Ch. 36- ATI Mental Health Nursing- Ch. 18

Question 1

18- 1. A nurse is assisting with a staff education program on substance use in older adults. Which of the following information should the nurse include in the presentation?

A. Older adults require higher doses of a substance to achieve a desired effect.
B. Older adults commonly use rationalization to cope with a substance use disorder.
C. Older adults are at an increased risk for substance use following retirement.
D. Older adults develop substance use to mask manifestations of dementia.

Answer 1

C. Older adults are at an increased risk for substance use following retirement.

Question 2

18- 2. A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect? (Select all that apply.)

A. Bradycardia
B. Fine tremors of both hands
C. Decreased blood pressure
D. Vomiting
E. Restlessness

Answer 2

B. Fine tremors of both hands
D. Vomiting
E. Restlessness

Question 3

18- 3. A nurse is contributing to the plan of care for a client who is experiencing benzodiazepine withdrawal. Which of the following interventions should the nurse identify as the priority?

A. Orient the client frequently to time, place, and person.
B. Offer fluids and nourishing diet as tolerated.
C. Implement seizure precautions.
D. Encourage participation in group therapy sessions.

Answer 3

C. Implement seizure precautions.

Question 4

18- 4. A nurse is caring for a client who has alcohol use disorder. The client is no longer experiencing withdrawal manifestations. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol?

A. Chlordiazepoxide
B. Bupropion
C. Disulfiram
D. Carbamazepine

Answer 4

C. Disulfiram

Question 5

18- 5. A nurse is reinforcing teaching with the family of a client who has a substance use disorder. Which of the following statements by a family member indicates an understanding of the instruction? (Select all that apply.)

A. “We need to understand that our sibling is responsible for their disorder.”
B. “Eliminating codependent behavior will promote recovery.”
C. “Our sibling should participate in an Al-Anon group to assist with recovery.”
D. “The primary goal of treatment is abstinence from substance use.”
E. “Our sibling needs to discuss personal feelings about substance use to help with recovery.”

Answer 5

B. “Eliminating codependent behavior will promote recovery.”
D. “The primary goal of treatment is abstinence from substance use.”
E. “Our sibling needs to discuss personal feelings about substance use to help with recovery.”

Question 6

18- 6. A nurse is assisting in the discharge planning for a client following alcohol detoxification. The nurse should expect prescriptions for which of the following medications to promote long-term abstinence from alcohol? (Select all that apply.)

A. Lorazepam
B. Diazepam
C. Disulfiram
D. Naltrexone
E. Acamprosate

Answer 6

C. Disulfiram
D. Naltrexone
E. Acamprosate