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If the patient tells the nurse, 'I'm not an alcoholic. I can stop whenever I want to,' what should be the nurse's most therapeutic response?
- A. Well, why don't you?
- B. Hasn't alcohol use interfered with your employment?
- C. A positive attitude like that is a good start.
- D. What would you call alcoholism?
Correct Answer: B
Rationale: When the addicted person presents in denial, the nurse should use techniques to set limits on that behavior.
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The nurse assesses an alcoholic patient carefully for signs of withdrawal. How soon after cessation of alcohol intake do withdrawal symptoms usually appear?
- A. 3 hours
- B. 4 hours
- C. 5 hours
- D. 6 hours
Correct Answer: D
Rationale: Withdrawal signs can occur as early as 6 hours after cessation of alcohol intake and sometimes last for 3 to 5 days.
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.
A 22-year-old patient presents in the emergency department with the characteristics of severe Parkinson disease. The nurse should suspect an overdose of what drug?
- A. Marijuana
- B. Cocaine
- C. Amphetamines
- D. Valium
Correct Answer: C
Rationale: Over time, dopamine depletion in the brain can cause Parkinson-like symptoms to occur in people who abuse amphetamines.
What is the best response by a nurse when a patient inquires how alcohol acts so quickly on his system?
- A. Alcohol is digested quickly.
- B. Alcohol is converted to glycogen immediately.
- C. Alcohol is metabolized into ethanol rapidly.
- D. Alcohol is excreted in urine slowly.
Correct Answer: C
Rationale: Alcohol is not digested or converted into glycogen, but it is metabolized quickly by the liver to ethanol.
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.