Nokea
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.
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When assessing an alcoholic patient, the nurse notes short-term memory loss, painful extremities, foot drop, and muttered incoherent responses to questions. The nurse recognizes these symptoms as most likely related to a condition caused by long-term alcohol abuse, which is known as syndrome.
Correct Answer: Korsakoff
Rationale: Korsakoff syndrome is a permanent condition caused by long-term alcohol use. The patient mutters incoherently and experiences short-term memory loss, painful extremities, and foot drop.
The mother of a young woman being treated for amphetamine overdose asks the nurse when the manifestations will subside. What would be the most correct answer by the nurse?
- A. Usually in 8 to 10 hours.
- B. She will snap out of it in a day or two.
- C. Usually in about 2 hours, but the effects will return in 2 to 3 days.
- D. The manifestations may be permanent.
Correct Answer: D
Rationale: The manifestations of overdose of amphetamines are frequently permanent.
A pregnant adolescent tells the nurse that she 'only drinks a little.' How many drinks per day can cause an adverse effect in an infant?
- A. One drink a day
- B. Two drinks a day
- C. Three drinks a day
- D. Four drinks a day
Correct Answer: B
Rationale: As few as two drinks per day may cause adverse effects in an infant.
The nurse explains that Alcoholics Anonymous (AA) consists of abstinent alcoholics who help other alcoholics become and stay sober. What is the foundation of AA?
- A. Psychotherapy
- B. A 12-step program
- C. Treatment center
- D. Individual counseling
Correct Answer: B
Rationale: The foundation of AA is a 12-step program.
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.