FINAL CH 36

Question 1

A 60-year-old man was admitted for cholecystitis that resulted in a cholecystectomy. On his third day of hospitalization, he begins to sweat profusely, tremble, and has a blood pressure of 160/100. Based on these findings, what focused assessment should the nurse complete?
a. Cardiac problems
b. Respiratory problems
c. Withdrawal problems
d. Circulatory problems

Answer 1

ANS: C

Question 2

What age of onset of alcohol consumption is most predictive of alcohol addiction?
a. 8 or younger
b. 10 or younger
c. 12 or younger
d. 14 or younger

Answer 2

ANS: D

Question 3

Alcohol is involved in motor vehicle accidents, suicides, and homicides. Approximately how many deaths each year are related to alcohol consumption?
a. 58,000
b. 78,000
c. 88,000
d. 108,000

Answer 3

ANS: C

Question 4

What stage of dependence is described by a patient when he tells the nurse that he has tried to stop his drug habit, but he does not feel “normal” without it?
a. Early
b. Prodromal
c. Middle
d. Late

Answer 4

ANS: C

Question 5

5. What must a patient in the late stages of dependence do in order to recover?
   a. Gain insight into the addiction.
   b. Receive treatment for substance abuse.
   c. Pledge to lead a completely different lifestyle.
   d. Seek a nondrug-oriented support system.

Answer 5

ANS: B

Question 6

What is the best response by a nurse when a patient inquires how alcohol acts so quickly on his system?
a. Alcohol is digested quickly.
b. Alcohol is converted to glycogen immediately.
c. Alcohol is metabolized into ethanol rapidly.
d. Alcohol is excreted in urine slowly.

Answer 6

ANS: C

Question 7

The nurse reminds a group of high school students that most states have laws limiting blood alcohol levels of drivers. What is the legal blood alcohol serum level in most states?
a. 0.08%
b. 0.20%
c. 0.40% d. 0.50%

Answer 7

ANS: A

Question 8

A pregnant adolescent tells the nurse that she “only drinks a little.” How many drinks per day can cause an adverse effect in an infant?
a. One drink a day
b. Two drinks a day
c. Three drinks a day
d. Four drinks a day

Answer 8

ANS: B

Question 9

The nurse assesses an alcoholic patient carefully for signs of withdrawal. How soon after cessation of alcohol intake do withdrawal symptoms usually appear?
a. 3 hours
b. 4 hours
c. 5 hours
d. 6 hours

Answer 9

ANS: D

Question 10

The nurse is performing an initial assessment on an alcoholic patient. Which of the following actions by the nurse would best ensure honest answers?
a. Not asking personal questions
b. Having a nonjudgmental attitude
c. Including the family
d. Promising the patient not to tell anyone

Answer 10

ANS: B

Question 11

During the detoxification period, what does the nurse aim to achieve when designing interventions?
a. Enroll the patient in Alcoholics Anonymous (AA).
b. Keep the patient safe from aspiration and seizure.
c. Help the patient interact in nonaddictive activities.
d. Help the patient gain insight into the addiction.

Answer 11

ANS: B

Question 12

What should the entire health team focus on during the rehabilitation phase?
a. Establishing a support system
b. Seeking and maintaining employment
c. Abstaining from drug use
d. Addressing the problems related to addiction

Answer 12

ANS: C

Question 13

What should the nurse do to decrease the patient’s disorientation at night during the detoxification period?
a. Place the patient in a room with another recovering patient.
b. Instruct the patient to orient himself to his surroundings at bedtime.
c. Wake the patient up every 4 hours to eat a small snack.
d. Use nightlights and remove extra furniture from the room.

Answer 13

ANS: D

Question 14

The nurse explains that Alcoholics Anonymous (AA) consists of abstinent alcoholics who help other alcoholics become and stay sober. What is the foundation of AA?
a. Psychotherapy
b. A 12-step program
C. Treatment center
d. Individual counseling

Answer 14

ANS: B

Question 15

What severe side effect will occur if an alcoholic patient consumes alcohol while taking disulfiram (Antabuse)?
a. Nausea
b. Blackouts
c. Headaches
d. Hypertension

Answer 15

ANS: A

Question 16

If the patient tells the nurse, “I’m not an alcoholic. I can stop whenever I want to,” what should be the nurse’s most therapeutic response?
a. “Well, why don’t you?”
b. “Hasn’t alcohol use interfered with your employment?”
c. “A positive attitude like that is a good start.”
d. “What would you call alcoholism?”

