Nokea
A patient seems bewildered when he confides in the nurse that all of his friends and leisure time have been centered on a drug culture. Which would be the best response by the nurse?
- A. What other sort of activities might you enjoy?
- B. You will need to get new friends.
- C. Returning to those activities will get you back here and in trouble.
- D. You need to get a hobby.
Correct Answer: A
Rationale: Encouraging the patient to imagine new activities is a start toward seeking them. Giving advice is not therapeutic.
You may also like to solve these questions
A nurse suspects her coworker is abusing drugs. Which of the following symptoms, noticed in the coworker, would contribute to the suspicions?
- A. Spending more time with coworkers
- B. Frequently absent from the unit
- C. Rapid changes in mood and performance
- D. Increased somatic complaints
- E. Patients report they did not receive their medications
Correct Answer: B,C,D,E
Rationale: Signs of drug abuse in a nurse include the nurse becoming more isolated from coworkers, being frequently absent from the unit, rapidly changing mood and performance, increasing somatic complaints, and patients reporting they did not receive their medications.
During the initial intake assessment of a drug user, the nurse should attempt to obtain which subjective data?
- A. Usual pattern of use
- B. Specific drug
- C. Previous arrests
- D. Amount of drug used
- E. Time of last use
Correct Answer: A,B,D,E
Rationale: Determining the drug, strength, frequency, last use, and pattern of use is the basic database on a substance abuser.
When a patient denies any problems related to addiction, what is the nurse's most therapeutic response?
- A. What do you call this hospitalization?
- B. How can anybody help you if you don't see a problem?
- C. Would your family agree that you have no problems?
- D. Can you think of any time your behavior created an unpleasant situation in your life?
Correct Answer: D
Rationale: When the patient denies that his behavior is problematic, the nurse should ask the patient to recount incidences when the behavior had unpleasant consequences.
The nurse is performing an initial assessment on an alcoholic patient. Which of the following actions by the nurse would best ensure honest answers?
- A. Not asking personal questions
- B. Having a nonjudgmental attitude
- C. Including the family
- D. Promising the patient not to tell anyone
Correct Answer: B
Rationale: Maintaining a nonjudgmental attitude may reassure the patient and allow him to be more honest in his responses to the admission assessment.
A college student has brought his hallucinating roommate to the college clinic. The young man says his roommate has been experimenting with phencyclidine (PCP). How long should the nurse expect the hallucinations to last?
- A. 30 to 60 minutes
- B. 1 to 4 hours
- C. 4 to 6 hours
- D. 6 to 12 hours
Correct Answer: D
Rationale: Some hallucinogenic effects of PCP can last 6 to 12 hours.