Complete Test Bank For Prescriber's Guide: Stahl's Essential Psychopharmacology 8th Edition By Stephen M. Stahl Complete Guide.

, 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
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1.


A client has been prescribed naltrexone (Trexan) for treatment of alcohol dependence. The nurs
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e has explained the drugs purpose to the client. The nurse determines that the client has underst
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ood the instructions when the client identifies which of the following about the drug?
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A)


Causes itching if alcohol is consumed
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B)


Produces the euphoria of alcohol s5 s5 s5 s5 s



5 C)


Reduces the appeal of alcohol s5 s5 s5 s5 s5



D)


Improves appetite and nutritional status s5 s5 s5 s5 s



5 2.


An adolescent client tells the nurse that he or she occasionally sniffs airplane glue. When discus
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sing 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 s5 s5 s5 s5



B)


Enhanced normal heart rhythms s5 s5 s5 s5



C)


Enhanced attention focus and memory s5 s5 s5 s5 s5



D)




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,Brain damage and cognitive abnormalities
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3.


A client tells the nurse that he is committed to trying to quit smoking. When teaching the client a
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bout smoking cessation, which of the following would the nurse include?
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A)


Success usually involves more than one type of intervention.
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B)


Relapse is fairly rare within the first year of quitting.
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s5 C)


Ear acupressure is a highly proven method for quitting.
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s5 D)


Education is key for smoking cessation. s5 s5 s5 s5 s5 s5



4.


The nurse is completing the admission of a client who is seeking treatment for alcoholism. He t
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ells the nurse that the last time he had any alcohol to drink was at 10:00 AM before he left for
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the hospital. The nurse closely monitors the client. Which of the following would lead the nurse
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5to suspect that the client is experiencing stage 1 of alcohol withdrawal syndrome? Select all that
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apply.
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A)


Slight diaphoresis s5



s5 B)


Hand tremors s5 s5



C)


Intermittent confusion s5



s5 D)




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, Heart rate of 135 beats/min
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E)


Normal blood pressure s5 s5 s5



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 alcoholi
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sm, and this is her second week as an inpatient on the psychiatric unit. It is 5:00 AM, and the c
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lient has been having difficulty sleeping. The client is an orthopedic nurse, and although she is
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clothed in a hospital- s5 s5 s5


issued gown and robe, she is wearing a stethoscope around her neck that the nurse recognizes
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as belonging to one of the staff nurses.
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When the nurse asks her why she is wearing the stethoscope and where she got it, the client give
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s her a long and involved reply that basically describes how her nursing supervisor came to vis
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it and gave it to her to wear so shed remember to get well. The nurse suspects that the client m
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ay be experiencing which of the following?
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A)


Wernickes syndrome s5 s5



B)


Delirium tremens s5 s



5 C)


Korsakoffs psychosis s5 s5



D)


Malignant hyperthermia s5



s5 6.


A nurse is using motivational therapy with a female client with alcoholism. The client, who is
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unwilling to consider changing her drinking behavior, emphatically states, I am not an alcoholic;
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you cant 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.
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B)

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