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The nurse should assess a patient for which criteria of addiction?
- A. Excessive use of the substance
- B. Increase in social function
- C. Uncontrollable consumption
- D. Increase in economic function
- E. Psychological disturbances
Correct Answer: A,C,E
Rationale: Criteria for addiction include excessive use of the substance, a decrease in social function, uncontrollable consumption, a decrease in economic function, and psychological disturbances.
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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.
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.
When assessing an alcoholic patient, the nurse notes short-term memory loss, painful extremities, foot drop, and muttered incoherent responses to questions. The nurse recognizes these symptoms as most likely related to a condition caused by long-term alcohol abuse, which is known as syndrome.
Correct Answer: Korsakoff
Rationale: Korsakoff syndrome is a permanent condition caused by long-term alcohol use. The patient mutters incoherently and experiences short-term memory loss, painful extremities, and foot drop.
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.
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.