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