The nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal. Which of the following would alert the nurse to the potential for delirium tremens? A. Hypertension, changes in LOC, hallucinations B. Hypotension, ataxia, hunger C. Stupor, agitation, muscular rigidity D. Hypotension, coarse hand tremors, agitation … Read More »
Nurse Tara is teaching a community group about substance abuse. She explains that a genetic component has been implicated in which of the following commonly abused substances? A. Alcohol B. Barbiturates C. Heroin D. Marijuana Correct Answer: A. Alcohol Several chromosomes (1, 3, and 7) have been… Read More »
The spouse of a client admitted to the mental health unit for alcohol withdrawal says to the nurse “I should get out of this bad situation.” The most helpful response by the nurse would be: A. “I agree with you. You should get out of this situation.” B. “What do you find difficult about this… Read More »
The nurse determines that the wife of an alcoholic client is benefiting from attending Al-Anon group when she hears the wife say: A. “My attendance at the meetings has helped me to see that I provoke my husband’s violence.” B. “I no longer feel that I deserve the beatings my husband inflicts on… Read More »
The client has been hospitalized and is participating in a substance abuse therapy group sessions. On discharge, the client has consented to participate in AA community groups. The nurse is monitoring the client’s response to the substance abuse sessions. Which statement by the client best indicates that the client has developed effective coping response styles and has… Read More »
A hospitalized client with a history of alcohol abuse tells the nurse, “I am leaving now. I have to go. I don’t want any more treatment. I have things that I have to do right away.” The client has not been discharged. In fact, the client is scheduled for an important diagnostic test to be… Read More »
What are the appropriate interventions for caring for the client in alcohol withdrawal. Select all that apply. A. Monitor vital signs. B. Provide stimulation in the environment. C. Maintain NPO status. D. Provide reality orientation as appropriate. E. Address hallucinations therapeutically. Correct Answer: A, D, & E. When the… Read More »
Which of the following nursing actions would be included in a care plan for a client with PTSD who states the experience was “bad luck”? A. Encourage the client to verbalize the experience. B. Assist the client in defining the experience. C. Work with the client to take steps to move on… Read More »
Which of the following psychological symptoms would the nurse expect to find in a hospitalized client who is the only survivor of a train accident? A. Denial B. Indifference C. Perfectionism D. Trust Correct Answer: A. Denial Denial can act as a protective response. If a situation… Read More »
Which of the following communication guidelines should the nurse use when talking with a client experiencing mania? A. Address the client in a light and joking manner. B. Focus and redirect the conversation as necessary. C. Allow the client to talk about several different topics. D. Ask only open ended questions… Read More »