MEDICAL SURGICAL 9TH
EDITION IGNATAVICIUS
TESTBANK
Table of Contents
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Chapter 02: Overview of Health Concepts for Medical-Surgical Nursing
Chapter 03: Common Health Problems of Older Adults
Chapter 04: Assess...
• The alcoholic patient says to the nurse, I am not an alcoholic. I can quit any time I want to. The
nurse recognizes the defense mechanism of:
o Denial.
• The wife of an alcoholic tells the nurse, “My husband only drinks on the weekends to relax. He
has a very stressful job. The nurse recognizes the defense mechanism of:
o Rationalization.
• The nurse explains the difference between an enabler and a co-dependent is that a co-
dependent:
o Covers up the behavior of the substance abuser.
• The nurse explains that, no matter whether you drink a 12-ounce beer, a 6-ounce glass of wine,
or 1.5 ounces of straight liquor, it takes approximately minutes for the body to metabolize
it.
o 60 minutes.
• A person in jail for public intoxication has been without alcohol for 12 hours. The jail nurse would
be alert for withdrawal signs of:
o Irritability.
• A patient who is still intoxicated has been admitted for detoxification at the treatment center.
The nurse takes into consideration that the patient will be supported in his withdrawal with the
use of:
o Symptomatic relief until substance has cleared from his system.
• After detoxification from substance abuse, the patient says, I feel better than I have in years! All I
needed was some rest. I am not an alcoholic. The nurse should respond to this by saying:
o What were you doing that got you admitted to the detoxification center?
• The nurse explains that an alternative to disulfiram (Antabuse) is the drug naltrexone (ReVia),
which can:
o Block craving and prevent relapse.
• The nurse encourages the recovering alcoholic to participate in group therapy because of the
major and long-lasting benefit of:
o Increasing self-discipline.
• The nurse is aware that when Korsakoff's syndrome is suspected from behavioral cues, the
syndrome can be confirmed by:
o Brain scan.
• The nurse uses the CAGE challenge to alcoholics who persist in denial. The G in the set of
questions form CAGE stands for:
o Do you feel Guilty about your drinking?
, • The nurse is aware that the newly admitted patient who overdosed on lorazepam (Ativan) will
show signs of withdrawal in hours.
o 72 hours.
• The nurse is concerned about a coworker who exhibits a sign of amphetamine abuse, such as:
o Excited speech.
• The nurse is aware that many people who abuse Cannabis (marijuana) rationalize their use
because of the drugs ability to:
o Expand their senses.
• When a patient is admitted after abusing a hallucinogenic substance, the care plan must be
altered to include interventions for:
o Provision of safety to reduce injury.
• To better ensure successful rehabilitation from substance abuse, it is essential that the patient,
family, and medical professional:
o Collaborate on goals for treatment.
• The nurse is aware that before nurses can be effective in dealing with substance abusers, nurses
must:
o Examine their own bias relative to substance abuse.
• A patient who has been given naloxone (Narcan) for an overdose of opiates is rapidly recovering
from the effect of his heroin overdose when suddenly he relapses, and his level of consciousness
and respirations decrease. The nurse should:
o Repeat the Narcan.
• The nurse is caring for an undernourished alcoholic patient. The nurse is helping the patient to
select items from the menu. The patient's diet should ideally:
o Contain at least 50% carbohydrates.
• The nurse is caring for a patient who is undergoing detoxification from alcohol. Which
supplement can the nurse expect to be included in the prescribed medications?
o Thiamine.
• The nurse is caring for a patient who has a heightened risk for seizures during his alcohol
detoxification. Which medication may be included in the patient’s care?
o Magnesium sulfate.
• The nurse lists the diagnostic criteria for the diagnosis of substance abuse, which are:
o Failure to meet obligations (School, work, relationships).
o Putting self and others in potential harm (Speeding, recklessness).
o Conflict with law enforcement authorities.
• The nurse reviews the criteria for the diagnosis of alcohol dependency, which include:
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