TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
30. Select the priority outcome for a patient completing the fourth alcohol detoxification program
in the past year. Prior to discharge, the patient will a. state, “I know I need long-term treatment.” b. use denial and rationalization in healthy ways. c. identify constructive outlets for expression of anger. d. develop a trusting relationship with one staff member. ANS: A
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The correct response recognizes the need for ongoing treatment after detoxification and is the best goal related to controlling relapse. The scenario does not give enough information to determine whether anger has been identified as a problem. A trusting relationship, while desirable, should have occurred earlier in treatment.
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PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 22-5, 33 (Case Study and Nursing Care Plan, Alcohol Use Disorder), 40, 51 TOP: Nursing Process: Planning/Outcomes Identification MSC: Client Needs: Psychosocial Integrity
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31. A nurse prepares for an initial interaction with a patient with a long history of
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methamphetamine abuse. Which is the nurse’s best first action? a. Perform a thorough assessment of the patient. b. Verify that security services are immediately available. c. Self-assess personal attitude, values, and beliefs about this health problem. d. Obtain a face shield because oral hygiene is poor in methamphetamine abusers. ANS: C
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The nurse should show compassion, care, and helpfulness for all patients, including those with addictive diseases. It is important to have a clear understanding of one’s own perspective. Negative feelings may occur for the nurse; supervision is an important resource. The activities identified in the distracters occur after self-assessment.
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PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 22-33 (Case Study and Nursing Care Plan, Alcohol Use Disorder), 38 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
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MULTIPLE RESPONSE
1. A patient undergoing alcohol rehabilitation decides to begin disulfiram therapy. Patient
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teaching should include the need to (Select all that apply) a. avoid aged cheeses. b. avoid alcohol-based skin products. c. read labels of all liquid medications. d. wear sunscreen and avoid bright sunlight. e. maintain an adequate dietary intake of sodium. f. avoid breathing fumes of paints, stains, and stripping compounds. ANS: B, C, F
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