Which treatment approach is most appropriate for a patient with antisocial tendencies who has been treated several times for substance addiction but has relapsed?

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Question 1 of 5

Which treatment approach is most appropriate for a patient with antisocial tendencies who has been treated several times for substance addiction but has relapsed?

Correct Answer: D

Rationale: The correct answer is D: Residential program. This option is most appropriate because a residential program provides a highly structured environment with 24/7 support and supervision, which is crucial for individuals with antisocial tendencies and a history of relapse. This intensive setting helps address the complex needs of the patient, including addiction and behavioral issues. On the other hand, A (One-week detox program) is too short and does not address the underlying issues. B (Long-term outpatient therapy) may not provide sufficient support and monitoring for someone with a high risk of relapse. C (Twelve-step self-help program) can be beneficial but may not offer the level of supervision and intensive treatment needed for this patient.

Question 2 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 3 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 4 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.

Question 5 of 5

The focus of generic crisis intervention is to:

Correct Answer: B

Rationale: The correct answer is B because generic crisis intervention aims to assist as many individuals in crisis as quickly as possible to minimize harm and provide immediate support. This approach focuses on rapidly addressing the crisis and ensuring the safety and well-being of those involved. Introducing the nurse as a caring resource (A) may be part of the intervention process, but it is not the primary focus. Removing the individual from immediate sources of stress (C) may be necessary in some situations but is not always feasible or effective as the first step. Serving as a liaison between the individual and needed services (D) is important, but it is not the primary goal of generic crisis intervention, which prioritizes immediate assistance and support.

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