Answer 16

ANS: B

Question 17

When a patient denies any problems related to addiction, what is the nurse’s most therapeutic response?
a. “What do you call this hospitalization?”
b. “How can anybody help you if you don’t see a problem?”
c. “Would your family agree that you have no problems?”
d. “Can you think of any time your behavior created an unpleasant situation in your
life?”

Answer 17

ANS: D

Question 18

Which drug is often used in date rape? a. Dalmane
b. Xanax
c. Narcan
d. Rohypnol

Answer 18

ANS: D

Question 19

A patient seems bewildered when he confides in the nurse that all of his friends and leisure time have been centered on a drug culture. Which would be the best response by the nurse?
a. “What other sort of activities might you enjoy?”
b. “You will need to get new friends.”
c. “Returning to those activities will get you back here and in trouble.”
d. “You need to get a hobby.”

Answer 19

ANS: A

Question 20

When a patient is admitted with an overdose of an opioid narcotic, the nurse should anticipate an order for which drug to reverse the effects of the narcotic?
a. Clonidine
b. Narcan
c. Orlaam
d. Methadone

Answer 20

ANS: B

Question 21

The nurse concludes that a significant goal of the care plan for an alcoholic patient has been met when the patient makes which statement?
a. “I drink because I’m lonely.”
b. “All my difficulties are related to my drinking.”
c. “I wouldn’t need to drink if I had my family back.”
d. “My drinking helps me cope with the stress of my job.”

Answer 21

ANS: B

Question 22

While creating a methadone protocol for a patient rehabilitating from heroin addiction, the nurse explains that the patient will take methadone for what length of time?
a. Daily for the rest of his life.
b. Daily until stabilized, then gradually reduce the dose to zero.
c. Weekly for at least 6 months, then decrease the dose to once a month.
d. Monthly for 6 to 10 months, then decrease the dose to zero.

Answer 22

ANS: B

Question 23

A 22-year-old patient presents in the emergency department with the characteristics of severe Parkinson disease. The nurse should suspect an overdose of what drug?
a. Marijuana
b. Cocaine
c. Amphetamines d. Valium

Answer 23

ANS: C

Question 24

A college student has brought his hallucinating roommate to the college clinic. The young man says his roommate has been experimenting with phencyclidine (PCP). How long should the nurse expect the hallucinations to last?
a. 30 to 60 minutes
b. 1 to 4 hours
c. 4 to 6 hours
d. 6 to 12 hours

Answer 24

ANS: D

Question 25

The mother of a young woman being treated for amphetamine overdose asks the nurse when the manifestations will subside. What would be the most correct answer by the nurse?
a. “Usually in 8 to 10 hours.”
b. “She will snap out of it in a day or two.”
c. “Usually in about 2 hours, but the effects will return in 2 to 3 days.”
d. “The manifestations may be permanent.”

Answer 25

ANS: D

Question 26

What nursing intervention should be included in the plan of care for a baby born to a drug-addicted mother?
a. Swaddle the baby closely.
b. Place the baby in a brightly lit area.
c. Hold and rock the baby frequently.
d. Place the baby in a busy part of the nursery for stimulation.

Answer 26

ANS: A

Question 27

What is the greatest problem with lysergic acid diethylamide (LSD) use?
a. The drug is addictive.
b. The drug stimulates drug-seeking behavior.
c. The drug causes flashbacks.
d. The drug sets off hypertensive episodes.

Answer 27

ANS: C

Question 28

What should the nurse do to decrease the damage of bruxism seen in a patient who has been abusing the drug ecstasy?
a. Turn the patient to his right side.
b. Elevate the head of the bed 30 degrees.
c. Provide the patient with a pacifier. d. Administer a muscle relaxant.

Answer 28

ANS: C

Question 29

What should the nurse do when suspecting a coworker of abusing drugs while at work?
a. Confront the abuser.
b. Report observations to a supervisor.
c. Call the state board of nursing.
d. Discuss the problem with another coworker.

Answer 29

ANS: B
The nurse’s observations should be reported objectively, preferably in writing, to the supervisor.

Question 30

Which statement describes the impaired nurse who is in a peer assistance program?
a. The nurse has a revoked nursing license.
b. The nurse does not have to notify her employer.
c. The nurse will be allowed to work as a nurse under supervision.
d. The nurse will be reported to the Healthcare Integrity and Protection Data Bank.

Answer 30

ANS: C