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What age of onset of alcohol consumption is most predictive of alcohol addiction?
- A. 8 or younger
- B. 10 or younger
- C. 12 or younger
- D. 14 or younger
Correct Answer: D
Rationale: Forty-four percent of those who start drinking at the age of 14 or younger will develop alcoholism.
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What must a patient in the late stages of dependence do in order to recover?
- A. Gain insight into the addiction.
- B. Receive treatment for substance abuse.
- C. Pledge to lead a completely different lifestyle.
- D. Seek a nondrug-oriented support system.
Correct Answer: B
Rationale: Very few people in the late stage of dependence will recover without treatment. The other options may aid in the recovery, but it is the treatment that is essential for recovery.
The nurse reminds a group of high school students that most states have laws limiting blood alcohol levels of drivers. What is the legal blood alcohol serum level in most states?
- A. 0.08%
- B. 0.20%
- C. 0.40%
- D. 0.50%
Correct Answer: A
Rationale: Most states designate blood alcohol serum levels of 0.08% as the legal limit for driving a motor vehicle.
What should the nurse do to decrease the damage of bruxism seen in a patient who has been abusing the drug ecstasy?
- A. Turn the patient to his right side.
- B. Elevate the head of the bed 30 degrees.
- C. Provide the patient with a pacifier.
- D. Administer a muscle relaxant.
Correct Answer: C
Rationale: The use of an infant pacifier will reduce the damage to the teeth for a patient who is manifesting bruxism (grinding of the teeth).
What should the nurse do when suspecting a coworker of abusing drugs while at work?
- A. Confront the abuser.
- B. Report observations to a supervisor.
- C. Call the state board of nursing.
- D. Discuss the problem with another coworker.
Correct Answer: B
Rationale: The nurse's observations should be reported objectively, preferably in writing, to the supervisor.
Which statement describes the impaired nurse who is in a peer assistance program?
- A. The nurse has a revoked nursing license.
- B. The nurse does not have to notify her employer.
- C. The nurse will be allowed to work as a nurse under supervision.
- D. The nurse will be reported to the Healthcare Integrity and Protection Data Bank.
Correct Answer: C
Rationale: The peer assistance program allows the nurse to retain licensure and continue to work under supervision, although possibly in an area where access to controlled drugs is difficult. It is necessary for the employer to have information regarding the peer assistance assignment. Action is not reported to the Healthcare Integrity and Protection Data Bank until final adverse actions are taken, allowing the nurse to complete the peer assistance program.