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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.
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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.
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.
The nurse cautions that a person who chronically abuses drugs may experience mental impairment. The area of the brain that can be affected and permanently damaged is the system.
Correct Answer: limbic
Rationale: The most commonly abused drugs act on the limbic system of the brain and can cause permanent damage.
During the detoxification period, what does the nurse aim to achieve when designing interventions?
- A. Enroll the patient in Alcoholics Anonymous (AA).
- B. Keep the patient safe from aspiration and seizure.
- C. Help the patient interact in nonaddictive activities.
- D. Help the patient gain insight into the addiction.
Correct Answer: B
Rationale: Care for the addicted patient starts with detoxification and is focused on keeping the patient safe from the symptoms of withdrawal. Enrolling the patient in AA, helping the patient interact in nonaddictive activities, and helping the patient gain insight into the addiction would be part of the rehabilitation process.
What is the greatest problem with lysergic acid diethylamide (LSD) use?
- A. The drug is addictive.
- B. The drug stimulates drug-seeking behavior.
- C. The drug causes flashbacks.
- D. The drug sets off hypertensive episodes.
Correct Answer: C
Rationale: LSD causes flashbacks, or 'bad trips,' unpredictably, and the flashbacks may occur years after ingestion of the drug. LSD is not considered an addictive drug and does not stimulate drug-seeking behavior. Hypertension is not a typical side effect of LSD.