Chapter Questions on Alcohol abstinence/Alcohol dependence/Alcohol withdrawal
1.
Aclienthasbeenprescribednaltrexone(Trexan)fortreatmentofalcoholdependence.Thenursehasexpl
ainedthedrugspurposetotheclient.Thenursedeterminesthattheclienthasunderstoodtheinstructionsw
hentheclientidentifieswhichofthefollowingaboutthedrug?
A)
CausesitchingifalcoholisconsumedB)
ProducestheeuphoriaofalcoholC)
ReducestheappealofalcoholD)
Improvesappetiteandnutritionalstatus2.
Anadolescentclienttellsthenursethatheorsheoccasionallysniffsairplaneglue.Whendiscussingtheeffe
ctsoflong-termuseofinhalants,whichofthefollowingwouldthenursemostlikelyinclude?
A)
TremorsandCNSarousalB)
EnhancednormalheartrhythmsC)
EnhancedattentionfocusandmemoryD)
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,Braindamageandcognitiveabnormalities3.
Aclienttellsthenursethatheiscommittedtotryingtoquitsmoking.Whenteachingtheclientaboutsmokin
gcessation,whichofthefollowingwouldthenurseinclude?
A)
Successusuallyinvolvesmorethanonetypeofintervention.B)
Relapseisfairlyrarewithinthefirstyearofquitting.C)
Earacupressureisahighlyprovenmethodforquitting.D)
Educationiskeyforsmokingcessation.4.
Thenurseiscompletingtheadmissionofaclientwhoisseekingtreatmentforalcoholism.Hetellsthenurs
ethatthelasttimehehadanyalcoholtodrinkwasat10:00AMbeforeheleftforthehospital.Thenurseclosel
ymonitorstheclient.Whichofthefollowingwouldleadthenursetosuspectthattheclientisexperiencings
tage1ofalcoholwithdrawalsyndrome?Selectallthatapply.
A)
Slightdiaphoresis
B)
HandtremorsC
)
Intermittentconfusion
D)
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, Heartrateof135beats/minE)
Normalbloodpressure5.
Anurseistalkingwitha57-year-
oldclientwhohasbeenaheavydrinkerformanyyears.Theclientisbeingtreatedforalcoholism,andthisis
hersecondweekasaninpatientonthepsychiatricunit.Itis5:00AM,andtheclienthasbeenhavingdifficul
tysleeping.Theclientisanorthopedicnurse,andalthoughsheisclothedinahospital-
issuedgownandrobe,sheiswearingastethoscopearoundherneckthatthenurserecognizesasbelongingt
ooneofthestaffnurses.
Whenthenurseasksherwhysheiswearingthestethoscopeandwhereshegotit,theclientgivesheralonga
ndinvolvedreplythatbasicallydescribeshowhernursingsupervisorcametovisitandgaveittohertowear
soshedremembertogetwell.Thenursesuspectsthattheclientmaybeexperiencingwhichofthefollowin
g?
A)
WernickessyndromeB
)
Deliriumtremens
C)
Korsakoffspsychosis
D)
Malignanthyperthermia
6.
Anurseisusingmotivationaltherapywithafemaleclientwithalcoholism.Theclient,whoisunwillingtoc
onsiderchangingherdrinkingbehavior,emphaticallystates,Iamnotanalcoholic;youcantmakemestop
drinking.Whichresponsebythenursewouldbemostappropriate?
A)
Youhavetostopdrinkinganddriving;youcouldkillsomeone.B)
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