Substance Use and Addictive Disorders

Substance Use and Addictive Disorders
Order 5980118
Substance Use and Addictive Disorders
1. When teaching a client diagnosed with alcohol use
disorder about nutritional needs, which nutritional
concept should the nurse emphasize?
1. Eat a high-protein, low-carbohydrate diet to
promote lean body mass.
2. Increase sodium-rich foods to increase iodine
levels.
3. Take a multivitamin supplement that includes
thiamine and folic acid.
4. Restrict fluid intake to decrease renal load.
2. A client with no history of complicated withdrawal
syndrome presents in the emergency department
exhibiting signs of alcohol withdrawal, including
complaints of right upper quadrant pain. Which
medication would be most appropriate to treat this
client’s immediate problem?
1. Valproic acid (Depakene)
2. Thiamine (B1)
3. Chlordiazepoxide (Librium)
4. Lorazepam (Ativan)
3. A client who is going through alcohol detoxification
states, “I see bugs crawling on the wall.” Which is the
best nursing response?
1. “I’ll remove the bugs from the wall.”
2. “You are confused because of your alcohol
addiction.”
Substance Use and Addictive Disorders
3. “There are no bugs on the wall. I’ll stay with you
until you feel less anxious.”
4. “You are hallucinating. You do not see any bugs on
the wall.”
4. A client is being discharged from an alcohol use disorder treatment program. The client’s wife states,
“I’m so afraid that when my husband leaves here,
he’ll relapse. How can I deal with this?” Which
nursing statement would be most appropriate?
1. “Many family members of clients diagnosed with
alcohol use disorder find the Al-Anon support
group helpful.”
2. “You should try going out with him to monitor him
and prevent his drinking.”
3. “Just make sure he doesn’t drink while at home.
If you find hidden bottles, you must empty them
immediately.”
4. “Tell your husband that if he drinks again, you will
leave him.”
5. Substance is defined as the development
of a reversible syndrome of symptoms after excessive
use of a substance.
Substance Use and Addictive Disorders
1. Client experiences loss of control, and
physiological dependence is evident.
2. Client experiences emotional and
physical disintegration.
3. Client uses alcohol to relieve everyday
stress and tensions of life.
4. Client experiences “blackouts” and
brief periods of amnesia.
7. A nursing coworker notices that a fellow staff nurse
has come to work smelling of alcohol. Which of the
following further assessment data would lead the
coworker to report the staff nurse as possibly impaired? Select all that apply.
1. The staff nurse is inconsistent in job performance.
2. The staff nurse has had recent problems in
relationships.
3. The staff nurse has poor concentration.
4. The staff nurse isolates self.
5. The staff nurse rarely is absent from work.
8. An employee health nurse is about to meet with a
client diagnosed with a gambling disorder. Which of
the following personality traits is the nurse likely to
assess? Select all that apply.
1. Traits of narcissistic personality disorder
2. Obsessive-compulsive traits
3. Paranoid traits
4. Traits of schizoid personality disorder
5. Passive-aggressive traits
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