Nokea
What stage of dependence is described by a patient when he tells the nurse that he has tried to stop his drug habit, but he does not feel 'normal' without it?
- A. Early
- B. Prodromal
- C. Middle
- D. Late
Correct Answer: C
Rationale: In the middle stage, the user shows signs of withdrawal with abstinence and must use the drug to feel normal.
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When a patient denies any problems related to addiction, what is the nurse's most therapeutic response?
- A. What do you call this hospitalization?
- B. How can anybody help you if you don't see a problem?
- C. Would your family agree that you have no problems?
- D. Can you think of any time your behavior created an unpleasant situation in your life?
Correct Answer: D
Rationale: When the patient denies that his behavior is problematic, the nurse should ask the patient to recount incidences when the behavior had unpleasant consequences.
What is the best response by a nurse when a patient inquires how alcohol acts so quickly on his system?
- A. Alcohol is digested quickly.
- B. Alcohol is converted to glycogen immediately.
- C. Alcohol is metabolized into ethanol rapidly.
- D. Alcohol is excreted in urine slowly.
Correct Answer: C
Rationale: Alcohol is not digested or converted into glycogen, but it is metabolized quickly by the liver to ethanol.
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.
The nurse assesses an alcoholic patient carefully for signs of withdrawal. How soon after cessation of alcohol intake do withdrawal symptoms usually appear?
- A. 3 hours
- B. 4 hours
- C. 5 hours
- D. 6 hours
Correct Answer: D
Rationale: Withdrawal signs can occur as early as 6 hours after cessation of alcohol intake and sometimes last for 3 to 5 days.
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.