Nokea
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
Correct Answer: C
Rationale: Over time, dopamine depletion in the brain can cause Parkinson-like symptoms to occur in people who abuse amphetamines.
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The nurse cautions that a person who chronically abuses drugs may experience mental impairment. The area of the brain that can be affected and permanently damaged is the system.
Correct Answer: limbic
Rationale: The most commonly abused drugs act on the limbic system of the brain and can cause permanent damage.
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
Correct Answer: B
Rationale: The foundation of AA is a 12-step program.
A nurse suspects her coworker is abusing drugs. Which of the following symptoms, noticed in the coworker, would contribute to the suspicions?
- A. Spending more time with coworkers
- B. Frequently absent from the unit
- C. Rapid changes in mood and performance
- D. Increased somatic complaints
- E. Patients report they did not receive their medications
Correct Answer: B,C,D,E
Rationale: Signs of drug abuse in a nurse include the nurse becoming more isolated from coworkers, being frequently absent from the unit, rapidly changing mood and performance, increasing somatic complaints, and patients reporting they did not receive their medications.
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.
Correct Answer: B
Rationale: Very few people in the late stage of dependence will recover without treatment. The other options may aid in the recovery, but it is the treatment that is essential for recovery.
When assessing an alcoholic patient, the nurse notes short-term memory loss, painful extremities, foot drop, and muttered incoherent responses to questions. The nurse recognizes these symptoms as most likely related to a condition caused by long-term alcohol abuse, which is known as syndrome.
Correct Answer: Korsakoff
Rationale: Korsakoff syndrome is a permanent condition caused by long-term alcohol use. The patient mutters incoherently and experiences short-term memory loss, painful extremities, and foot drop.