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The client asks the nurse, 'What will happen if I drink while taking Antabuse?' What should be the nurse's reply?
- A. You will not want to drink while taking Antabuse, it reduces the cravings.
- B. You will not get any effect from the alcohol you drink.
- C. Antabuse will reverse the effects of alcohol.
- D. You will experience a severe reaction, including a throbbing headache and vomiting.
Correct Answer: D
Rationale: Drinking on Antabuse causes severe symptoms like headache and vomiting, not reduced cravings, no alcohol effect, or reversal of alcohol effects.
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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.
Which characteristic of the 12-step program distinguishes it from other programs?
- A. The philosophy that it is possible to reduce the use of substances without abstaining.
- B. It is a self-help group that does not necessarily use health professionals as leaders.
- C. Persons who use this program are independent in their sobriety.
- D. Infrequent attendance is usually successful.
Correct Answer: B
Rationale: The 12-step program is distinguished by its self-help model, led by peers rather than professionals, emphasizing abstinence and regular attendance.
The nurse is discussing the principles of 12-step program for recovery with a client. Which statement is consistent with the principles of 12-step programs?
- A. The client will need to abstain from all substances for successful recovery.
- B. Once sober, the person can safely return to life as it was before becoming addicted.
- C. The prognosis for recovery is enhanced with the aid of maintenance medications.
- D. Recovery requires adherence to a plan of achieving long-term goals.
Correct Answer: A
Rationale: The 12-step program emphasizes total abstinence and support from others, unlike returning to pre-addiction life, relying on medications, or focusing solely on long-term goals.
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.