Nokea
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.
You may also like to solve these questions
A patient is admitted in a comatose state after ingesting five capsules of lorazepam. A friend of the patient says, 'Often my friend drinks, along with taking more of the drug than is prescribed.' What is the effect of the use of alcohol with this drug?
- A. The drug's metabolism is stimulated.
- B. The drug's effect is diminished.
- C. A synergistic effect occurs.
- D. There is no effect.
Correct Answer: C
Rationale: Alcohol and lorazepam, both CNS depressants, have synergistic effects, potentiating each other.
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.
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.
Which question has the highest priority when assessing a newly admitted patient with a history of alcohol abuse?
- A. Have you ever had blackouts?'
- B. When did you have your last drink?'
- C. Has drinking caused you any problems?'
- D. When did you decide to seek treatment?'
Correct Answer: B
Rationale: Knowing the last drink time is critical to anticipate withdrawal symptoms.
In what significant ways is the therapeutic environment different for a patient who has ingested lysergic acid diethylamide (LSD) than for a patient who has ingested phencyclidine (PCP)?
- A. For LSD ingestion, one person stays with the patient and provides verbal support. For PCP ingestion, a regimen of limited contact with staff members is maintained, and continual visual monitoring is provided.
- B. For PCP ingestion, the patient is placed on one-on-one intensive supervision. For LSD ingestion, a regimen of limited interaction and minimal verbal stimulation is maintained.
- C. For LSD ingestion, continual moderate sensory stimulation is provided. For PCP ingestion, continual high-level stimulation is provided.
- D. For LSD ingestion, the patient is placed in restraints. For PCP ingestion, seizure precautions are implemented.
Correct Answer: A
Rationale: LSD patients benefit from verbal support, while PCP patients require minimal stimulation due to violent tendencies.