MN 568 FINAL ACTUAL EXAM ALL
QUESTIONS AND WELL ELABORATED
ANSWERS TOP RATED VERSION FOR
ALREADY A+ GRADED WITH EXPERT
FEEDBACK | NEW AND REVISED |
VERIFIED
/. 1.A 60-year-old man was admitted for cholecystitis that resulted in a cholecystectomy.
On his
third day of hospitalization, he begins to sweat profusely, tremble, and has a blood
pressure of
160/100. Based on these findings, what focused assessment should the nurse
complete?
a. Cardiac problems
b. Respiratory problems
c. Withdrawal problems
d. Circulatory problems - Answer-ANS: C
Diaphoresis, tremors, and hypertension are all symptoms of withdrawal from alcohol
consumption. The nurse, concerned about the patients medical condition, may not
consider
substance abuse until withdrawal symptoms appear.
/.2. What age of onset of alcohol consumption is most predictive of alcohol addiction?
a. 8 or younger
b. 10 or younger
c. 12 or younger
d. 14 or younger - Answer-ANS: D
Forty-four percent of those who start drinking at the age of 14 or younger will develop
alcoholism.
/.3. Alcohol is involved in motor vehicle accidents, suicides, and homicides.
Approximately
how many deaths each year are related to alcohol consumption?
a. 50,000
b. 70,000
c. 80,000
d. 100,000 - Answer-ANS: D
About 100,000 deaths each year are related to alcohol consumption.
,/.4. What stage of dependence is described by a patient when he tells the nurse that he
has
tried to stop his drug habit, but he does not feel normal without it?
a. Early
b. Prodromal
c. Middle
d. Late - Answer-ANS: C
In the middle stage, the user shows signs of withdrawal with abstinence and must use
the drug to
feel normal.
/.5. What must a patient in the late stages of dependence do in order to recover?
a. Gain insight into the addiction
b. Receive treatment for substance abuse
c. Pledge to lead a completely different lifestyle
d. Seek a nondrug-oriented support system - Answer-ANS: B
Very few people in the late stage of dependence will recover without treatment. The
other
options
may aid in the recovery, but it is the treatment that is essential for recovery.
/.6. What is the best response by a nurse when a patient inquires how alcohol acts so
quickly
on his system?
a. Alcohol is digested quickly.
b. Alcohol is converted to glycogen immediately.
c. Alcohol is metabolized into ethanol rapidly.
d. Alcohol is excreted in urine slowly. - Answer-ANS: C
Alcohol is not digested or converted into glycogen, but it is metabolized quickly by the
liver to
ethanol.
/.7. The nurse reminds a group of high school students that most states have laws
limiting
blood alcohol levels of drivers. What is the legal blood alcohol serum level in most
states?
a. 0.08%
b. 0.20%
c. 0.40%
d. - Answer-ANS: A 0.08%
Most states designate blood alcohol serum levels of 0.08% as the legal limit for driving a
motor
vehicle.
/.8.A pregnant adolescent tells the nurse that she only drinks a little. How many drinks
per day
,can cause an adverse effect in an infant?
a. One drink a day
b. Two drinks a day
c. Three drinks a day
d. Four drinks a day - Answer-ANS: B
As few as two drinks per day may cause adverse effects in an infant.
/.9. The nurse assesses an alcoholic patient carefully for signs of withdrawal. How soon
after
cessation of alcohol intake do withdrawal symptoms usually appear?
a. 3 hours
b. 4 hours
c. 5 hours
d. 6 hours - Answer-ANS: D
Withdrawal signs can occur as early as 6 hours after cessation of alcohol intake and
sometimes
last for 3 to 5 days.
/.10. The nurse is performing an initial assessment on an alcoholic patient. Which of the
following actions by the nurse would best ensure honest answers?
a. Not asking personal questions
b. Having a nonjudgmental attitude
c. Including the family
d. Promising the patient not to tell anyone - Answer-ANS: B
Maintaining a nonjudgmental attitude may reassure the patient and allow him to be
more honest
in
his responses to the admission assessment.
