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When interviewing the family members of a client being treated for substance abuse problems, which behavior would alert the nurse to the possibility of codependency?
- A. Being flexible but angry
- B. Blaming themselves for the family's problems
- C. Expressing thoughts and feelings openly
- D. Taking pleasure in self-accomplishments
Correct Answer: B
Rationale: Self-blame is a hallmark of codependency, reflecting maladaptive coping, unlike flexibility, open expression, or self-accomplishment.
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A nurse is exploring treatment options with a client addicted to heroin. Which information regarding the use of methadone is important for the nurse to include?
- A. Unlike heroin, methadone is nonaddicting.
- B. Methadone will meet the physical need for opiates without producing cravings for more.
- C. Methadone will produce a high similar to heroin.
- D. People taking methadone run the same risks associated with IV drug use as those taking heroin.
Correct Answer: B
Rationale: Methadone satisfies opiate needs without increasing cravings, unlike heroin, but is still addictive, does not produce a high, and avoids IV drug risks.
A client calls the emergency department of the local hospital reporting that after 16 years of heavy drinking, he is tired and wants to quit 'cold turkey.' What would be the best response by the nurse?
- A. It is not safe to stop drinking suddenly without medicine.
- B. You sound really motivated. Come in and we will help you find a treatment center.
- C. After a few days of rest, you should feel much better as long as you do not drink anything.
- D. You will likely feel anxious and get a severe headache. Treat these symptoms with acetaminophen and rest, and come in if they do not get better in 3 to 5 days.
Correct Answer: A
Rationale: Sudden alcohol cessation can cause life-threatening withdrawal, requiring medical supervision, unlike relying on rest, symptom management, or motivation alone.
The nurse is coleading a family therapy group for clients and families of drug-addicted individuals. The family of a cocaine addict is angry and cannot understand why the client cannot just stop using. The nurse guides the group to discuss their understanding of the nature of addiction. Which statements would the nurse identify as an accurate understanding of the nature of addiction?
- A. It is a medical illness that is progressive.
- B. The client will eventually be cured.
- C. Relapses and remissions are part of the illness.
- D. Clients can learn to get control over the substance.
Correct Answer: A,C
Rationale: Addiction is a progressive medical illness with relapses and remissions, not curable or controllable through willpower alone.
A client with a history of heavy alcohol use, whose last drink was 24 hours ago, is seen in the emergency department. The client is oriented but is tremulous, weak, and sweaty and has some gastrointestinal (GI) symptoms. Which of the following is typical of these symptoms?
- A. Alcohol withdrawal syndrome
- B. Continuing intoxication
- C. Delirium tremens
- D. Wernicke-Korsakoff syndrome
Correct Answer: A
Rationale: Symptoms like tremors, weakness, and sweating 24 hours after the last drink indicate alcohol withdrawal, not intoxication, delirium tremens, or Wernicke-Korsakoff syndrome.
A client has been admitted to the inpatient unit after using inhalants recently. Which is an antidote to treat inhalant toxicity?
- A. Ativan
- B. Narcan
- C. Antabuse
- D. There is no antidote
Correct Answer: D
Rationale: No specific antidote exists for inhalant toxicity, unlike Ativan, Narcan, or Antabuse, which treat other conditions.