How should a nurse work with a patient beginning treatment for alcoholism?
Both diagnoses should be considered primary and receive simultaneous treatment. Comorbid disorders require longer treatment and progress is slower, but treatment may occur in the community. Select the most therapeutic manner for a nurse working with a patient beginning treatment for alcohol addiction. a. Empathetic, supportive b. Skeptical, guarded
When a patient first began using alcohol what is the response?
When a patient first began using alcohol, two drinks produced relaxation and drowsiness. After 1 year, four drinks are needed to achieve the same response. Why has this change occurred? a. Tolerance has developed. b. Antagonistic effects are evident. c. Metabolism of the alcohol is now delayed. d. Pharmacokinetics of the alcohol have changed. a.
What does a hospitalized patient diagnosed with an alcohol abuse disorder believe?
A hospitalized patient diagnosed with an alcohol abuse disorder believes the window blinds are snakes trying to get in the room. The patient is anxious, agitated, and diaphoretic. The nurse can anticipate the health care provider will prescribe a (n): a. narcotic analgesic, such as hydromorphone (Dilaudid).
How do you respond to a patient beginning an alcoholism rehabilitation program?
A new patient beginning an alcoholism rehabilitation program says, "I'm just a social drinker. I usually have one drink at lunch, two in the afternoon, wine at dinner, and a few drinks during the evening." Select the nurse's most therapeutic responses. Select all that apply. a. "I see," and use interested silence. b.
What does a nurse say to a patient admitted to an alcoholism rehabilitation program?
A patient admitted to an alcoholism rehabilitation program tells the nurse, "I'm actually just a social drinker. I usually have a drink at lunch, two in the afternoon, wine with dinner, and a few drinks during the evening." The patient is using which defense mechanism?
What is the name of the drug that is prescribed for alcohol abuse?
The patient is anxious, agitated, and diaphoretic. The nurse can anticipate the health care provider will prescribe a (n): a. narcotic analgesic, such as hydromorphone (Dilaudid).
What happened to a nurse who worked at a hospital for several months?
A nurse worked at a hospital for several months, resigned, and then took a position at another hospital. In the new position, the nurse often volunteers to be the medication nurse. After several serious medication errors, an investigation reveals that the nurse was diverting patient narcotics for self-use.
What is the mandate of a nurse?
1) The nurse must relinquish his driver's license to the office of motor vehicles. 2) The nurse is mandated to comply with treatment and prescribed therapies. 3) The nurse is not mandated to meet specific requirements, because all civil rights are ensured.
What are the factors that contribute to substance abuse?
1) An individual's social and cultural environment can be implicated in the cause of substance addiction. 2) Biological, psychological, and sociocultural factors can all be implicated in the cause of substance addiction. 3) Evidence of a genetic link accounts for most cases of substance addiction .
What does "Sobriety solves some problems, new ones may emerge as one adjusts to living without?
a. "While sobriety solves some problems, new ones may emerge as one adjusts to living without drugs and alcohol."
What is the goal of AA?
a. "The goal of AA is for members to learn controlled drinking with the support of a higher power."
What is a nurse caring for?
The nurse is caring for a patient with an addictive disorder who is currently drug-free. The pt is experiencing repeated occurrences of viid, frightening images and thought. Which term would the nurse use to document this finding?
What is the importance of safety in nursing?
2. Safety is always the priority when caring for patients. Ensuring safety includes completing a suicide risk assessment.
Why are benzodiazepines used in hospitals?
Benzodiazepines are the drugs of choice in most regions because of their high therapeutic safety index and anticonvulsant properties. A hospitalized patient diagnosed with an alcohol abuse disorder believes spiders are spinning entrapping webs in the room. The patient is fearful, agitated, and diaphoretic.
How long does it take for alcohol withdrawal to peak?
Patients who are exhibiting hyperalertness and jerky movements and who startle easily are most likely in a state of alcohol withdrawal, a condition that peaks in 24 to 48 hours after cessation or reduction of alcohol intake and then rapidly and dramatically disappears unless the withdrawal process progresses to alcohol withdrawal delirium.
What are the symptoms of alcohol delirium?
4. Paranoid delusions, fever, and fluctuating levels of consciousness are associated with alcohol delirium and are considered a medical emergency and can result in death if not treated.
What is tolerance in medicine?
ANS: 2. 1. Tolerance occurs when a patient's physiological reaction to a drug decreases with repeated administration of the same dose. 2. Flashbacks occur in a drug-free state and involve visual distortions, time expansion, loss of ego boundaries, and intense emotions.
Why do we use the 12 steps?
Using the 12 steps, often referred to as "working the steps," helps a person refrain from addictive behaviours while fostering individual change and growth . Peer support, accomplished by obtaining a sponsor prior to discharge, can increase the patient's likelihood of attendance at 12-step meetings. The other options are incorrect.
What does AA stand for in a patient?
A patient diagnosed with alcoholism asks, "How will Alcoholics Anonymous (AA) help me?" Select the nurse's best response.
What is the priority of a nurse?
The patient's clouded sensorium, sensory perceptual distortions, and poor judgment predispose a risk for injury. Safety is the nurse's priority. The other diagnoses may apply but are not the priorities of care.
What does it mean when a hospitalized patient believes the window blinds are snakes trying to get in the room?
A hospitalized patient diagnosed with an alcohol abuse disorder believes the window blinds are snakes trying to get in the room. The patient is anxious, agitated, and diaphoretic. The nurse can anticipate the health care provider will prescribe a (n):
How often should you check a patient?
a. Check the patient every 15 minutes
What are the symptoms of alcohol withdrawal?
Symptoms of agitation, elevated pulse, and perceptual distortions indicate alcohol withdrawal delirium. The findings are inconsistent with manipulative attempts, head injury, or functional psychosis.
Is it AA to admit to being an alcoholic?
Admitting to being an alcoholic, making an attempt to remain alcohol-free for a day at a time, and receiving support from peers are basic aspects of AA. The other options are incorrect. A nurse reviews vital signs for a patient admitted with an injury sustained while intoxicated.
Can cough syrup cause alcohol disulfiram?
Many liquid medications, such as cough syrups, contain small amounts of alcohol that could trigger an alcohol-disulfiram reaction. Using alcohol-based skin products such as aftershave or cologne, smelling alcohol-laden fumes, and eating foods prepared with wine, brandy, or beer may also trigger reactions.
What is the goal of AA?
a. “The goal of AA is for members to learn controlled drinking with the support of a higher power.”
What is the priority of a nurse?
The patient’s clouded sensorium, sensory perceptual distortions, and poor judgement predispose a risk for injury. Safety is the nurse’s priority. The other diagnoses may apply but are not the priorities of care.
What chapter is the substance use disorder deck?
Flashcards in Chapter 19: Substance Use Disorders Deck (35)
What is an alcoholics Anonymous?
a. “Alcoholics Anonymous is a form of group therapy led by a psychiatrist.”
What are the symptoms of alcohol withdrawal?
Symptoms of agitation, elevated pulse, and perceptual distortions indicate alcohol withdrawal delirium. The findings are inconsistent with manipulative attempts, head injury, or functional psychosis.
How to care for a patient after an overdose?
Select the priority nursing intervention when caring for a patient after an overdose of amphetamines.#N#a. Monitor vital signs.#N#b. Observe for depression.#N#c. Awaken the patient every 15 minutes.#N#d. Use warmers to maintain body temperature.
How often should you check a patient?
a. Check the patient every 15 minutes