/.11. During the detoxification period, what does the nurse aim to achieve when
designing
interventions?
a. Enroll the patient in Alcoholics Anonymous (AA)
b. Keep the patient safe from aspiration and seizure
c. Help the patient interact in nonaddictive activities
d. Help the patient gain insight into the addiction - Answer-ANS: B
Care for the addicted patient starts with detoxification and is focused on keeping the
patient safe
from the symptoms of withdrawal. Enrolling the patient in AA, helping the patient interact
in
nonaddictive activities, and helping the patient gain insight into the addiction would be
part of
the rehabilitation process.
/.12. What should the entire health team focus on during the rehabilitation phase?
a. Establishing a support system
, b. Seeking and maintaining employment
c. Abstaining from drug use
d. Addressing the problems related to addiction - Answer-ANS: C
The focus of rehabilitation is for the patient to abstain from drug use.
/.13. What should the nurse do to decrease the patients disorientation at night during
the
detoxification period?
a. Place the patient in a room with another recovering patient
b. Instruct the patient to orient himself to his surroundings at bedtime
c. Wake the patient up every 4 hours to eat a small snack
d. Use nightlights and remove extra furniture from the room - Answer-ANS: D
Use of nightlights and removing extra furniture that could be misidentified will reduce
disorientation. The patient should not be woken up to eat, but if he is awake, small
snacks can be
offered. The nurse should orient the patient to his surroundings.
/.14. The nurse explains that Alcoholics Anonymous (AA) consists of abstinent
alcoholics
who help other alcoholics become and stay sober. What is the foundation of AA?
a. Psychotherapy
b. A 12-step program
c. Treatment center
d. Individual counseling - Answer-ANS: B
The foundation of AA is a 12-step program.
/.15. What severe side effect will occur if an alcoholic patient consumes alcohol while
taking
disulfiram (Antabuse)?
a. Nausea
b. Blackouts
c. Headaches
d. Hypertension - Answer-ANS: A
When a person who is taking Antabuse consumes alcohol, severe nausea, tachycardia,
shortness
of breath, confusion, and dizziness are experienced. The drug is used as a form of
aversion
therapy.
/.16. If the patient tells the nurse, Im not an alcoholic. I can stop whenever I want to,
what
should be the nurses most therapeutic response?
a. Well, why dont you?
b. Hasnt alcohol use interfered with your employment?
c. A positive attitude like that is a good start.
d. What would you call alcoholism? - Answer-ANS: B
QUESTIONS AND WELL ELABORATED
ANSWERS TOP RATED VERSION FOR
ALREADY A+ GRADED WITH EXPERT
FEEDBACK | NEW AND REVISED |
VERIFIED
/. 1.A 60-year-old man was admitted for cholecystitis that resulted in a cholecystectomy.
On his
third day of hospitalization, he begins to sweat profusely, tremble, and has a blood
pressure of
160/100. Based on these findings, what focused assessment should the nurse
complete?
a. Cardiac problems
b. Respiratory problems
c. Withdrawal problems
d. Circulatory problems - Answer-ANS: C
Diaphoresis, tremors, and hypertension are all symptoms of withdrawal from alcohol
consumption. The nurse, concerned about the patients medical condition, may not
consider
substance abuse until withdrawal symptoms appear.
/.2. What age of onset of alcohol consumption is most predictive of alcohol addiction?
a. 8 or younger
b. 10 or younger
c. 12 or younger
d. 14 or younger - Answer-ANS: D
Forty-four percent of those who start drinking at the age of 14 or younger will develop
alcoholism.
/.3. Alcohol is involved in motor vehicle accidents, suicides, and homicides.
Approximately
how many deaths each year are related to alcohol consumption?
a. 50,000
b. 70,000
c. 80,000
d. 100,000 - Answer-ANS: D
About 100,000 deaths each year are related to alcohol consumption.
,/.4. What stage of dependence is described by a patient when he tells the nurse that he
has
tried to stop his drug habit, but he does not feel normal without it?
a. Early
b. Prodromal
c. Middle
d. Late - Answer-ANS: C
In the middle stage, the user shows signs of withdrawal with abstinence and must use
the drug to
feel normal.
/.5. What must a patient in the late stages of dependence do in order to recover?
a. Gain insight into the addiction
b. Receive treatment for substance abuse
c. Pledge to lead a completely different lifestyle
d. Seek a nondrug-oriented support system - Answer-ANS: B
Very few people in the late stage of dependence will recover without treatment. The
other
options
may aid in the recovery, but it is the treatment that is essential for recovery.
