Nokea
An alcohol-dependent patient was hospitalized at 0200 today. When would the nurse expect withdrawal symptoms to peak?
- A. Between 0800 and 1000 today (6 to 8 hours after drinking stopped)
- B. Between 0200 tomorrow and hospital day 2 (24 to 48 hours after drinking stopped)
- C. About 0200 on hospital day 3 (72 hours after drinking stopped)
- D. About 0200 on hospital day 4 (96 hours after drinking stopped)
Correct Answer: B
Rationale: The correct answer is B because alcohol withdrawal symptoms typically peak between 24 to 48 hours after the patient stops drinking. This timeframe aligns with the onset of symptoms such as tremors, anxiety, and hallucinations. Choices A, C, and D are incorrect because withdrawal symptoms do not peak within 6 to 8, 72, or 96 hours after drinking cessation. It is crucial for the nurse to monitor the patient closely during this critical period to manage and prevent potential withdrawal complications.
You may also like to solve these questions
Ginger, age 19 and an only child, left 3 months ago to attend a college of her choice 500 miles away from her parents. It is Ginger’s first time away from home. She has difficulty making decisions and will not undertake anything new without first consulting her mother. They talk on the phone almost every day. Ginger has recently started having anxiety attacks. She consults the nurse practitioner in the student health center. This type of crisis is called:
- A. Crisis resulting from traumatic stress
- B. Dispositional crisis
- C. Psychiatric emergency
- D. Maturational/developmental crisis
Correct Answer: D
Rationale: The correct answer is D: Maturational/developmental crisis. This type of crisis occurs during life transitions or developmental stages, such as leaving home for the first time to attend college. Ginger's anxiety attacks are likely due to the stress and adjustment challenges associated with this significant life change. She is experiencing difficulties in decision-making and seeking constant reassurance from her mother, which are common behaviors during maturational crises.
Explanation:
1. A: Crisis resulting from traumatic stress does not apply as Ginger's anxiety is not triggered by a specific traumatic event.
2. B: Dispositional crisis is not the correct choice as this crisis is not related to her inherent personality traits but rather to the developmental stage she is going through.
3. C: Psychiatric emergency does not fit as Ginger's situation does not present an immediate threat to her safety or require urgent psychiatric intervention.
In summary, the correct choice is D as Ginger's symptoms align with a maturational/developmental crisis associated
A nurse can assist a patient and family in which aspects of substance abuse relapse prevention? Select all that apply.
- A. Rehearsing techniques to handle anticipated stressful situations
- B. Advising the patient to accept residential treatment if relapse occurs
- C. Assisting the patient to identify life skills needed for effective coping
- D. Isolating self from significant others and social situations until sobriety is established
Correct Answer: A
Rationale: The correct answer is A because rehearsing techniques to handle stressful situations is a crucial aspect of substance abuse relapse prevention. By practicing coping strategies, the patient can effectively navigate triggers and prevent relapse.
Choices B, C, and D are incorrect:
B: Advising residential treatment is not a proactive relapse prevention strategy and does not empower the patient to manage triggers independently.
C: Identifying life skills is important, but alone it may not directly address relapse prevention techniques.
D: Isolating from support systems contradicts the importance of social support in recovery and may lead to feelings of loneliness and vulnerability, increasing the risk of relapse.
The theorist associated with social learning theory is
- A. Sigmund Freud
- B. B.F. Skinner
- C. Albert Bandura
- D. Ivan Pavlov
Correct Answer: C
Rationale: Bandura's social learning theory emphasizes observation.
The child's ability to understand fairness develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: C
Rationale: Fairness comprehension, linked to logical reasoning, emerges in the concrete operational stage (Piaget).
Which nursing diagnosis would likely apply to both patients with paranoid schizophrenia and patients with amphetamine-induced psychosis?
- A. Powerlessness
- B. Disturbed thought processes
- C. Ineffective thermoregulation
- D. Impaired oral mucous membrane
Correct Answer: B
Rationale: The correct answer is B: Disturbed thought processes. Both patients with paranoid schizophrenia and amphetamine-induced psychosis commonly experience altered thinking patterns, hallucinations, and delusions. This nursing diagnosis addresses the cognitive disruptions present in both conditions.
Incorrect choices:
A: Powerlessness - This diagnosis refers to a lack of control over one's life situation, which may not be a primary concern for these patients.
C: Ineffective thermoregulation - This diagnosis relates to the body's ability to maintain temperature, which is not typically affected in these conditions.
D: Impaired oral mucous membrane - This diagnosis is related to issues with the mouth's lining and is not typically associated with paranoid schizophrenia or amphetamine-induced psychosis.