Nokea
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.
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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 client reports drinking one to two drinks when drinking behavior first began. Now the client reports drinking at least six drinks with every episode in order to have a good time. Which term would best describe this phenomenon?
- A. Dependence
- B. Intoxication
- C. Tolerance
- D. Withdrawal
Correct Answer: C
Rationale: Tolerance describes needing more alcohol to achieve the same effect, unlike intoxication (maladaptive behavior), withdrawal (symptoms upon cessation), or dependence (addiction with multiple symptoms).
The nurse is working in an intensive care unit and observes that some clients do not respond to injections of diazepam (Valium) when the injections are given by a particular nurse. This nurse returns from lunch exhibiting slurred speech and euphoria. Which is the best action for the nurse to take?
- A. Ask other nurses if they have noticed anything unusual.
- B. Call the manager and report the observations.
- C. Observe the nurse as injections are prepared and administered.
- D. Tell the nurse, 'I know you've been stealing Valium.'
Correct Answer: B
Rationale: Reporting to the manager addresses suspected diversion and ensures client safety, unlike asking others, observing further, or confronting directly.
The nurse is discussing the principles of 12-step program for recovery with a client. Which statement is consistent with the principles of 12-step programs?
- A. The client will need to abstain from all substances for successful recovery.
- B. Once sober, the person can safely return to life as it was before becoming addicted.
- C. The prognosis for recovery is enhanced with the aid of maintenance medications.
- D. Recovery requires adherence to a plan of achieving long-term goals.
Correct Answer: A
Rationale: The 12-step program emphasizes total abstinence and support from others, unlike returning to pre-addiction life, relying on medications, or focusing solely on long-term goals.
Which are general warning signs of substance abuse that a nurse should be alert for in coworkers?
- A. Poor work performance
- B. Frequent absenteeism
- C. Unusual behavior
- D. Slurred speech
- E. Isolation from peers
- F. Substance abuse is not a problem in health professionals
Correct Answer: A,B,C,D,E
Rationale: Warning signs include poor performance, absenteeism, unusual behavior, slurred speech, and isolation, as health professionals have higher substance abuse rates.