Alcohol Abuse and Treatment
The following people would benefit from attending Al-Anon meetings: (select all) a. a mother of a teenager who uses marijuana to excess b. the wife of a husband who regularly attend Alcoholic Anonymous c. the sister of a person who is actively misusing opioids d. the daughter of mother who uses alcohol to treat her bipolar disorder
ALL.
Opioid and narcotic use disorders can increase the risk of developing the following: (select all that apply) a. constipation b. endocarditis c. accidental overdose d. HIV and hepatitis
all.
The DSM describes symptoms of a substance use disorder. These include: (select all that apply) a. tolerance b. continuing to use even when it causes difficulty c. having antisocial personality traits d. craving and urges to use the substance e. manipulative behaviors
A, B, D,
An effective communication technique with an addict would be: a. confront the patient right away b. provide group support at a local restaurant c. tell the patients parents so they can try to help d. teach the patient about the physical impact of drugs and alcohol.
d. teach the patient about the physical impact of drugs and alcohol.
The nurse knows that the children of parents who have a substance use disorder are at risk for: a. developing substance use problem b. developing criminal habits c. bullying d. SIDS
a. developing a substance use problem.
The nurse should recommend which of the following self-help groups for a 14 year old recovering heroin addict that was sold into prostitution? A. Calix society B. Al-Anon C. Drugs Anonymous D. Alateen
d. alateen
Which client response indicates the that the client is in denial of having an addiction to marijuana and shows use of another defense mechanism? A. "Smoking weed keeps me sane" B. "I just want to have fun" C. "I only smoke when I'm stressed. It's not an everyday thing for me" D. "I'm not the same when I smoke"
C. "I only smoke when I'm stressed. It's not an everyday thing for me"
The nurse is teaching a new LPN about therapeutic communication with a person with an opioid use disorder. The nurse knows the teaching is effective when he states: a. "the patient is at high risk for fall" b. "reinforce to the patient that he has made bad life decisions." c. "teach the patient about harmful effects of drug use, support groups, and methadone" d. "l will only keep the patient restrained for the first hour"
c. "teach the patient about harmful effects of drug use, support groups, and methadone"
Prescription drugs can also be misused.
What is the name of the reversal agent for a benzodiazepine overdose?
flumazenil
When a person is admitted to a hospital bed for treatment of (AUD) Alcohol Use Disorder, what are the priority nursing assessments. Select all that apply a. last use of alcohol. b. age of onset of problematic drinking. c. how much person drinks daily d. vital signs
A, C, D
Symptoms associated with opioid withdrawal include the following (select all that apply) a. abdominal cramping. b. goosebumps c. head nodding d. yawning e. agitation
A, B, D, E
The nurse is completing and admission assessment for a client admitted with acute alcohol intoxication. When asked to describe drinking pattern and amount, the client states, "I only drink when I am under a lot of stress." The clients response indicates what defense mechanism? a. projection b. regression c. denial d. rationalization.
d. rationalization
A client is being hospitalized after passing out from binge drinking. The client appears calm, but the family is anxious. The client’s mother begins to cry and states “My son is destroying his brain. His habits are hard to deal with. The nurse should recommend the family attend which of the following support groups? a. Al-Anon b. Christian Addiction Rehabilitation Association c. Families Anonymous d. Naronon
a. Al-Anon
Thiamine is frequently prescribed to treat alcohol withdrawal syndrome in a person with a long history of alcohol use disorder because it prevents which complication?
Wernicke's Encephalitis and Korsakoff's syndrome
A nurse is caring for a client who has been prescribed disulfiram (Antabuse) as a deterrent to alcohol relapse. Which information should the nurse include when teaching the client about this medication? a. "only oral ingestion of alcohol will cause a reaction when taking this drug" b. "it is safe to drink small amounts of alcohol (less than 1/2 a standard drink) c. "this medication will decrease your cravings for alcohol" d. "reactions to combining disulfiram with alcohol can occur 2 weeks after stopping the drug."
d. "reactions to combining antabuse with alcohol can occur 2 weeks after stopping the drug."
Clonidine has been shown to relieve symptoms of narcotic withdrawal. Which symptoms does this drug dismiss? a. muscle aches b. flu-like symptoms c. abdominal cramping d. scratching
a, b, c
Relapse or a return to drug use is an indicator of complete treatment failure.
True or False
False. Relapse is part of long-term recovery from substance use disorders.
A 25-year-old woman with a history of drug abuse tells the nurse during care that she does not communicate well with her family because they always tell her what she has done wrong. The nurse understands that families of addicts can be? a. Overbearing b. Judgmental c. Dysfunctional d. Irrational
b. judgemental
People who use opioids to treat pains sometimes get addicted after taking the meds by mouth. They may alter the route of administration by:(select all) a. snorting b. injecting c. crushing in food d. mixing with alcohol
a. snorting and b. injecting
A patient with a long history of Alcohol Use Disorder (AUD) is admitted to the medical unit for pneumonia. Which medication would the nurse expect the health-care provider to prescribe to prevent alcohol withdrawal syndrome? a. lorazepam b. Thiamine c. disulfiram d. fluoxetine?
a. lorazepam
The following meds are given for opiate toxicity or narcotic withdrawal: a. Tylenol #3 b. naltrexone c. methadone d. heparin.
b. naltrexone
Which people demonstrate an increased risk for an addiction?(select all that apply) a. a person with a concurrent mental illness b. a recent college graduate with extensive student loans. c. a young mother on welfare d. family history of addiction
a. and d.
Treatment interventions to assist the client with a current history of drug and alcohol use disorders to prevent relapse include: (select all) a. Twelve step program b. self-help group c. abstinence from all drugs except alcohol d. motivation interviewing e. individual therapy
a. Twelve step program b. self-help group d. motivational interviewing e. individual therapy
A nurse is caring for a client who has a history of opioid and heroin use disorder. Which drugs might be prescribed for abstinence maintenance following a safe withdrawal (Select all that apply) a. benzodiazepines b. buprenorphine c. methadone d. paroxetine?
B and C