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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.
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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.
A client is admitted for a drug overdose with a Barbiturate. Which is the priority nursing action when planning care for this client?
- A. Check the client's belongings for additional drugs.
- B. Pad the side rails of the bed because seizures are likely.
- C. Prepare a dose of ipecac, an emetic.
- D. Monitor respiratory function.
Correct Answer: D
Rationale: Barbiturate overdose depresses respiratory function, making monitoring the priority to ensure safety, over checking belongings, padding rails, or using ipecac.
A client reports drinking one to two drinks when drinking behavior first began. Now the client reports drinking at least six drinks with every episode in order to have a good time. Which term would best describe this phenomenon?
- A. Dependence
- B. Intoxication
- C. Tolerance
- D. Withdrawal
Correct Answer: C
Rationale: Tolerance describes needing more alcohol to achieve the same effect, unlike intoxication (maladaptive behavior), withdrawal (symptoms upon cessation), or dependence (addiction with multiple symptoms).
Which are general warning signs of substance abuse that a nurse should be alert for in coworkers?
- A. Poor work performance
- B. Frequent absenteeism
- C. Unusual behavior
- D. Slurred speech
- E. Isolation from peers
- F. Substance abuse is not a problem in health professionals
Correct Answer: A,B,C,D,E
Rationale: Warning signs include poor performance, absenteeism, unusual behavior, slurred speech, and isolation, as health professionals have higher substance abuse rates.
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.