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When working with a patient beginning treatment for alcohol abuse, what is the nurse's most therapeutic approach?
- A. Empathetic, supportive
- B. Strong, confrontational
- C. Skeptical, guarded
- D. Cool, distant
Correct Answer: A
Rationale: Support and empathy help the patient feel safe to address problems.
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A graduate nurse worked at a hospital for several months, resigned, and then took a position at another hospital. In the new position, the nurse often volunteers to be the medication nurse. After several serious medication errors, an investigation reveals that the nurse was diverting patient narcotics for self-use. What early indicator of the nurse's drug use was evident?
- A. Changing employment after only several months
- B. Seeking to be assigned as a medication nurse
- C. Frequent socializes with unit staff after work
- D. Recent graduate
Correct Answer: B
Rationale: Seeking access to medications is a drug-seeking behavior.
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.
The treatment team plans care for a person diagnosed with schizophrenia and cannabis abuse. The person has recently used cannabis daily and is experiencing increased hallucinations and delusions. Which principle applies to care planning?
- A. Consider each disorder primary and provide simultaneous treatment.
- B. The person will benefit from treatment in a residential treatment facility.
- C. Withdraw the person from cannabis, and then treat the schizophrenia.
- D. Treat the schizophrenia first, and then establish the goals for the treatment of substance abuse.
Correct Answer: A
Rationale: Dual diagnosis guidelines suggest treating both substance and psychiatric disorders as primary with simultaneous treatments.
Which treatment approach is most appropriate for a patient with poor social skills who has been treated several times for substance addiction but has relapsed?
- A. 1-week detoxification program
- B. Long-term outpatient therapy
- C. 12-step self-help program
- D. Residential program
Correct Answer: D
Rationale: Residential programs promote lifestyle changes and skill development, effective for those with poor social skills.
When assessing a patient who has ingested flunitrazepam, what should the nurse expect?
- A. Acrophobia
- B. Hypothermia
- C. Hallucinations
- D. Anterograde amnesia
Correct Answer: D
Rationale: Flunitrazepam causes anterograde amnesia, disinhibition, and muscle relaxation.