PrepU 19 Q&A
A client is admitted to the emergency department for intoxication with alcohol. The client
has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent
events. When treated with thiamine, the client's symptoms greatly improve. Which
condition was the client likely experiencing? - (correct answer)Wernicke-Korsakoff
syndrome
Safety is the nursing priority for a client who is at risk for alcohol withdrawal. A care plan
for the client who is in withdrawal must include which nursing interventions? - (correct
answer)Observation for symptoms, vital signs, seizure and fall precautions, medications
as ordered
The ingestion of mood-altering substances stimulates which neurotransmitter pathway
in the limbic system to produce a "high" that is a pleasant experience? - (correct
answer)Dopamine
A client who has used IV heroin every day for the past 10 years says, "I don't have a
drug problem. I can quit whenever I want." Which defense mechanism is being used by
the client? - (correct answer)Denial
The nurse in an outpatient rehabilitation program is speaking with a group of clients who
have recently recovered from alcohol abuse. Which issue should the nurse raise before
the clients leave for the day? - (correct answer)Help them to identify appropriate
diversional activities.
Which statement most accurately describes the etiology of substance-related disorders?
- (correct answer)Substance-related disorders result from the interplay of biologic,
genetic, and psychosocial factors.
A 20-year-old client arrives at the emergency department by ambulance. The client is
unconscious, with slow respirations and pinpoint pupils. There are "tracks" visible on the
client's arms. The friend who came with the client reports that the client had just "shot
up" heroin when the client became unconscious. Which medication would the nurse
most likely expect to administer? - (correct answer)Naloxone
, A client is experiencing severe alcohol withdrawal. Which would the nurse most likely
assess? Select all that apply. - (correct answer)Marked diaphoresis; Auditory
hallucinations; Gross uncontrollable tremors
High doses of alcohol produce which effect? - (correct answer)Vomiting
A client is admitted to the emergency department after using MDMA (Ecstasy). The
nurse identifies this drug as which of the following? - (correct answer)Hallucinogen
When a client is working toward the prevention of an alcohol abuse relapse, the nurse is
acting in a therapeutic role when doing what? - (correct answer)Helping the client
identify positive coping mechanisms
Which term describes a situation that occurs when very small amounts of alcohol
intoxicates the person after continued heavy drinking? - (correct answer)Tolerance
break
Which medication is used to prevent Wernicke-Korsakoff syndrome? - (correct
answer)Thiamine (vitamin B1)
Which statement about clients with a dual diagnosis is accurate? - (correct
answer)Traditional methods of treatment have not been very successful for these
clients.
A client is in treatment for depression and alcohol abuse. The client is unwilling to
confront substance abuse issues, stating the client uses alcohol to ease feelings of
depression. The client's spouse reports that the spouse often has to care for the client
when the client is hung over, calling in sick for the client and doing what the spouse can
to help the client catch up with household or job responsibilities. The nurse diagnoses
the client's family with dysfunctional family processes. The nurse and clients develop a
plan of care. Which goal indicates an understanding of the family situation and the
A client is admitted to the emergency department for intoxication with alcohol. The client
has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent
events. When treated with thiamine, the client's symptoms greatly improve. Which
condition was the client likely experiencing? - (correct answer)Wernicke-Korsakoff
syndrome
Safety is the nursing priority for a client who is at risk for alcohol withdrawal. A care plan
for the client who is in withdrawal must include which nursing interventions? - (correct
answer)Observation for symptoms, vital signs, seizure and fall precautions, medications
as ordered
The ingestion of mood-altering substances stimulates which neurotransmitter pathway
in the limbic system to produce a "high" that is a pleasant experience? - (correct
answer)Dopamine
A client who has used IV heroin every day for the past 10 years says, "I don't have a
drug problem. I can quit whenever I want." Which defense mechanism is being used by
the client? - (correct answer)Denial
The nurse in an outpatient rehabilitation program is speaking with a group of clients who
have recently recovered from alcohol abuse. Which issue should the nurse raise before
the clients leave for the day? - (correct answer)Help them to identify appropriate
diversional activities.
Which statement most accurately describes the etiology of substance-related disorders?
- (correct answer)Substance-related disorders result from the interplay of biologic,
genetic, and psychosocial factors.
A 20-year-old client arrives at the emergency department by ambulance. The client is
unconscious, with slow respirations and pinpoint pupils. There are "tracks" visible on the
client's arms. The friend who came with the client reports that the client had just "shot
up" heroin when the client became unconscious. Which medication would the nurse
most likely expect to administer? - (correct answer)Naloxone
, A client is experiencing severe alcohol withdrawal. Which would the nurse most likely
assess? Select all that apply. - (correct answer)Marked diaphoresis; Auditory
hallucinations; Gross uncontrollable tremors
High doses of alcohol produce which effect? - (correct answer)Vomiting
A client is admitted to the emergency department after using MDMA (Ecstasy). The
nurse identifies this drug as which of the following? - (correct answer)Hallucinogen
When a client is working toward the prevention of an alcohol abuse relapse, the nurse is
acting in a therapeutic role when doing what? - (correct answer)Helping the client
identify positive coping mechanisms
Which term describes a situation that occurs when very small amounts of alcohol
intoxicates the person after continued heavy drinking? - (correct answer)Tolerance
break
Which medication is used to prevent Wernicke-Korsakoff syndrome? - (correct
answer)Thiamine (vitamin B1)
Which statement about clients with a dual diagnosis is accurate? - (correct
answer)Traditional methods of treatment have not been very successful for these
clients.
A client is in treatment for depression and alcohol abuse. The client is unwilling to
confront substance abuse issues, stating the client uses alcohol to ease feelings of
depression. The client's spouse reports that the spouse often has to care for the client
when the client is hung over, calling in sick for the client and doing what the spouse can
to help the client catch up with household or job responsibilities. The nurse diagnoses
the client's family with dysfunctional family processes. The nurse and clients develop a
plan of care. Which goal indicates an understanding of the family situation and the
