Nokea
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.
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Which drug is often used in date rape?
- A. Dalmane
- B. Xanax
- C. Narcan
- D. Rohypnol
Correct Answer: D
Rationale: Rohypnol has been abused as a date-rape drug and has not been approved for use in the United States.
What nursing intervention should be included in the plan of care for a baby born to a drug-addicted mother?
- A. Swaddle the baby closely.
- B. Place the baby in a brightly lit area.
- C. Hold and rock the baby frequently.
- D. Place the baby in a busy part of the nursery for stimulation.
Correct Answer: A
Rationale: A baby born to a drug-addicted mother should be swaddled, placed in an area of low stimulation, and minimally handled.
A 60-year-old man was admitted for cholecystitis that resulted in a cholecystectomy. On his third day of hospitalization, he begins to sweat profusely, tremble, and has a blood pressure of 160/100. Based on these findings, what focused assessment should the nurse complete?
- A. Cardiac problems
- B. Respiratory problems
- C. Withdrawal problems
- D. Circulatory problems
Correct Answer: C
Rationale: Diaphoresis, tremors, and hypertension are all symptoms of withdrawal from alcohol consumption. The nurse, concerned about the patient's medical condition, may not consider substance abuse until withdrawal symptoms appear.
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.
A college student has brought his hallucinating roommate to the college clinic. The young man says his roommate has been experimenting with phencyclidine (PCP). How long should the nurse expect the hallucinations to last?
- A. 30 to 60 minutes
- B. 1 to 4 hours
- C. 4 to 6 hours
- D. 6 to 12 hours
Correct Answer: D
Rationale: Some hallucinogenic effects of PCP can last 6 to 12 hours.