The client has been hospitalized and is A) "My attendance at the meetings has helped

participating in a substance abuse therapy group me to see that I provoke my husband's violence."
sessions. On discharge, the client has consented B) "I no longer feel that I deserve the beatings
to participate in AA community groups. The
my husband inflicts on me."
nurse is monitoring the client's response to the
substance abuse sessions. Which statement by C) "I can tolerate my husband's destructive
the client best indicates that the client has behavior now that I know they are common with
developed effective coping response styles and alcoholics."
has processed information effectively for self D) "I enjoy attending the meetings because they
use? get me out of the house and away from my
husband."
A) "I know I'm ready to be discharged. I feel I
can say 'no' and leave a group of friends if they
are drinking... 'No Problem.'"
B) "This group has really helped a lot. I know it A hospitalized client with a history of alcohol
will be different when I go home. But I'm sure abuse tells the nurse, "I am leaving now. I have
that my family and friends will all help me like to go. I don't want anymore treatment. I have
the people in this group have... They'll all help things that I have to do right away." The client
me... I know they will... They won't let me go
has not been discharged. In fact, the client is
back to my old ways."
C) "I'm looking forward to leaving here. I scheduled for an important diagnostic test to be
know that I will miss all of you. So, I'm happy performed in 1 hour. After the nurse discusses
and I'm sad, I'm excited and I'm scared. I the client's concerns with the client, the client
know that I have to work hard to be strong dresses and begins to walk out of the hospital
and that everyone isn't going to be as helpful room. The most important nursing action is to:
as you people."
D) "I'll keep all my appointments; go to all my
A) Restrain the client until the physician can be
AA groups; I'll do everything I'm supposed to...
Nothing will go wrong that way." reached
B) Call security to block all areas
C) Tell the client that the client cannot return to
this hospital again if the client leaves now.
The nurse is monitoring a client who abuses D) Call the nursing supervisor.
alcohol for signs of alcohol withdrawal. Which
of the following would alert the nurse to the
potential for delirium tremors? The spouse of a client admitted to the mental
health unit for alcohol withdrawal says to the
A) Hypertension, changes in LOC, nurse "I should get out of this bad situation."
hallucinations The most helpful response by the nurse would
B) Hypotension, ataxia, hunger be:
C) Stupor, agitation, muscular rigidity
D) Hypotension, coarse hand tremors, agitation A) "I agree with you. You should get out of this
situation."
B) "What do you find difficult about this
The nurse determines that the wife of an situation?"
alcoholic client is benefiting from attending Al- C) "Why don't you tell your husband about
Anon group when she hears the wife say: this?"
D) "This is not the best time to make that A) Confabulation
decision." B) Anuria
C) Abnormal eye movements
D) Ataxia
A 76-year-old patient is visiting the local health
clinic. The nurse notes the patient is slightly
A client with a history of heavy alcohol use,
confused and has an ataxic gait, slurred speech,
whose last drink was 24 hours ago, is seen in the
poor hygiene, and smells of alcohol.
emergency department. The client is oriented but
Which disease condition should the nurse
is tremulous, weak, and sweaty and has some
recognize that may mimic a substance abuse
gastrointestinal (GI) symptoms. The nurse
disorder in the patient?
recognizes these symptoms as typical of which
of the following?
A) Anemia
A) Alcohol withdrawal syndrome
B) Dementia
B) Continuing intoxication
C) Hypothyroidism
C) Delirium tremens
D) Coronary artery disease
D) Wernicke-Korsakoff syndrome

While at the healthcare provider's office, a The patient asks the nurse, "What will happen if
pregnant patient informs of being a recovering I drink while taking Antabuse?" The most
alcoholic and is looking for information
accurate response by the nurse would be which
regarding group supportive therapy.
Which response by the nurse would meet the of the following?
patient's need? A) "You will not want to drink while taking
Antabuse. It reduces the cravings."
A) "Have you considered inpatient treatment so B) "You will not get any effect from the alcohol
that you can experience a recovery you drink."
environment?" C) "Antabuse will reverse the effects of
B) "We can speak to the provider about
alcohol."
prescribing you Antabuse."
C) "I can see if the provider can refer you to a D) "You will experience a severe reaction
behavioral therapist." including a throbbing headache and vomiting."
D) "I will provide you with some information on
the community's Alcoholics Anonymous
meetings." Which of the following conditions is likely to
coexist in clients with a diagnosis of borderline
The nurse is caring for a patient admitted with personality disorder?
alcohol dependence. The patient's family
identifies significant neurologic changes in the A) Avoidance
patient over the past 2 months. The patient has B) Delirium
lived with chronic alcoholism for 35 years. C) Depression
During assessment which symptom should the D) Disorientation
nurse recognize as characteristic of Korsakoff
psychosis ?
Alcohol abuse-induced thiamine deficiency can A. Acetylcholine excess
cause which of the following? B. Dopamine depletion
C. Serotonin inhibition
A) Wolf-Hirschhorn syndrome D. Norepinephrine rebound
B) Lewy body dementia

C) Agnosia The newly hired nurse at Nurseslabs Medical

D) Wernicke-Korsakoff syndrome Center is assessing a client who abuses
barbiturates and benzodiazepine. The nurse
would observe for evidence of which withdrawal
Prolonged alcohol abuse can result in a severe symptoms?
deficiency in what vitamin?
A. Anxiety, tremors, and tachycardia
A) Vitamin C B. Respiratory depression, stupor, and
B) Niacin (B3) bradycardia
C) Folate C. Muscle aches, cramps, and lacrimation
D) Thiamine (B1) D. Paranoia, depression, and agitation

Which of the following symptoms is most Nurse Aly is teaching a client about Disulfiram
worrisome in a patient undergoing alcohol (Antabuse), which the client is taking to deter
withdrawal? his use of alcohol. She explains that using
alcohol when taking this medication can result
in:
A) Agitation A. Abdominal cramps and diarrhea.
B) Delirium tremens B. Drowsiness and decreased respiration.
C) Tachycardia C. Flushing, vomiting, and dizziness.
D) Bradycardia D. Increased pulse and blood pressure.

The community nurse practicing primary

Johnette is reviewing her lessons in prevention of alcohol abuse would target which
Pharmacology. She is aware that the general groups for educational efforts?
classification of drugs belonging to the opioid A. Adolescents in their
category is analgesic and: late teens and young adults in their early
twenties
A. depressant. B. Elderly men who live in retirement
communities
B. hallucinogenic.
C. Women working in careers outside the home
C. stimulant. D. Women working in the home
D. tranquilizing.

Which medication is commonly used in

When a client abuses a CNS depressant, treatment programs for heroin abusers to
produce a non-euphoric state and toreplace
withdrawal symptoms will be caused by which
heroin use?
of the following? A. Diazepam
B. Carbamazepine
C. Clonidine
D. Methadone

Ritalin is the drug of choice for children with

ADHD. The side effects of the following may be
noted:
A. Increased attention span and concentration
B. Increase in appetite
C. Sleepiness and lethargy
D. Bradycardia and diarrhea

A 10year old child has very limited vocabulary

and interaction skills. She has an I.Q. of 45. She
is diagnosed to have mental retardation of this
classification:
A. Profound
B. Mild
C. Moderate
D. Severe

A 20-year old college student has been brought

to the psychiatric hospital by her parents. Her
admitting diagnosis is borderline personality
disorder. When talking with the parents, which
information would the nurse expect to be
included in the client's history? Select all that
apply.

A) Impulsiveness
B) Lability of mood
C) Ritualistic behavior
D) psychomotor retardation
E) self-destructive behavior