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