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A client is being discharged on disulfiram (Antabuse). Which instruction for Antabuse should the client receive?
- A. Take disulfiram with food to avoid stomach upset.
- B. Skip the daily dose of disulfiram on days when consumption of alcoholic beverages is likely.
- C. Read products labels carefully to avoid all products containing alcohol.
- D. Disulfiram will prevent the desire to drink alcoholic beverages.
Correct Answer: C
Rationale: Avoiding all alcohol-containing products prevents severe reactions, unlike taking with food, skipping doses, or expecting reduced cravings, which are incorrect.
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Which slogans would be used in a 12-step program?
- A. Pull yourself together
- B. Get control of your problem
- C. One day at a time
- D. Easy does it
- E. Let go and let God
Correct Answer: C,D,E
Rationale: 12-step slogans like 'One day at a time,' 'Easy does it,' and 'Let go and let God' support sobriety, unlike 'Pull yourself together' or 'Get control,' which reflect outdated views.
A client is readmitted to the detox unit for the fourth time in 3 years. The nurse states in the morning report, 'Not again! Why should we keep trying to help this guy? He obviously doesn't want it.' What does this statement reflect?
- A. The nurse lacks the self-awareness to work effectively with this addicted client.
- B. The nurse understands the cycle of remission and relapse characteristic of addiction.
- C. The nurse has repressed negative emotions from past experiences with addiction.
- D. The nurse is trying to conceal his or her own addictions.
Correct Answer: A
Rationale: The nurse's cynical statement reflects a lack of self-awareness about addiction's chronic nature, hindering effective care, unlike understanding relapse or concealing personal issues.
A client has been admitted to the inpatient unit after using inhalants recently. Which is an antidote to treat inhalant toxicity?
- A. Ativan
- B. Narcan
- C. Antabuse
- D. There is no antidote
Correct Answer: D
Rationale: No specific antidote exists for inhalant toxicity, unlike Ativan, Narcan, or Antabuse, which treat other conditions.
A nurse is working with a couple seeking counseling for marital discord. The history indicates the husband was treated for substance abuse 4 years ago and attends AA meetings occasionally. Which statement made by the recovering husband should alert the nurse for the need for further education?
- A. I still need to go to AA meetings even though I have been sober for years.
- B. After all these years, I just don't have the will power to stop if I started using again.
- C. She gets upset when I hang out with my old buddies on the weekends.
- D. I wish I could be able to handle just one beer with dinner.
Correct Answer: D
Rationale: Wishing to drink socially indicates a misconception about addiction, risking relapse, unlike recognizing the need for AA or avoiding old friends.
Which characteristic of the 12-step program distinguishes it from other programs?
- A. The philosophy that it is possible to reduce the use of substances without abstaining.
- B. It is a self-help group that does not necessarily use health professionals as leaders.
- C. Persons who use this program are independent in their sobriety.
- D. Infrequent attendance is usually successful.
Correct Answer: B
Rationale: The 12-step program is distinguished by its self-help model, led by peers rather than professionals, emphasizing abstinence and regular attendance.