, Prescriber's Guide- ib
Stahl's Essential Psychopharmacology 8th Edition Test Bank Chapter 1 Chemimical
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Neurotransmissin
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 as e
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xplained the drugs purpose to the client. The nurse determines that the client has understood the instruc
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tions when the client identifies which of the following about the drug?
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A)
Causesitching ifalcohol isconsumed B) Produces
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the euphoria of alcohol
ib ib ib ib
C)
Reduces theappealofalcohol lx ib ib ib ib
D)
Improvesappetiteandnutritional status ib lx ib
2.
An adolescent client tells the nurse that he or she occasionally sniffs airplane glue. When discussin g th
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e effects of long-
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term use of inhalants, which of thefollowing would the nurse most likely include? A)
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Tremors andCNSarousal B lx ib ib ib
)
Enhancednormalheartrhythms C i b
)
Enhanced attention focus and memory D lx lx lx i b
)
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,Brain damageand cognitive abnormalities 3.
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Aclient tells thenursethathe is committed to trying to quitsmoking. When teachingthe client about sm
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oking cessation, which of the following would the nurse include?
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A)
Success usuallyinvolves morethanonetypeof intervention. B) R
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elapse is fairly rare within the first year of quitting. C
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)
Ear acupressureis a highlyproven method for quitting. D)
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Education iskeyforsmokingcessation. 4. lx ib ib ib ib
The nurse is completing the admission of a client who is seeking treatment for alcoholism. He tells the
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nurse that the last time he had any alcohol to drink was at 10:00 AM before he left for the hospit al. The n
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urse closely monitors the client. Which of the following would lead the nurse to suspect tha t the client i
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s experiencing stage 1 of alcohol withdrawal syndrome? Select all that apply.
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A)
Slight diaphoresis lx ib
B)
Handtremors lxi
b C)
Intermittent confusion lx ib
D)
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, Heart rateof135beats/min E lx ib ib ib
)
Normal bloodpressure 5 lx ib
.
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, an
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d this is her second week as an inpatient on the psychiatricunit. It is 5:00 AM, and the client has been h
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avingdifficultysleeping. Theclient is an orthopedic nurse, and although she is clothed in a h ospital-
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issued gown and robe, she is wearing a stethoscope around her neck that the nurse recognizes as be longing t
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o one of the staff nurses.
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When the nurse asks her why she is wearing the stethoscopeand where shegot it, the client gives her a lo
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ng and involved reply that basically describes how her nursing supervisor came to visit and ga ve it t
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o her to wear so shed remember to get well. The nurse suspects that the client may be experie ncing wh
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ich of the following?
ib ib ib
A)
Wernickessyndrome ib
B)
Deliriumtremens ib
C)
Korsakoffspsychosis ib
D)
Malignanthyperthermia ib
6.
A nurse is using motivational therapy with a female client with alcoholism. The client, who is unw illin
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g to consider changing her drinking behavior, emphatically states, I am not an alcoholic; you ca nt mak
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e me stop drinking. Which response by the nurse would be most appropriate?
ib ib ib ib ib ib ib ib ib ib ib ib
A)
You have tostop drinking and driving; you could kill someone. B)
lx ib ib ib ib ib ib lx ib ib ib
www.nursylab.com
Stahl's Essential Psychopharmacology 8th Edition Test Bank Chapter 1 Chemimical
ib ib lx ib ib ib ib ib ib ib ib
Neurotransmissin
Chapter Questions on Alcohol abstinence/Alcohol dependence/Alcohol withdrawal 1.
ib lx ib ib ib ib ib
A client has been prescribed naltrexone (Trexan) for treatment of alcohol dependence. The nurse h as e
ib ib ib ib ib ib ib ib lx ib ib ib ib ib ib ib
xplained the drugs purpose to the client. The nurse determines that the client has understood the instruc
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
tions when the client identifies which of the following about the drug?
ib ib ib ib ib ib ib ib ib ib ib
A)
Causesitching ifalcohol isconsumed B) Produces
ib ib ib ib ib ib ib
the euphoria of alcohol
ib ib ib ib
C)
Reduces theappealofalcohol lx ib ib ib ib
D)
Improvesappetiteandnutritional status ib lx ib
2.
