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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.
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If the patient tells the nurse, 'I'm not an alcoholic. I can stop whenever I want to,' what should be the nurse's most therapeutic response?
- A. Well, why don't you?
- B. Hasn't alcohol use interfered with your employment?
- C. A positive attitude like that is a good start.
- D. What would you call alcoholism?
Correct Answer: B
Rationale: When the addicted person presents in denial, the nurse should use techniques to set limits on that behavior.
A 22-year-old patient presents in the emergency department with the characteristics of severe Parkinson disease. The nurse should suspect an overdose of what drug?
- A. Marijuana
- B. Cocaine
- C. Amphetamines
- D. Valium
Correct Answer: C
Rationale: Over time, dopamine depletion in the brain can cause Parkinson-like symptoms to occur in people who abuse amphetamines.
During the initial intake assessment of a drug user, the nurse should attempt to obtain which subjective data?
- A. Usual pattern of use
- B. Specific drug
- C. Previous arrests
- D. Amount of drug used
- E. Time of last use
Correct Answer: A,B,D,E
Rationale: Determining the drug, strength, frequency, last use, and pattern of use is the basic database on a substance abuser.
What nursing intervention should be included in the plan of care for a baby born to a drug-addicted mother?
- A. Swaddle the baby closely.
- B. Place the baby in a brightly lit area.
- C. Hold and rock the baby frequently.
- D. Place the baby in a busy part of the nursery for stimulation.
Correct Answer: A
Rationale: A baby born to a drug-addicted mother should be swaddled, placed in an area of low stimulation, and minimally handled.
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.