Nokea
A client will be taking disulfiram (Antabuse) after discharge from an alcohol treatment program. Which statement would indicate that teaching has been effective?
- A. Antabuse is safe to take with any over-the-counter cold medication.
- B. Antabuse will block my cravings for alcohol, so I'll have less desire to drink.
- C. Drinking alcohol while taking Antabuse can cause dangerous symptoms.
- D. If I drink while taking Antabuse, it will make me vomit before the alcohol affects me.
Correct Answer: C
Rationale: Understanding that Antabuse causes dangerous symptoms with alcohol indicates effective teaching, unlike misconceptions about cravings, vomiting timing, or OTC safety.
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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.
Which statements are important reasons for why the problem of substance abuse must be addressed?
- A. Increasing numbers of infants are suffering the physiologic and emotional consequences of prenatal exposure to alcohol or drugs.
- B. Chemical abuse results in increased violence.
- C. Drug abuse costs business and industry an estimated $102 billion annually.
- D. Alcohol abuse is a too frequent cause of or contributor to death.
- E. Substance abuse is decreasing.
Correct Answer: A,B,C,D
Rationale: Substance abuse causes prenatal harm, violence, economic losses, and death, but it is increasing, not decreasing, making it a critical issue to address.
A client with a history of heavy alcohol use, whose last drink was 24 hours ago, is seen in the emergency department. The client is oriented but is tremulous, weak, and sweaty and has some gastrointestinal (GI) symptoms. Which of the following is typical of these symptoms?
- A. Alcohol withdrawal syndrome
- B. Continuing intoxication
- C. Delirium tremens
- D. Wernicke-Korsakoff syndrome
Correct Answer: A
Rationale: Symptoms like tremors, weakness, and sweating 24 hours after the last drink indicate alcohol withdrawal, not intoxication, delirium tremens, or Wernicke-Korsakoff syndrome.
When interviewing the family members of a client being treated for substance abuse problems, which behavior would alert the nurse to the possibility of codependency?
- A. Being flexible but angry
- B. Blaming themselves for the family's problems
- C. Expressing thoughts and feelings openly
- D. Taking pleasure in self-accomplishments
Correct Answer: B
Rationale: Self-blame is a hallmark of codependency, reflecting maladaptive coping, unlike flexibility, open expression, or self-accomplishment.
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.