, 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 f6 f6 f6 f6 f
6 C)
Reduces the appeal of alcohol f6 f6 f6 f6 f6
D)
Improves appetite and nutritional status f6 f6 f6 f6 f6
2.
An adolescent client tells the nurse that he or she occasionally sniffs airplane glue. When discus
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
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 f6 f6 f6 f6
B)
Enhanced normal heart rhythms f6 f6 f6 f6
C)
Enhanced attention focus and memory f6 f6 f6 f6 f6
D)
www.nursylab.com
,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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6 C)
Ear acupressure is a highly proven method for quitting.
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6 D)
Education is key for smoking cessation. f6 f6 f6 f6 f6 f6
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 f6 f
6 B)
Hand tremors f6 f6
C)
Intermittent confusion f6 f
6 D)
www.nursylab.com
, Heart rate of 135 beats/min f6 f6 f6 f6 f6
E)
Normal blood pressure f6 f6 f6
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- f6 f6 f6
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 f6 f6
B)
Delirium tremens f6 f6
C)
Korsakoffs psychosis f6 f6
D)
Malignant hyperthermia f6 f
6 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)
www.nursylab.com
f6 f6 f6 f6 f6 f6 f6 f6
Chapter 1 Chemimical Neurotransmissin
f6 f6 f6
Chapter Questions on Alcohol abstinence/Alcohol dependence/Alcohol withdrawal
f6 f6 f6 f6 f6 f6 f6
1.
A client has been prescribed naltrexone (Trexan) for treatment of alcohol dependence. The nurs
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
e has explained the drugs purpose to the client. The nurse determines that the client has understo
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
od the instructions when the client identifies which of the following about the drug?
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
A)
Causes itching if alcohol is consumed
f6 f6 f6 f6 f6 f6
B)
Produces the euphoria of alcohol f6 f6 f6 f6 f
6 C)
Reduces the appeal of alcohol f6 f6 f6 f6 f6
D)
Improves appetite and nutritional status f6 f6 f6 f6 f6
2.
An adolescent client tells the nurse that he or she occasionally sniffs airplane glue. When discus
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
sing the effects of long-
f6 f6 f6 f6
term use of inhalants, which of the following would the nurse most likely include?
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
A)
Tremors and CNS arousal f6 f6 f6 f6
B)
Enhanced normal heart rhythms f6 f6 f6 f6
C)
Enhanced attention focus and memory f6 f6 f6 f6 f6
D)
www.nursylab.com
,Brain damage and cognitive abnormalities
f6 f6 f6 f6 f6
3.
A client tells the nurse that he is committed to trying to quit smoking. When teaching the client ab
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
out smoking cessation, which of the following would the nurse include?
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
A)
Success usually involves more than one type of intervention.
f6 f6 f6 f6 f6 f6 f6 f6 f6
B)
Relapse is fairly rare within the first year of quitting.
f6 f6 f6 f6 f6 f6 f6 f6 f6 f
6 C)
Ear acupressure is a highly proven method for quitting.
f6 f6 f6 f6 f6 f6 f6 f6 f
6 D)
Education is key for smoking cessation. f6 f6 f6 f6 f6 f6
4.
The nurse is completing the admission of a client who is seeking treatment for alcoholism. He t
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
ells the nurse that the last time he had any alcohol to drink was at 10:00 AM before he left for t
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
he hospital. The nurse closely monitors the client. Which of the following would lead the nurse t
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
o suspect that the client is experiencing stage 1 of alcohol withdrawal syndrome? Select all that a
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
pply.
A)
Slight diaphoresis f6 f
6 B)
Hand tremors f6 f6
C)
Intermittent confusion f6 f
6 D)
www.nursylab.com
, Heart rate of 135 beats/min f6 f6 f6 f6 f6
E)
Normal blood pressure f6 f6 f6
5.
A nurse is talking with a 57-year-
f6 f6 f6 f6 f6 f6
old client who has been a heavy drinker for many years. The client is being treated for alcoholi
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
sm, and this is her second week as an inpatient on the psychiatric unit. It is 5:00 AM, and the cli
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
ent has been having difficulty sleeping. The client is an orthopedic nurse, and although she is cl
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
othed in a hospital- f6 f6 f6
issued gown and robe, she is wearing a stethoscope around her neck that the nurse recognizes a
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
s belonging to one of the staff nurses.
f6 f6 f6 f6 f6 f6 f6
When the nurse asks her why she is wearing the stethoscope and where she got it, the client give
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
s her a long and involved reply that basically describes how her nursing supervisor came to visit
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
and gave it to her to wear so shed remember to get well. The nurse suspects that the client may
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
be experiencing which of the following?
f6 f6 f6 f6 f6 f6
A)
Wernickes syndrome f6 f6
B)
Delirium tremens f6 f6
C)
Korsakoffs psychosis f6 f6
D)
Malignant hyperthermia f6 f
6 6.
A nurse is using motivational therapy with a female client with alcoholism. The client, who is u
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
nwilling to consider changing her drinking behavior, emphatically states, I am not an alcoholic; y
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
ou cant make me stop drinking. Which response by the nurse would be most appropriate?
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
A)
You have to stop drinking and driving; you could kill someone.
f6 f6 f6 f6 f6 f6 f6 f6 f6 f6 f6
B)
www.nursylab.com
