Nokea
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.
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The nurse is talking with the friend of a client with alcoholism. The friend tells the nurse that his relationship with the client was codependent and enabling. Which is an example of codependent behavior?
- A. The friend called Alcoholics Anonymous when the client expressed a need to stop drinking.
- B. The friend called the client every night to make sure he got home safely and went looking for him if he was not at home.
- C. The friend confronted the client on the effect of his drinking on their relationship.
- D. The friend refused to go out drinking with the client to celebrate the client's birthday.
Correct Answer: B
Rationale: Calling nightly and searching for the client enables drinking by reducing consequences, unlike seeking help, confronting, or refusing to drink, which are not codependent.
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.
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 is being discharged from treatment for addiction to cocaine. Which statement made by the client would cause the most concern for the nurse?
- A. I am going to take up a new hobby. It's time to start something new.
- B. I can still hang out with my old friends. I am just not going to use.
- C. I'm not very comfortable with being alone yet.
- D. Shooting baskets helps me not think about getting high.
Correct Answer: B
Rationale: Continuing to associate with substance-using friends risks relapse, unlike new hobbies or activities that support recovery, or expressing discomfort with being alone.
An unconscious client is admitted to the emergency department after a motor vehicle accident. The client's blood alcohol level upon admission was 1.7. The client's family soon arrives, reporting that the client is an uncle who is visiting from out of town. They cannot give much more history other than that he is a 'social drinker.' After being transported to the unit, the client starts sweating and has elevated vital signs. What information should the nurse request of the family?
- A. Who is the next of kin?
- B. For what occasion is the uncle visiting from out of town?
- C. Does the uncle have a history of any sort of anxiety disorder?
- D. Are there other indications that the client may be a heavy drinker?
Correct Answer: D
Rationale: Sweating and elevated vital signs suggest withdrawal, so confirming heavy drinking history is critical for initiating detoxification, unlike other inquiries.