, Prescriber's Guide- Stahl's Essential Psychopharmacology 8th Edition Test Bank
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Chapter 1 Chemimical Neurotransmissin
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Chapter Questions on Alcohol abstinence/Alcohol dependence/Alcohol withdrawal 1
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.
A client has been prescribed naltrexone (Trexan) for treatment of alcohol dependence. The nurse h
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as explained the drugs purpose to the client. The nurse determines that the client has understood the
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instructions when the client identifies which of the following about the drug?
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A)
Causes itching if alcohol is consumed B
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)
Produces the euphoria of alcohol ft ft ft ft ft
C)
Reduces the appeal of alcohol ft ft ft ft ft
D)
Improves appetite and nutritional status ft ft ft ft ft
2.
An adolescent client tells the nurse that he or she occasionally sniffs airplane glue. When discussin
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g the effects of long-
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term use of inhalants, which of the following would the nurse most likely include?
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A)
Tremors and CNS arousal B ft ft ft ft
)
Enhanced normal heart rhythms C ft ft ft ft
)
Enhanced attention focus and memory D ft ft ft ft ft
)
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,Brain damage and cognitive abnormalities 3.
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A client tells the nurse that he is committed to trying to quit smoking. When teaching the client about
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smoking cessation, which of the following would the nurse include?
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A)
Success usually involves more than one type of intervention. B)
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Relapse is fairly rare within the first year of quitting. C
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)
Ear acupressure is a highly proven method for quitting.
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D)
Education is key for smoking cessation. 4. ft ft ft ft ft ft
The nurse is completing the admission of a client who is seeking treatment for alcoholism. He tells
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the nurse that the last time he had any alcohol to drink was at 10:00 AM before he left for the hosp
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ital. The nurse closely monitors the client. Which of the following would lead the nurse to suspect t
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hat the client is experiencing stage 1 of alcohol withdrawal syndrome? Select all that apply.
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A)
Slight diaphoresis ft f
B)
t
Hand tremors ft ft
C)
Intermittent confusion ft f
D)
t
www.nursylab.com
, Heart rate of 135 beats/min ft ft ft ft ft
E)
Normal blood pressure ft ft ft
5.
A nurse is talking with a 57-year-
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old client who has been a heavy drinker for many years. The client is being treated for alcoholism,
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and this is her second week as an inpatient on the psychiatric unit. It is 5:00 AM, and the client has
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been having difficulty sleeping. The client is an orthopedic nurse, and although she is clothed in a
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
hospital-
issued gown and robe, she is wearing a stethoscope around her neck that the nurse recognizes as b
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
elonging to one of the staff nurses. ft ft ft ft ft ft
When the nurse asks her why she is wearing the stethoscope and where she got it, the client gives he
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
r a long and involved reply that basically describes how her nursing supervisor came to visit and g
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
ave it to her to wear so shed remember to get well. The nurse suspects that the client may be experi
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encing which of the following? ft ft ft ft
A)
Wernickes syndrome ft ft
B)
Delirium tremens ft ft
C)
Korsakoffs psychosis ft ft
D)
Malignant hyperthermia ft f
6.
t
A nurse is using motivational therapy with a female client with alcoholism. The client, who is unw
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illing to consider changing her drinking behavior, emphatically states, I am not an alcoholic; you ca
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nt make me stop drinking. Which response by the nurse would be most appropriate?
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A)
You have to stop drinking and driving; you could kill someone. B)
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www.nursylab.com
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Chapter 1 Chemimical Neurotransmissin
ft ft ft
Chapter Questions on Alcohol abstinence/Alcohol dependence/Alcohol withdrawal 1
ft ft ft ft ft ft ft
.
A client has been prescribed naltrexone (Trexan) for treatment of alcohol dependence. The nurse h
ft ft ft ft ft ft ft ft ft ft ft ft ft ft
as explained the drugs purpose to the client. The nurse determines that the client has understood the
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft f
instructions when the client identifies which of the following about the drug?
t ft ft ft ft ft ft ft ft ft ft ft
A)
Causes itching if alcohol is consumed B
ft ft ft ft ft ft
)
Produces the euphoria of alcohol ft ft ft ft ft
C)
Reduces the appeal of alcohol ft ft ft ft ft
D)
Improves appetite and nutritional status ft ft ft ft ft
2.
An adolescent client tells the nurse that he or she occasionally sniffs airplane glue. When discussin
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
g the effects of long-
ft ft ft ft
term use of inhalants, which of the following would the nurse most likely include?
ft ft ft ft ft ft ft ft ft ft ft ft ft
A)
Tremors and CNS arousal B ft ft ft ft
)
Enhanced normal heart rhythms C ft ft ft ft
)
Enhanced attention focus and memory D ft ft ft ft ft
)
www.nursylab.com
,Brain damage and cognitive abnormalities 3.
ft ft ft ft ft
A client tells the nurse that he is committed to trying to quit smoking. When teaching the client about
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
smoking cessation, which of the following would the nurse include?
ft ft ft ft ft ft ft ft ft ft
A)
Success usually involves more than one type of intervention. B)
ft ft ft ft ft ft ft ft ft
Relapse is fairly rare within the first year of quitting. C
ft ft ft ft ft ft ft ft ft ft
)
Ear acupressure is a highly proven method for quitting.
ft ft ft ft ft ft ft ft ft
D)
Education is key for smoking cessation. 4. ft ft ft ft ft ft
The nurse is completing the admission of a client who is seeking treatment for alcoholism. He tells
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
the nurse that the last time he had any alcohol to drink was at 10:00 AM before he left for the hosp
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
ital. The nurse closely monitors the client. Which of the following would lead the nurse to suspect t
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
hat the client is experiencing stage 1 of alcohol withdrawal syndrome? Select all that apply.
ft ft ft ft ft ft ft ft ft ft ft ft ft ft
A)
Slight diaphoresis ft f
B)
t
Hand tremors ft ft
C)
Intermittent confusion ft f
D)
t
www.nursylab.com
, Heart rate of 135 beats/min ft ft ft ft ft
E)
Normal blood pressure ft ft ft
5.
A nurse is talking with a 57-year-
ft ft ft ft ft ft
old client who has been a heavy drinker for many years. The client is being treated for alcoholism,
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
and this is her second week as an inpatient on the psychiatric unit. It is 5:00 AM, and the client has
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
been having difficulty sleeping. The client is an orthopedic nurse, and although she is clothed in a
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
hospital-
issued gown and robe, she is wearing a stethoscope around her neck that the nurse recognizes as b
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
elonging to one of the staff nurses. ft ft ft ft ft ft
When the nurse asks her why she is wearing the stethoscope and where she got it, the client gives he
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
r a long and involved reply that basically describes how her nursing supervisor came to visit and g
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
ave it to her to wear so shed remember to get well. The nurse suspects that the client may be experi
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
encing which of the following? ft ft ft ft
A)
Wernickes syndrome ft ft
B)
Delirium tremens ft ft
C)
Korsakoffs psychosis ft ft
D)
Malignant hyperthermia ft f
6.
t
A nurse is using motivational therapy with a female client with alcoholism. The client, who is unw
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
illing to consider changing her drinking behavior, emphatically states, I am not an alcoholic; you ca
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
nt make me stop drinking. Which response by the nurse would be most appropriate?
ft ft ft ft ft ft ft ft ft ft ft ft ft
A)
You have to stop drinking and driving; you could kill someone. B)
ft ft ft ft ft ft ft ft ft ft ft
www.nursylab.com