Nokea
The nurse is coleading a family therapy group with a client addicted to alcohol. Which statement made by the wife indicates the need for additional education regarding alcoholism as a family illness?
- A. I have to call in sick for my husband when he is too hung over to go to work.
- B. Last time he got arrested, I just let him sit in jail.
- C. We have separated our finances so that I will not go broke.
- D. I take my kids with me to Al-anon meetings every week.
Correct Answer: A
Rationale: Calling in sick enables the addiction, indicating a need for education on avoiding codependent behaviors, unlike jail time, financial separation, or Al-anon attendance.
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A client with alcohol dependence is admitted to the hospital with pancreatitis. Which intervention should be included in the client's plan of care?
- A. Fluid restriction of 1000 ml per 24 hours
- B. Glucometer checks b.i.d.
- C. High-protein diet
- D. Protective isolation precautions
Correct Answer: B
Rationale: Pancreatitis from alcohol dependence can elevate glucose levels, necessitating glucometer checks, unlike fluid restriction, high-protein diets, or isolation.
A client will be taking disulfiram (Antabuse) after discharge from an alcohol treatment program. Which statement would indicate that teaching has been effective?
- A. Antabuse is safe to take with any over-the-counter cold medication.
- B. Antabuse will block my cravings for alcohol, so I'll have less desire to drink.
- C. Drinking alcohol while taking Antabuse can cause dangerous symptoms.
- D. If I drink while taking Antabuse, it will make me vomit before the alcohol affects me.
Correct Answer: C
Rationale: Understanding that Antabuse causes dangerous symptoms with alcohol indicates effective teaching, unlike misconceptions about cravings, vomiting timing, or OTC safety.
When interviewing the family members of a client being treated for substance abuse problems, which behavior would alert the nurse to the possibility of codependency?
- A. Being flexible but angry
- B. Blaming themselves for the family's problems
- C. Expressing thoughts and feelings openly
- D. Taking pleasure in self-accomplishments
Correct Answer: B
Rationale: Self-blame is a hallmark of codependency, reflecting maladaptive coping, unlike flexibility, open expression, or self-accomplishment.
Which of the following neurochemical influences is a probable cause of substance abuse?
- A. Imbalances of serotonin and norepinephrine in the brain
- B. Inhibition of GABA in the brain
- C. Excessive serotonin activity in the CNS
- D. Stimulation of dopamine pathways in the brain
Correct Answer: D
Rationale: Stimulating dopamine pathways in the limbic system produces reinforcing pleasurable effects, driving substance abuse, unlike serotonin, norepinephrine, or GABA imbalances.
A community health nurse is planning a substance abuse prevention program. Which group would be the best target audience for the nurse to plan a program?
- A. Teenagers in a high school health class
- B. School-age children in an after-school program
- C. Parents attending a parent-teacher association meeting
- D. Elementary school teachers and counselors
Correct Answer: B
Rationale: School-age children are ideal for prevention programs as they are at risk but not yet likely addicted, unlike teenagers, parents, or teachers who may need different interventions.