium carbonate (Lithobid) and risperidone (Risperdal)
4) Carbamazepine (Tegretol) and aripiprazole (Abilify) - Answer-ANS 2: The SSRIs
(like Luvox) and clomipramine have been used successfully in the treatment of
pathological gambling as a form of obsessive-compulsive disorder.
Which issues influence an individual's predisposition to substance use disorder?
Select all that apply.
1) Genetic history
2) Fixation at the oral stage of psychosexual development
3) Punitive ego
4) Personality traits