An adolescent client tells the nurse that he or she occasionally sniffs airplane glue. When discussin g th
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
e effects of long-
ib lx ib
term use of inhalants, which of thefollowing would the nurse most likely include? A)
ib ib ib ib ib ib ib lx ib ib ib ib ib ib
Tremors andCNSarousal B lx ib ib ib
)
Enhancednormalheartrhythms C i b
)
Enhanced attention focus and memory D lx lx lx i b
)
www.nursylab.com
,Brain damageand cognitive abnormalities 3.
lx lx lx i b
Aclient tells thenursethathe is committed to trying to quitsmoking. When teachingthe client about sm
ib ib ib ib ib ib ib ib ib lx ib ib ib ib ib ib ib lx lxi b
oking cessation, which of the following would the nurse include?
lx ib ib ib ib ib ib ib ib
A)
Success usuallyinvolves morethanonetypeof intervention. B) R
ib ib ib ib ib ib ib ib ib
elapse is fairly rare within the first year of quitting. C
ib ib ib ib lx ib ib ib ib ib
)
Ear acupressureis a highlyproven method for quitting. D)
ib ib ib ib ib ib ib ib
Education iskeyforsmokingcessation. 4. lx ib ib ib ib
The nurse is completing the admission of a client who is seeking treatment for alcoholism. He tells the
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
nurse that the last time he had any alcohol to drink was at 10:00 AM before he left for the hospit al. The n
ib lx ib lx ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
urse closely monitors the client. Which of the following would lead the nurse to suspect tha t the client i
ib ib ib ib ib ib ib ib ib lx lx ib ib ib ib ib lx ib ib
s experiencing stage 1 of alcohol withdrawal syndrome? Select all that apply.
lx ib ib ib ib lx ib ib ib ib ib
A)
Slight diaphoresis lx ib
B)
Handtremors lxi
b C)
Intermittent confusion lx ib
D)
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, Heart rateof135beats/min E lx ib ib ib
)
Normal bloodpressure 5 lx ib
.
A nurse is talking with a 57-year-
ib ib ib ib ib lx
old client who has been a heavy drinker for many years. The client is being treated for alcoholism, an
lx lx ib ib ib ib ib ib ib ib ib ib ib ib ib lx ib ib
d this is her second week as an inpatient on the psychiatricunit. It is 5:00 AM, and the client has been h
ib ib ib ib ib ib ib ib ib ib ib ib ib lx ib ib ib ib ib lx ib lx
avingdifficultysleeping. Theclient is an orthopedic nurse, and although she is clothed in a h ospital-
ib ib ib ib lx ib ib ib ib ib ib ib ib ib ib ib ib
issued gown and robe, she is wearing a stethoscope around her neck that the nurse recognizes as be longing t
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
o one of the staff nurses.
ib ib ib ib ib
When the nurse asks her why she is wearing the stethoscopeand where shegot it, the client gives her a lo
lx ib ib ib ib ib lx ib ib ib ib lx ib ib ib ib ib lx ib ib ib
ng and involved reply that basically describes how her nursing supervisor came to visit and ga ve it t
lx ib lx ib ib ib ib ib ib ib ib ib ib lx ib ib ib lx
o her to wear so shed remember to get well. The nurse suspects that the client may be experie ncing wh
ib ib ib ib ib lx ib ib ib ib ib ib i b ib ib ib ib ib ib ib
ich of the following?
ib ib ib
A)
Wernickessyndrome ib
B)
Deliriumtremens ib
C)
Korsakoffspsychosis ib
D)
Malignanthyperthermia ib
6.
A nurse is using motivational therapy with a female client with alcoholism. The client, who is unw illin
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
g to consider changing her drinking behavior, emphatically states, I am not an alcoholic; you ca nt mak
lx ib ib ib ib lx ib ib ib lx ib ib ib ib ib ib lx
e me stop drinking. Which response by the nurse would be most appropriate?
ib ib ib ib ib ib ib ib ib ib ib ib
A)
You have tostop drinking and driving; you could kill someone. B)
lx ib ib ib ib ib ib lx ib ib ib
www.nursylab.com
