Nokea
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does it,' and 'Let go and let God' support sobriety, unlike 'Pull yourself together' or 'Get control,' which reflect outdated views.
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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 are general warning signs of substance abuse that a nurse should be alert for in coworkers?
- A. Poor work performance
- B. Frequent absenteeism
- C. Unusual behavior
- D. Slurred speech
- E. Isolation from peers
- F. Substance abuse is not a problem in health professionals
Correct Answer: A,B,C,D,E
Rationale: Warning signs include poor performance, absenteeism, unusual behavior, slurred speech, and isolation, as health professionals have higher substance abuse rates.
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.
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 client asks the nurse, 'What will happen if I drink while taking Antabuse?' What should be the nurse's reply?
- A. You will not want to drink while taking Antabuse, it reduces the cravings.
- B. You will not get any effect from the alcohol you drink.
- C. Antabuse will reverse the effects of alcohol.
- D. You will experience a severe reaction, including a throbbing headache and vomiting.
Correct Answer: D
Rationale: Drinking on Antabuse causes severe symptoms like headache and vomiting, not reduced cravings, no alcohol effect, or reversal of alcohol effects.