Psychiatric Nursing: Contemporary Practice 6th Edition - Addiction and Substance-Related Disorders

Psychiatric Nursing: Contemporary Practice 6th Edition - Addiction and Substance-Related Disorders Related

Review Psychiatric Nursing: Contemporary Practice 6th Edition - Addiction and Substance-Related Disorders related questions and content

A nurse is talking with a 57-year-old client who has been a heavy drinker for many years. The client is being treated for alcoholism, and this is her second week as an inpatient on the psychiatric unit. It is 5:00 AM, and the client has been having difficulty sleeping. The client is an orthopedic nurse, and although she is clothed in a hospital-issued gown and robe, she is wearing a stethoscope around her neck that the nurse recognizes as belonging to one of the staff nurses. When the nurse asks her why she is wearing the stethoscope and where she got it, the client gives her a long and involved reply that basically describes how her nursing supervisor came to visit and gave it to her to wear so she?d remember to get well. The nurse suspects that the client may be experiencing which of the following?

  • A. Wernicke?s syndrome
  • B. Delirium tremens
  • C. Korsakoff?s psychosis
  • D. Malignant hyperthermia
Correct Answer: C

Rationale: The client?s confabulation (fabricated story about the stethoscope) and insomnia suggest Korsakoff?s psychosis (C), a chronic condition from alcohol-related thiamine deficiency causing memory deficits. Wernicke?s syndrome (A) involves ataxia and confusion, delirium tremens (B) includes severe autonomic symptoms, and malignant hyperthermia (D) is unrelated to alcohol.

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A nurse is implementing a brief intervention with a client who is abusing alcohol. The nurse most likely would be involved with which of the following?

  • A. Asking the client questions about alcohol use
  • B. Negotiating a conversation with the client to reduce use
  • C. Pointing out the inconsistencies in thoughts, feelings, and action
  • D. Helping the client change the way he thinks about a situation
Correct Answer: B

Rationale: Brief interventions for alcohol abuse involve negotiating a conversation to reduce use (B), using motivational techniques to encourage change. Asking questions (A) is part of assessment, pointing out inconsistencies (C) is confrontational, and changing thinking (D) is more cognitive therapy.

An adolescent client tells the nurse that he or she occasionally sniffs airplane glue. When discussing the effects of long-term use of inhalants, which of the following would the nurse most likely include?

  • A. Tremors and CNS arousal
  • B. Enhanced normal heart rhythms
  • C. Enhanced attention focus and memory
  • D. Brain damage and cognitive abnormalities
Correct Answer: D

Rationale: Long-term inhalant use, such as sniffing glue, causes brain damage and cognitive abnormalities (D) due to neurotoxicity. Tremors and CNS arousal (A) are acute effects, heart rhythms (B) are disrupted, and attention/memory (C) are impaired, not enhanced.

A client has been prescribed naltrexone (Trexan) 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 of the following 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
Correct Answer: C

Rationale: Naltrexone (C) reduces the appeal of alcohol by blocking opioid receptors, decreasing the rewarding effects of drinking. It does not cause itching (A), produce euphoria (B), or directly improve appetite/nutrition (D).

A client tells the nurse that he is committed to trying to quit smoking. When teaching the client about smoking cessation, which of the following would the nurse include?

  • A. Success usually involves more than one type of intervention.
  • B. Relapse is fairly rare within the first year of quitting.
  • C. Ear acupressure is a highly proven method for quitting.
  • D. Education is key for smoking cessation.
Correct Answer: A

Rationale: Smoking cessation success typically requires multiple interventions (A), such as behavioral therapy, medications, and support groups. Relapse is common in the first year (B), ear acupressure (C) lacks strong evidence, and education alone (D) is insufficient.

A client is prescribed disulfiram as part of his alcohol treatment program to prevent relapse. The client asks the nurse, How will this drug help me? Which response by the 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.
Correct Answer: B

Rationale: Disulfiram (B) prevents drinking by causing unpleasant reactions (e.g., nausea) if alcohol is consumed, acting as a deterrent. It does not cure alcoholism (A), reduce withdrawal symptoms (C), or clear alcohol from the body (D).

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