Nokea
When a person first begins drinking alcohol, two drinks produce relaxation and drowsiness. After 1 year of drinking, four drinks are needed to achieve the same relaxed, drowsy state. Why does this change occur?
- A. Tolerance develops.
- B. The alcohol is less potent.
- C. Antagonistic effects occur.
- D. Hypomagnesemia develops.
Correct Answer: A
Rationale: Tolerance means needing higher doses to achieve the same effect.
You may also like to solve these questions
A new patient in an alcoholism rehabilitation program says, 'I'm just a social drinker. I usually have a drink or two at brunch, a few cocktails in the afternoon, wine at dinner, and a few drinks in the evening.' Which response by the nurse will help the patient view the drinking more honestly?
- A. I see,' and use interested silence.
- B. I think you may be drinking more than you report.'
- C. Being a social drinker involves having a drink or two once or twice a week.'
- D. You describe drinking steadily throughout the day and evening. Am I correct?'
Correct Answer: D
Rationale: This response summarizes and validates the patient's report in an accepting manner, encouraging honesty.
Which documentation indicates that the treatment plan for a patient in an alcohol treatment program was effective?
- A. Is abstinent for 10 days and states, 'I can maintain sobriety one day at a time.' Spoke with employer, who is willing to allow the patient to return to work in 3 weeks.
- B. Is abstinent for 15 days and states, 'My problems are under control.' Plans to seek a new job where coworkers will not know history.
- C. Attends AA daily; states many of the members are 'real' alcoholics and says, 'I may be able to help some of them find jobs at my company.'
- D. Is abstinent for 21 days and says, 'I know I can't handle more than one or two drinks in a social setting.'
Correct Answer: A
Rationale: This reflects AA principles and practical steps toward sobriety, indicating treatment effectiveness.
Which medication is the nurse most likely to see prescribed as part of the treatment plan for both a patient in an alcoholism treatment program and a patient in a program for the treatment of opioid addiction?
- A. Methadone
- B. Bromocriptine
- C. Disulfiram
- D. Naltrexone
Correct Answer: D
Rationale: Naltrexone blocks opioid action and reduces alcohol craving, useful for both addictions.
A woman in the last trimester of pregnancy drinks 8 to 12 ounces of alcohol daily. The nurse plans for the delivery of an infant who presents with what related characteristic?
- A. Jaundice
- B. Dependent on alcohol
- C. Healthy but underweight
- D. Facial abnormalities and cognitive impairment
Correct Answer: D
Rationale: Fetal alcohol syndrome is the result of alcohol's inhibiting fetal development in the first trimester. The fetus of a woman who drinks that much alcohol will probably have this disorder.
A patient admitted for a heroin overdose received naloxone. The patient's breathing pattern improved. Two hours later, the patient reports muscle aches, abdominal cramps, gooseflesh and says, 'I feel terrible.' Which analysis is correct?
- A. The patient is exhibiting a prodromal symptom of seizures.
- B. An idiosyncratic reaction to naloxone is occurring.
- C. Symptoms of opiate withdrawal are present.
- D. The patient is experiencing a relapse.
Correct Answer: C
Rationale: Naloxone precipitates opiate withdrawal, causing flulike symptoms.