ATI RN
Core Concepts of Patient Family Care Questions
Question 1 of 5
Which statement most accurately describes substance dependence?
Correct Answer: A
Rationale: Rationale for Answer A: 1. Substance dependence involves a lack of control over use, leading to compulsive drug-seeking behavior. 2. Tolerance and withdrawal symptoms are key indicators of substance dependence when intake is reduced or stopped. 3. These symptoms result from physiological changes in the body due to chronic drug use. 4. The cycle of tolerance and withdrawal reinforces the dependence on the substance. Summary of why other choices are incorrect: B. Interference with neurotransmitters is more related to the pharmacological effects of drugs, not a defining feature of substance dependence. C. Additive effects of drugs do not necessarily indicate substance dependence but rather interactions between different substances. D. Combining substances to weaken effects does not define substance dependence; it is more about the compulsive use and physical dependence on a substance.
Question 2 of 5
A newly hospitalized patient has needle tracks on both arms. A friend states that the patient uses heroin daily but has not used in the past 24 hours. The nurse should assess the patient for:
Correct Answer: C
Rationale: Rationale: - Choice C is correct as the patient is exhibiting symptoms of heroin withdrawal, including runny nose, yawning, insomnia, and chills. - Choice A is incorrect because it describes symptoms of central nervous system depressants, not heroin withdrawal. - Choice B is incorrect as it describes symptoms of hallucinogens, not heroin withdrawal. - Choice D is incorrect as it describes symptoms of stimulants, not heroin withdrawal.
Question 3 of 5
Which medication is the nurse most likely to see prescribed as part of the treatment plan for both a patient in an alcoholism treatment program and a patient in a program for the treatment of opioid addiction?
Correct Answer: D
Rationale: Rationale: Naltrexone (Revia) is the correct answer because it is commonly prescribed for both alcoholism and opioid addiction. It works by blocking the effects of opioids and alcohol in the brain, reducing cravings and helping with relapse prevention. Methadone (A) is primarily used for opioid addiction, while bromocriptine (B) is not commonly used for addiction treatment. Disulfiram (C) is specifically for alcoholism and works by causing unpleasant effects if alcohol is consumed.
Question 4 of 5
A patient undergoing alcohol rehabilitation decides to accept disulfiram (Antabuse) therapy to avoid impulsively responding to drinking cues. Which information should be included in the discharge teaching for this patient? Select all that apply.
Correct Answer: B
Rationale: Step 1: Disulfiram causes a severe adverse reaction when combined with alcohol. Step 2: Liquid medications may contain alcohol, causing a disulfiram-alcohol reaction. Step 3: Reading labels of all liquid medications helps the patient avoid alcohol-containing products. Step 4: A, C, and D are incorrect as they are not directly related to disulfiram therapy or alcohol avoidance.
Question 5 of 5
The nurse demonstrates appropriate Asian-American cultural sensitivity when:
Correct Answer: A
Rationale: The correct answer is A because using the term 'sadness' instead of 'depression' shows cultural sensitivity. In many Asian cultures, mental health terms like 'depression' can carry stigma and be taboo. By using a milder term like 'sadness,' the nurse acknowledges and respects the cultural nuances around mental health. This approach can help build trust and rapport with the Asian-American community. Choices B, C, and D are incorrect because they do not directly address cultural sensitivity in the same way as choice A. Anticipating an Asian-American teenager's education level or focusing on an older person's views on alcohol and evaluating cognitive abilities do not demonstrate the same level of cultural sensitivity as being mindful of the language used when discussing mental health.