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Which reasons make it necessary for the nurse to examine his or her beliefs and attitudes about substance abuse?
- A. The nurse may be overly harsh and critical of the client.
- B. The nurse may unknowingly act out old family roles and engage in enabling behavior.
- C. The nurse or close friends and family of the nurse may abuse substances.
- D. The nurse may have different attitudes about various substances of abuse.
- E. The nurse is not likely to have had any experience with substance abuse.
Correct Answer: A,B,C,D
Rationale: Examining beliefs prevents harshness, enabling, or bias from personal or familial substance abuse experiences, as nurses are likely affected given its prevalence.
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A client is readmitted to the substance abuse program for the second time in 6 months for alcohol abuse. On admission, he tells the nurse, 'I am so ashamed.' What should the nurse reply?
- A. I really thought you would make it.
- B. Tell me what has happened since your last admission.
- C. You have nothing to be ashamed of.
- D. Why did you start drinking again?
Correct Answer: B
Rationale: Asking about recent events encourages therapeutic discussion of the client's situation, unlike judgmental, dismissive, or confrontational responses.
A client will be taking disulfiram (Antabuse) after discharge from an alcohol treatment program. Which statement would indicate that teaching has been effective?
- A. Antabuse is safe to take with any over-the-counter cold medication.
- B. Antabuse will block my cravings for alcohol, so I'll have less desire to drink.
- C. Drinking alcohol while taking Antabuse can cause dangerous symptoms.
- D. If I drink while taking Antabuse, it will make me vomit before the alcohol affects me.
Correct Answer: C
Rationale: Understanding that Antabuse causes dangerous symptoms with alcohol indicates effective teaching, unlike misconceptions about cravings, vomiting timing, or OTC safety.
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 is admitted for a drug overdose with a Barbiturate. Which is the priority nursing action when planning care for this client?
- A. Check the client's belongings for additional drugs.
- B. Pad the side rails of the bed because seizures are likely.
- C. Prepare a dose of ipecac, an emetic.
- D. Monitor respiratory function.
Correct Answer: D
Rationale: Barbiturate overdose depresses respiratory function, making monitoring the priority to ensure safety, over checking belongings, padding rails, or using ipecac.
Which slogans would be used in a 12-step program?
- A. Pull yourself together
- B. Get control of your problem
- C. One day at a time
- D. Easy does it
- E. Let go and let God
Correct Answer: C,D,E
Rationale: 12-step slogans like 'One day at a time,' 'Easy does it,' and 'Let go and let God' support sobriety, unlike 'Pull yourself together' or 'Get control,' which reflect outdated views.