CORRECT
A patient has been on a detoxification unit for alcoholism and occasional use of
marijuana and cocaine. He is now in small group therapy sessions led by a nurse. On
his second meeting, he fidgets in a seat and finally says "I'm having difficulty sitting still.
Am I bothering some of you who are here? Maybe I should stop coming to these
meetings." Which of these actions in response to this patient would be appropriate?
A. Encourage him to share his problem with the group members and ask for their help.
B. Recognize that this is a manipulative behavior and encourage him to remain in the
group.
C. Remove him from group and further assess his needs.
D. Tell him not to concern himself about the group members and to continue in the
group - ANSWER-Encourage him to share his problem with the group members and
ask for their help.
A 50-year-old is admitted to the detoxification unit for heavy drinking. Orders include
oxazepam (Serax) 10 mg every six hours PRN and diphenhydramine hydrochloride
(Benadryl) 50 mg every six hours PRN. During the nurse's initial assessment, which of
these questions should take priority?
A. Have you been taking any over-the-counter medication?
B. Have you ever had a withdrawal seizure?
C. When did you have your last drink?
D. What has been your usual daily alcohol consumption? - ANSWER-When did you
have your last drink?
Mr. Bruce Mann, who is on the chemical dependency unit, tells the nurse that he's
having cravings for cocaine. In addition to acknowledging the discomfort, the nurse
suggest that he exercise at the gym, where various exercise machines are available.
The appropriateness of this decision is based in which of these understandings about
cocaine used disorder?
A. They are more comfortable alone.