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The nurse concludes that a significant goal of the care plan for an alcoholic patient has been met when the patient makes which statement?
- A. I drink because I'm lonely.
- B. All my difficulties are related to my drinking.
- C. I wouldn't need to drink if I had my family back.
- D. My drinking helps me cope with the stress of my job.
Correct Answer: B
Rationale: A major goal for the successful treatment of alcoholics is to have them express responsibility for their behavior.
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What should the nurse do to decrease the patient's disorientation at night during the detoxification period?
- A. Place the patient in a room with another recovering patient.
- B. Instruct the patient to orient himself to his surroundings at bedtime.
- C. Wake the patient up every 4 hours to eat a small snack.
- D. Use nightlights and remove extra furniture from the room.
Correct Answer: D
Rationale: Use of nightlights and removing extra furniture that could be misidentified will reduce disorientation. The patient should not be woken up to eat, but if he is awake, small snacks can be offered. The nurse should orient the patient to his surroundings.
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 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.
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.
A nurse suspects her coworker is abusing drugs. Which of the following symptoms, noticed in the coworker, would contribute to the suspicions?
- A. Spending more time with coworkers
- B. Frequently absent from the unit
- C. Rapid changes in mood and performance
- D. Increased somatic complaints
- E. Patients report they did not receive their medications
Correct Answer: B,C,D,E
Rationale: Signs of drug abuse in a nurse include the nurse becoming more isolated from coworkers, being frequently absent from the unit, rapidly changing mood and performance, increasing somatic complaints, and patients reporting they did not receive their medications.