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Complete the following sentence by using the list options
1. The client is at the highest risk for developing:
a. moderate withdrawal
b. severe withdrawal
c. mild with - ANSWER -1. b. severe withdrawal
2. b. CIWA-AR score
A nurse is caring for a client.
Nurses' Notes
Admission - Day 1: 19-year-old client admitted for evaluation of potential
substance use disorder. Client lives with adult parents and is enrolled in college
courses leading to an associate degree in accounting. Client regularly attends
spiritual services with their father. Client acknowledges that they have been dating
the same individual for 18 months, and "we plan to move into together as soon as
we have the money."
Day 2:
1500:Client revealed during group therapy session that they were physically
abused by a family member while they were an adolescent. Also stated, "My mom
is depressed and has been taking pills for a long time." Client also acknowledged
that their favorite uncle has been "smoking dope and taking pain pills for as long as
I can remember."
Select the 2 findings that require immediate follow-up.
a. Statement regarding clients uncle
b. Living arrangement - ANSWER -a, d
A nurse is developing a discharge plan for a client who is in substance use
rehabilitation. The nurse should include which of the following treatment
modalities to decrease the likelihood of relapse?
a. Physical therapy, occupational therapy, pet therapy
b. 12-step programs, cognitive-behavioral therapy, support groups
c. Intensive, long-term residential treatment
, d. Art therapy, music therapy, yoga - ANSWER -b. 12-step programs, cognitive-
behavioral therapy, support groups
A nurse is meeting with a new client at a substance use disorder clinic. During the
meeting, the nurse observes that the patient is anxious, fidgeting in their chair, and
sweating profusely. Which of the following types of data describes the clients
actions?
a. Historical
b. Secondary
c. Subjective
d. Objective - ANSWER -d. Objective
A nurse is meeting with an established client at a substance use disorder clinic.
The client has been in treatment for six months. In this meeting, the client shares
with the nurse that their partner previously would bail them out of jail when they
were arrested for DUI. The client says their partner would also call into the
workplace and tell the supervisor that the client was too ill to come to work when
they were hung over from drugs or alcohol. The partner's behavior is indicative of
which of the following?
a. Codependency
b. Enabling
c. Intervention
d. Passive-aggressiveness - ANSWER -b. Enabling
Which of the following is a guiding principles for nurses when providing care to a
client who have a substance use disorder?
a. Addiction is a choice, clients need to realize it is their fault
b. Addiction is a complex brain disorder, healthcare providers, need to treat their
clients who have addictions with empathy and compassion
c. The underlying etiology of addiction in unknown
d. Addiction is caused by cognitive deficits in the brain, which results in the
client's inability to change - ANSWER -b. Addiction is a complex brain disorder,
healthcare providers, need to treat their clients who have addictions with empathy
and compassion
Which of the following factors is identified as a risk factor for developing
addictions?