Study sets, textbooks, questions
Upgrade to remove ads
pysch exam practice questions addictions
Terms in this set (27)
An alcohol-dependent patient was hospitalized at 0200 today. When would the nurse expect withdrawal symptoms to peak?
Between 0200 tomorrow and hospital day 2 (24 to 48 hours after drinking stopped)
A woman in the last trimester of pregnancy drinks 8 to 12 ounces of alcohol daily. The nurse plans for the delivery of an infant who is:
microcephalic and cognitively impaired
A patient was admitted last night with a hip fracture sustained in a fall while intoxicated. The patient points to the Buck traction and screams, "Somebody tied me up with ropes." The patient is experiencing:
A patient was admitted 48 hours ago for injuries sustained while intoxicated. The patient is shaky, irritable, anxious, and diaphoretic. The pulse rate is 130 beats per minute. The patient shouts, "Bugs are crawling on my bed. I've got to get out of here." What is the most accurate assessment of the situation? The patient:
has symptoms of alcohol withdrawal delirium.
A patient admitted yesterday for injuries sustained in a fall while intoxicated believes bugs are crawling on the bed. The patient is anxious, agitated, and diaphoretic. What is the priority nursing diagnosis?
Risk for injury
A patient admitted yesterday for injuries sustained while intoxicated believes the window blinds are snakes trying to get into the room. The patient is anxious, agitated, and diaphoretic. Which medication can the nurse anticipate the health care provider will prescribe?
Benzodiazepine, such as lorazepam (Ativan)
A hospitalized patient, injured in a fall while intoxicated, believes spiders are spinning entrapping webs in the room. The patient is anxious, agitated, and diaphoretic. Which nursing intervention has priority?
Provide one-on-one supervision.
Police bring a patient to the emergency department after an automobile accident. The patient is ataxic with slurred speech and mild confusion. The blood alcohol level is 400 mg/dl (0.4 mg %). Considering the relationship between behavior and blood alcohol level, which conclusion can the nurse draw? The patient:
has a high tolerance to alcohol.
A patient admitted to an alcoholism rehabilitation program says, "I'm just a social drinker. I usually have a drink or two at brunch, a few cocktails in the afternoon, wine at dinner, and several drinks during the evening." Which defense mechanism is evident?
During the third week of treatment, the spouse of a patient in an alcoholism rehabilitation program says, "After discharge, I'm sure everything will be just fine." Which remark by the nurse will be most helpful to the spouse?
"Although sobriety solves some problems, new ones may emerge as one adjusts to living without alcohol."
The treatment team plans care for a person diagnosed with paranoid schizophrenia and cannabis abuse. The person has recently used cannabis daily and is experiencing increased hallucinations and delusions. Which principle applies to care planning?
Consider each diagnosis primary and provide simultaneous treatment.
Which statement most accurately describes substance dependence?
It is a lack of control over use. Tolerance and withdrawal symptoms occur when intake is reduced or stopped.
In the emergency department, a patient's vital signs are: blood pressure (BP), 66/40 mm Hg; pulse (P), 140 beats per minute (bpm); and respirations (R), 8 breaths per minute and shallow. The patient overdosed on illegally obtained hydromorphone (Dilaudid). Select the priority outcome.
Within 8 hours, vital signs will stabilize as evidenced by BP greater than 90/60 mm Hg, P less than 100 bpm, and respirations at or above 12 breaths per minute.
A nurse worked at a hospital for several months, resigned, and then took a position at another hospital. In the new position, the nurse often volunteers to be the medication nurse. After several serious medication errors, an investigation reveals that the nurse was diverting patient narcotics for self-use. What early indicator of the nurse's drug use was evident?
Seeking to be assigned as the medication nurse.
A nurse with a history of narcotic dependence is found unconscious in the hospital locker room after overdosing. The nurse is transferred to the inpatient chemical dependence unit for care. Which attitudes or behaviors by nursing staff may be enabling?
Conveying understanding that pressures associated with nursing practice underlie substance use.
Which nursing diagnosis would likely apply to both patients with paranoid schizophrenia and patients with amphetamine-induced psychosis?
Disturbed thought processes
A patient has smoked two packs of cigarettes daily for many years. When the patient does not smoke or tries to cut back, anxiety, craving, poor concentration, and headache result. What does this scenario describe?
A newly hospitalized patient has needle tracks on both arms. A friend states that the patient uses heroin daily but has not used in the past 24 hours. The nurse should assess the patient for:
unny nose, yawning, insomnia, and chills
A nurse is called to the home of a neighbor and finds an unconscious person still holding a medication bottle labeled pentobarbital sodium. What is the nurse's first action?
Establish a patent airway
An adult in the emergency department states, "I feel restless. Everything I look at wavers. Sometimes I'm outside my body looking at myself. I hear colors. I think I'm losing my mind." Vital signs are slightly elevated. The nurse should suspect a(n):
D-lysergic acid diethylamide (LSD) ingestion
When assessing a patient who has ingested flunitrazepam (Rohypnol), the nurse would expect:
A patient is admitted in a comatose state after ingesting 30 capsules of pentobarbital sodium. A friend of the patient says, "Often my friend drinks, along with taking more of the drug than is ordered." What is the effect of the use of alcohol with this drug?
A synergistic effect occurs.
Select the most appropriate outcome for a patient completing the fourth alcohol detoxification program in 1 year. Before discharge, the patient will
state, "I see the need for ongoing treatment."
A patient in an alcohol rehabilitation program says, "I have been a loser all my life. I'm so ashamed of what I have put my family through. Now, I'm not even sure I can succeed at staying sober." Which nursing diagnosis applies?
Chronic low self-esteem
Which assessment findings support a nurse's suspicion that a patient has been using inhalants?
Confusion, mouth ulcers, and ataxia
A patient undergoing alcohol rehabilitation decides to accept disulfiram (Antabuse) therapy to avoid impulsively responding to drinking cues. Which information should be included in the discharge teaching for this patient? Select all that apply.
b. Read labels of all liquid medications.
e. Avoid breathing fumes of paints, stains, and stripping compounds.
While caring for a patient with a methamphetamine overdose, which tasks are the priority focuses of care? Select all that apply.
d. Prevention of seizures
e. Reduction of fever
Sets found in the same folder
Mental health exam 3
Substance Abuse, Addiction, Alcohol
MED-SURG HESI COMPILATION
Chapter 19 Sleep Wake Disorders
Sets with similar terms
Chapter 19 - Substance Abuse
Chapter 11 - Substance Abuse
Lewis Ch. 11
Other sets by this creator
NCLEX Pediatrics questions
Nclex Review: Cognitive impairments, Delirium, Dem…
EKG Readings w/ Pictures
Other Quizlet sets
Bio-mechanics Week9 (CoG)
Science Ec-6 (291)
QCM archétypes sociaux