Addiction

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Question 1

Free

Multiple Choice

The nurse is assessing a patient using the CAGE Questionnaire. The patient answers yes to all of the questions. The nurse suspects alcoholism and feels the patient is in denial when the patient makes which statement?

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"I go to meetings once a day and still drink."

"My family and friends have been avoiding me lately."

"I don't have a problem with alcohol. I can quit anytime I want to."

"I know it will be hard to quit, but I am willing to try."

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Question 2

Free

Multiple Choice

A patient who was admitted 24 hours ago has become increasingly irritable and now says there are bugs on his bed. Which condition should the nurse suspect?

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Alcohol-induced psychosis

Delirium tremens (DTs)

Neurologic injury related to a fall

Posttraumatic stress reaction

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Question 3

Free

Multiple Choice

To prevent Wernicke's encephalopathy from heavy alcohol use, the nurse anticipates an order for which medications?

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Benzodiazepine

Thiamine and B complex

Vitamins C and D3

Klonopin

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Question 4

Free

Multiple Choice

The nurse is caring for a patient who is experiencing alcohol withdrawal. What is the highest priority for this patient?

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Describe how the alcohol is causing the withdrawal effects.

Leave the patient by him/herself so as not to cause agitation.

Promote a safe, calm, and comfortable environment.

Refer the patient to an alcohol-abuse counselor.

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Question 5

Free

Multiple Choice

The nurse assesses the outcomes of a motivational interview on a patient with a dual diagnosis of alcoholism with delirium tremens (DTs) and determines that the communication was nontherapeutic. What is the nurse's next priority?

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Encourage the patient to think of ways to change environmental triggers to abuse substances.

Ask the patient what methods they think would work and encourage participating in self-help groups.

Notify provider to obtain order for oxazepam and vitamin B infusion.

Notify provider to obtain order for CT scan and psychologic consult.

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Question 6

Multiple Choice

A 45-year-old man is brought to the emergency department presenting with a respiratory rate of 6 breaths/min, and cardiac dysrhythmias. What is the most appropriate question the nurse should ask the patient's friend?

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"Does he take amphetamines or uppers?"

"Has he ever used LSD?"

"Have you two been out of the country in the last 2 days?"

"Is he using any opioids such as heroin?"

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Question 7

Multiple Choice

During history-taking, a patient tells the nurse that he is addicted to alprazolam and that he takes six 1 mg tablets a day. He quit cold turkey yesterday and now presents with extreme agitation, increased heart rate, and panic. The nurse suspects which disorder?

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Stress reaction

Delerium tremens

Overdose

Relapse

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Question 8

Multiple Choice

Strategies that a nurse could use in a motivational interview to increase the chances of change include which of the following? (Select all that apply.)

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Educating the patient on the physical damage the substance is causing

Encouraging the patient to think of ways to change environmental triggers to abuse substances

Asking the patient how they think substance abuse affects their family life

Explaining to the patient that substance abuse affects everyone in the family and give examples

Asking the patient what methods they think would work and encouraging participating in self-help groups

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Question 9

Multiple Choice

The nurse recognizes a potential health threat to an alcoholic patient who is using the drug disulfiram when the nurse reads in the health record that the patient is also taking which of the following? (Select all that apply.)

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Blood thinners

Diphenhydramine

Alcohol

Penicillin

Mouthwash

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