Ch.31 Boyd Addiction & Substance Disorders Test Bank Answers

Chapter 31: Addiction and Substance Use-Related Disorders: Nursing Care of Persons with Alcohol and Drug Use Disorders

Format: Multiple Choice

Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies

Integrated Process: Nursing Process

Cognitive Level: Analyze

Objective: 4

Page and Header: 578, Prevention of Relapse

1. A client has been prescribed naltrexone for treatment of alcohol dependence. The nurse has explained the drug’s purpose to the client. The nurse determines that the client has understood the instructions when the client identifies which potential effect about the drug?

A) Causes itching if alcohol is consumed

B) Produces the euphoria of alcohol

C) Reduces the appeal of alcohol

D) Improves appetite and nutritional status

Page and Header: 578, Alcohol-Induced Amnestic Disorders

2. A 57-year-old client with a long history of alcohol dependence is being treated for alcoholism and is in the second week as an inpatient on the psychiatric unit. The client, a retired nurse, is observed wearing a hospital gown with a stethoscope. When asked about the stethoscope, the client replies that the nursing supervisor came to visit and said to wear it “so I’d remember to get well.” What does the nurse suspect that the client may be experiencing?

A) Wernicke’s syndrome

B) Delirium tremens

C) Korsakoff’s amnestic syndrome

D) Malignant hyperthermia

Page and Header: 594, Box 31.8

3. A nurse is using motivational therapy with a client in treatment for alcohol dependency after being arrested for DUI. The client, who is unwilling to consider changing the established drinking behavior, emphatically states, “I am not an alcoholic; you can’t make me stop drinking.” Which response by the nurse would be most appropriate?

A) “You have to stop drinking and driving. You could kill someone.”

B) “You’re right. You are not an alcoholic.”

C) “You should consider what you are doing to your marital relationship.”

D) “You’re the only one who can make yourself stop drinking.”

Page and Header: 576, Alcohol Withdrawal and Detoxification

4. A 52-year-old client with a history of alcohol dependence is admitted to a detoxification unit. The client has tremors, is anxious, has a pulse that has risen from 98 to 110 beats/min, has blood pressure that has risen from 140/88 to 152/100 mm Hg, and has a temperature 0.6° above normal. The client is slightly diaphoretic. Which nursing diagnosis would be the priority?

A) Disturbed thought processes

B) Risk for injury

C) Ineffective coping

D) Ineffective denial

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5. A nurse is working with a client who has been diagnosed with a heroin dependency. The nurse engages in harm reduction by educating the client about which aspect?

A) Needle exchange program

B) Problem solving

C) Healthy coping skills

D) Proper use of naltrexone

Page and Header: 585, Opioid Intoxication or Overdose

6. A 20-year-old client arrives at the emergency department by ambulance. The client is unconscious, with slow respirations and pinpoint pupils. There are “tracks” visible on the client’s arms. The friend who came with the client reports that the client had just “shot up” heroin and then became unconscious. Which medication would the nurse most likely expect to administer?

A) Naloxone

B) Naltrexone

C) Bupropion

D) Varenicline

Page and Header: 586, Initial Opioid Detoxification; 587, Box 31.4

7. A client receiving methadone maintenance therapy has been given information about this treatment. The nurse determines that the education was successful when the client makes which statement?

A) “I can have a glass of wine with dinner if I choose.”

B) “I should eat small frequent meals if I get nauseated.”

C) “I should take the drug on an empty stomach.”

D) “I might experience diarrhea with this drug.”

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8. A client with a history of alcohol dependence is participating in a 12-step Alcoholics Anonymous (AA) program. The nurse determines that the client is at step 2 when the client makes which statement?

A) “I’ve admitted to myself and others the wrongdoings I’ve done.”

B) “I realize that there is a higher power that can help me.”

C) “I know now that I am powerless over alcohol.”

D) “I am making amends to all those who I’ve harmed.”

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9. A client brought into the emergency department as a result of an automobile accident has a blood alcohol level (BAL) is 0.10 mg%. Based on this finding, the nurse would expect to assess which of the following?

A) Difficulty with coordination

B) Stupor

C) Emotional lability

D) Ataxia

Page and Header: 584, Opioids and Morphine Derivatives; 585, Table 31.4

10. A client with a history of opioid dependency is exhibiting manifestations of moderate withdrawal. Which of the following would the nurse expect to assess?

A) Rhinorrhea

B) Lacrimation

C) Dilated pupils

D) Dysphoria

Page and Header: 593, Key Concept; 594, Box 31.8

11. A nurse is implementing a brief intervention with a client diagnosed with alcohol dependency. The nurse most likely would be involved with which action?

A) Asking the client questions about alcohol use

B) Negotiating a conversation with the client about the need to change

C) Pointing out the inconsistencies in thoughts, feelings, and actions

D) Helping the client change the way the client thinks about a situation

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12. A client is prescribed disulfiram as part of the alcohol treatment program to prevent relapse. The client asks the nurse, “How will this drug help me?” Which response by a nurse would be most appropriate?

A) “It will help to cure your alcoholism.”

B) “It can help to prevent you from drinking.”

C) “It makes the withdrawal symptoms less troublesome.”

D) “It helps to clear the alcohol out of your body.”

Page and Header: 576, Alcohol Withdrawal and Detoxification/Table 31.3

13. The nurse is completing the admission of a client who is seeking treatment for alcoholism. The client tells the nurse, “The last time I had any alcohol to drink was at 10 a.m., before I left for the hospital.” Which observation would lead the nurse to suspect that the client is experiencing stage 1 of alcohol withdrawal syndrome? Select all that apply.

A) Slight diaphoresis

B) Hand tremors

C) Intermittent confusion

D) Heart rate of 135 beats/min

E) Normal blood pressure

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14. A nurse is obtaining a history from a client who drinks about six cups of coffee and several diet cola drinks per day. The client states, “I just cut down my coffee and soda intake to one per day.” Which symptoms would the nurse most likely expect to assess? Select all that apply.

A) Headache

B) Fatigue

C)` Yawning

D) Flushing

E) Diuresis

Page and Header: 579, Stimulants

15. A group of nurses is reviewing information about substances that are abused. The nurses demonstrate understanding of the information when they identify which agent as a stimulant? Select all that apply.

A) Alcohol

B) Cocaine

C) Heroin

D) Nicotine

E) Phencyclidine

Page and Header: 598, Enhancing Coping Skills/Box 31.12

16. A client with a history of substance dependency is a member of a skills training group. Which training component would the client be involved in to enhance intrapersonal coping skills? Select all that apply.

A) Substance refusal skills

B) Problem solving

C) Anger awareness

D) Emergency planning

E) Social support networking

Page and Header: 573, Types of Substances and Related Disorders

17. When using the CAGE assessment tool to determine a client’s potential risk of alcoholism, the mental health nurse asks the client which question? Select all that apply.

A) “Have you ever thought you drink too much?”

B) “How do you feel when people tell you drink too much?”

C) “Do you feel sad or guilty when you drink?”

D) “When was the last time you had a drink first thing in the morning?”

E) “Have you ever been in trouble with the law as a result of your drinking?”