ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 71 : Caring for Clients With Substance Use Disorders Questions
Question 1 of 5
Disulfiram is prescribed for a client recovering from alcohol dependency. What is the primary reason for prescribing this drug?
Correct Answer: C
Rationale: The ingestion of alcohol while taking disulfiram will result in uncomfortable symptoms. Disulfiram does not protect the liver. Disulfiram deters drinking but does not prevent the ingestion of alcohol.
Question 2 of 5
The nurse is discussing the effects of secondhand smoking with a group of new mothers. What information is most important for the nurse to include?
Correct Answer: B
Rationale: Children with asthma have a greater frequency and more severe attacks when exposed to secondhand smoke. New mothers who smoked during pregnancy need to know their infants are at increased risk of sudden infant death syndrome. Higher incidence of lung cancer, fractures, and coronary heart disease are all consequences of smoking but not specific to new mothers or their infants.
Question 3 of 5
A client who has attempted to quit smoking and failed two times before is reluctant to make another attempt. Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: Attempts to quit are a predictor of eventual success, and many of those who have tried and failed do ultimately succeed. Providing the client with this encouragement supports the desire to quit. Waiting until the time is right may postpone the urge to quit. The nurse does not 'know' for certainty that a client is going to achieve a goal but can be a supporter during the process. Although having a plan to follow is important, the support and encouragement to take the first step is the springboard.
Question 4 of 5
A hypertensive client is admitted to the acute care facility that has a tobacco-free policy. Which nursing intervention would be most appropriate for the client who is a smoker?
Correct Answer: C
Rationale: Nonnicotine medications such as Zyban and Chantix are dopamine uptake inhibitors that help suppress nicotine's addicting reinforcement. The order for these medications must be initiated by the physician and should lower the incidence of withdrawal symptoms for the client.
Tobacco-free institutions do not permit smoking outdoors, and this activity should not be encouraged by the nurse. Offering nicotine gum without a physician's order is not appropriate. The nurse should anticipate withdrawal symptoms and provide kind supportive encouragement.
Question 5 of 5
The client has successfully completed detox and is ready for discharge home. What is the primary reason the nurse refers the client to Alcoholics Anonymous (AA)?
Correct Answer: B
Rationale: Alcoholism is a lifelong addiction that must be managed on an hourly/daily/weekly basis because the client is powerless over alcohol. AA emphasizes personal accountability while providing support from those who have walked in the same shoes as the client. Relapse is a common setback among recovering individuals, and AA provides encouragement to work the program of success that is alcohol and drug free.