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