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Mental Health ATI Final Questions and
Correct Answers
What are symptoms of alcohol withdrawal? Ans: — Nausea,
vomiting, tremors, restlessness, insomnia, depressed mood or
irritability, tonic-clonic seizures, illusions.
What is alcohol withdrawal delirum and when can it occur? Ans: —
Alcohol withdrawal delirium is a medical emergency and may
occur 2-3 days after cessation and last the same (2-3 days). S/s
include severe disorientation, hallucinations, severe HTN, cardiac
dysrhythmias, delirium.
What are symptoms of opioid withdrawal? Ans: — Agitation,
insomnia, flulike manifestations, rhinorrhea, yawning, sweating,
diarrhea. Suicidal ideation may occur.
What are symptoms of tobacco (nicotine) withdrawal? Ans: —
Irritability, nervousness, restlessness, insomnia, difficulty
concentrating
What kind of medications would be expected to be prescribed for a
patient who is detoxing from alcohol? Ans: — Chlordiazepoxide
(Librium), Diazepam (Valium), Lorazepam (Ativan), Oxazepam
(Serax)
What are the intended effects of the benzodiazepines for
detoxification from alcohol? Ans: — Maintenance of patient's v/s,
decrease risk of seizures, decrease intensity of withdrawal s/s.
What are some of the adjunct medications for detoxification of
alcohol? Ans: — Carbamazepine (Tegretol), Clonidine (Catapres),
Propanolol (Inderal)
What are each of the adjunct medications indicated for? Ans: —
Decrease seizures (Carbamazepine)
Decrease autonomic response (decrease BP, HR)- Clonidine and
Propanolol
Decrease craving- Propanolol
© 2025 All rights reserved
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What are overall nursing interventions and teaching points for
patients who are experiencing detoxification? Ans: — Pad the side
rails and include suction equipment at bedside (seizure
precautions). Monitor vital signs and continue monitoring on
ongoing basis.
What kind of medications are indicated for abstinence
maintenance of alcohol? Ans: — Disulfiram (Antabuse), Naltrexone
(Vivitrol), Acamprosate (Campral)
What is the intended effect of disulfiram (Antabuse)? Ans: — After
the patient ingests alcohol, acetaldehyde syndrome will occur and
includes perfuse vomiting, nausea, weakness, sweating,
palpitations, and hypotension. Can progress to respiratory
depression, seizures, and death.
What teaching points need to be brought up with a patient who is
beginning disulfiram (Antabuse)? Ans: — Wear a med alert
bracelet, avoid ALL products containing alcohol (cough syrups,
aftershave lotion). Encourage participation in a 12 step program.
Potential for acetaldehyde syndrome can occur for up to 2 weeks
after disulfuram is discontinued.
Naltrexone (Vivitrol) What is the indicated effect? Ans: — Pure
opioid antagonist that supresses craving and pleasure of alcohol.
What can naltrexone (Vivitrol) also be utilized for? Ans: — Opioid
withdrawal.
Teaching points for naltrexone (Vivitrol)? Ans: — Take with meals
to supress GI distress. Monthly IM injections should be suggested
for patients who have difficulty to adhering to the medication
regimen.
Acamprosate (Campral) indication... Ans: — Taken 3x daily to
reduce alcohol craving.
Teaching points for acamprosate (Campral) Ans: — Diarrhea may
occur while taking the medication. Increase fluids. Do not take
while pregnant.
© 2025 All rights reserved
Mental Health ATI Final Questions and
Correct Answers
What are symptoms of alcohol withdrawal? Ans: — Nausea,
vomiting, tremors, restlessness, insomnia, depressed mood or
irritability, tonic-clonic seizures, illusions.
What is alcohol withdrawal delirum and when can it occur? Ans: —
Alcohol withdrawal delirium is a medical emergency and may
occur 2-3 days after cessation and last the same (2-3 days). S/s
include severe disorientation, hallucinations, severe HTN, cardiac
dysrhythmias, delirium.
What are symptoms of opioid withdrawal? Ans: — Agitation,
insomnia, flulike manifestations, rhinorrhea, yawning, sweating,
diarrhea. Suicidal ideation may occur.
What are symptoms of tobacco (nicotine) withdrawal? Ans: —
Irritability, nervousness, restlessness, insomnia, difficulty
concentrating
What kind of medications would be expected to be prescribed for a
patient who is detoxing from alcohol? Ans: — Chlordiazepoxide
(Librium), Diazepam (Valium), Lorazepam (Ativan), Oxazepam
(Serax)
What are the intended effects of the benzodiazepines for
detoxification from alcohol? Ans: — Maintenance of patient's v/s,
decrease risk of seizures, decrease intensity of withdrawal s/s.
What are some of the adjunct medications for detoxification of
alcohol? Ans: — Carbamazepine (Tegretol), Clonidine (Catapres),
Propanolol (Inderal)
What are each of the adjunct medications indicated for? Ans: —
Decrease seizures (Carbamazepine)
Decrease autonomic response (decrease BP, HR)- Clonidine and
Propanolol
Decrease craving- Propanolol
© 2025 All rights reserved
, 2 | Page
What are overall nursing interventions and teaching points for
patients who are experiencing detoxification? Ans: — Pad the side
rails and include suction equipment at bedside (seizure
precautions). Monitor vital signs and continue monitoring on
ongoing basis.
What kind of medications are indicated for abstinence
maintenance of alcohol? Ans: — Disulfiram (Antabuse), Naltrexone
(Vivitrol), Acamprosate (Campral)
What is the intended effect of disulfiram (Antabuse)? Ans: — After
the patient ingests alcohol, acetaldehyde syndrome will occur and
includes perfuse vomiting, nausea, weakness, sweating,
palpitations, and hypotension. Can progress to respiratory
depression, seizures, and death.
What teaching points need to be brought up with a patient who is
beginning disulfiram (Antabuse)? Ans: — Wear a med alert
bracelet, avoid ALL products containing alcohol (cough syrups,
aftershave lotion). Encourage participation in a 12 step program.
Potential for acetaldehyde syndrome can occur for up to 2 weeks
after disulfuram is discontinued.
Naltrexone (Vivitrol) What is the indicated effect? Ans: — Pure
opioid antagonist that supresses craving and pleasure of alcohol.
What can naltrexone (Vivitrol) also be utilized for? Ans: — Opioid
withdrawal.
Teaching points for naltrexone (Vivitrol)? Ans: — Take with meals
to supress GI distress. Monthly IM injections should be suggested
for patients who have difficulty to adhering to the medication
regimen.
Acamprosate (Campral) indication... Ans: — Taken 3x daily to
reduce alcohol craving.
Teaching points for acamprosate (Campral) Ans: — Diarrhea may
occur while taking the medication. Increase fluids. Do not take
while pregnant.
© 2025 All rights reserved