/.6. What is the best response by a nurse when a patient inquires how alcohol acts so
quickly
on his system?
a. Alcohol is digested quickly.
b. Alcohol is converted to glycogen immediately.
c. Alcohol is metabolized into ethanol rapidly.
d. Alcohol is excreted in urine slowly. - Answer-ANS: C
Alcohol is not digested or converted into glycogen, but it is metabolized quickly by the
liver to
ethanol.
/.7. The nurse reminds a group of high school students that most states have laws
limiting
blood alcohol levels of drivers. What is the legal blood alcohol serum level in most
states?
a. 0.08%
b. 0.20%
c. 0.40%
d. - Answer-ANS: A 0.08%
Most states designate blood alcohol serum levels of 0.08% as the legal limit for driving a
motor
vehicle.
/.8.A pregnant adolescent tells the nurse that she only drinks a little. How many drinks
per day
,can cause an adverse effect in an infant?
a. One drink a day
b. Two drinks a day
c. Three drinks a day
d. Four drinks a day - Answer-ANS: B
As few as two drinks per day may cause adverse effects in an infant.
/.9. The nurse assesses an alcoholic patient carefully for signs of withdrawal. How soon
after
cessation of alcohol intake do withdrawal symptoms usually appear?
a. 3 hours
b. 4 hours
c. 5 hours
d. 6 hours - Answer-ANS: D
Withdrawal signs can occur as early as 6 hours after cessation of alcohol intake and
sometimes
last for 3 to 5 days.
/.10. The nurse is performing an initial assessment on an alcoholic patient. Which of the
following actions by the nurse would best ensure honest answers?
a. Not asking personal questions
b. Having a nonjudgmental attitude
c. Including the family
d. Promising the patient not to tell anyone - Answer-ANS: B
Maintaining a nonjudgmental attitude may reassure the patient and allow him to be
more honest
in
his responses to the admission assessment.
/.11. During the detoxification period, what does the nurse aim to achieve when
designing
interventions?
a. Enroll the patient in Alcoholics Anonymous (AA)
b. Keep the patient safe from aspiration and seizure
c. Help the patient interact in nonaddictive activities
d. Help the patient gain insight into the addiction - Answer-ANS: B
Care for the addicted patient starts with detoxification and is focused on keeping the
patient safe
from the symptoms of withdrawal. Enrolling the patient in AA, helping the patient interact
in
nonaddictive activities, and helping the patient gain insight into the addiction would be
part of
the rehabilitation process.
/.12. What should the entire health team focus on during the rehabilitation phase?
a. Establishing a support system
, b. Seeking and maintaining employment
c. Abstaining from drug use
d. Addressing the problems related to addiction - Answer-ANS: C
The focus of rehabilitation is for the patient to abstain from drug use.
/.13. What should the nurse do to decrease the patients disorientation at night during
the
detoxification period?
a. Place the patient in a room with another recovering patient
b. Instruct the patient to orient himself to his surroundings at bedtime
c. Wake the patient up every 4 hours to eat a small snack
d. Use nightlights and remove extra furniture from the room - Answer-ANS: D
Use of nightlights and removing extra furniture that could be misidentified will reduce
disorientation. The patient should not be woken up to eat, but if he is awake, small
snacks can be
offered. The nurse should orient the patient to his surroundings.
/.14. The nurse explains that Alcoholics Anonymous (AA) consists of abstinent
alcoholics
who help other alcoholics become and stay sober. What is the foundation of AA?
a. Psychotherapy
b. A 12-step program
c. Treatment center
d. Individual counseling - Answer-ANS: B
The foundation of AA is a 12-step program.
/.15. What severe side effect will occur if an alcoholic patient consumes alcohol while
taking
disulfiram (Antabuse)?
a. Nausea
b. Blackouts
c. Headaches
d. Hypertension - Answer-ANS: A
When a person who is taking Antabuse consumes alcohol, severe nausea, tachycardia,
shortness
of breath, confusion, and dizziness are experienced. The drug is used as a form of
aversion
therapy.
/.16. If the patient tells the nurse, Im not an alcoholic. I can stop whenever I want to,
what
should be the nurses most therapeutic response?
a. Well, why dont you?
b. Hasnt alcohol use interfered with your employment?
c. A positive attitude like that is a good start.
d. What would you call alcoholism? - Answer-ANS: B
