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Test Bank For Davis Advantage for Townsend’s Essentials of Psychiatric Mental Health Nursing 9th Edition Karyn Morgan(CHAPTER 14 AND 15)$2.99
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CHAPTER 14: SUBSTANCE USE AND ADDICTIVE
DISORDERS ANSWER SECTION
MULTIPLE CHOICE
1. ANS: 1
Chapter: Chapter 14, Substance Use and Addictive Disorders
Objective: Identify nursing diagnoses common to clients with substance-related and addictive
disorders and select appropriate nursing interventions for each.
Page:
Heading: Table 14-9 Assigning Nursing Diagnoses to Behaviors Commonly Associated with
Substance Use Disorders and Table 14-10 Care Plan for the Client with a Substance-Related
Disorder
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Addiction and
Behaviors Difficulty: Moderate
Feedback
1 The priority nursing diagnosis for a client experiencing alcohol withdrawal
should be risk for
injNurUyRERSx/TIacNmeGnintTreaBlr.n0eC0rOv1oM@us
ssytustvemia stimulation. Alcohol withdrawal may include the following
symptoms: coarse tremors of hands, tongue, or eyelids; nausea or vomiting;
malaise or weakness; tachycardia;
sweating; elevated blood pressure; anxiety; depressed mood; hallucinations;
headache; and insomnia.
2 Disturbed thought processes R/T tactile hallucinations is important, but is not
the priority nursing diagnosis. Safety is the priority.
3 Ineffective coping R/T powerlessness over alcohol use is important, but is not
the priority nursing diagnosis during withdrawal.
4 Ineffective denial R/T continued alcohol use despite negative consequences is
, important, but is not the priority nursing diagnosis during alcohol withdrawal.
PTS: 1 CON: Addiction and Behaviors
2. ANS: 2
Chapter: Chapter 14, Substance Use and Addictive Disorders
Objective: Identify symptomatology and use the information in assessment of clients with
various substance-related and addictive disorders.
Page:
Heading: Sedative, Hypnotic, or Anxiolytic Use Disorder > Profile of the Substance
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Application [Applying]
Concept: Addiction and Behaviors
, Difficulty: Moderate
Feedback
1 Narcotic pain medication should never be held because a client has a substance
abuse disorder.
2 The nurse should assess the client for substance addiction, because clients who
are addicted to alcohol or benzodiazepines may have developed cross-tolerance
to analgesics and require increased doses to achieve effective pain control.
Cross-tolerance is exhibited when one drug results in a lessened response to
another drug.
3 The client should be assessed for a substance abuse disorder as needed, so that
proper follow up can be arranged for the client. The PCA pump is not
malfunctioning.
4 In this scenario, the client is not exhibiting signs of substance abuse withdrawal,
such as coarse tremors of hands, tachycardia, and hallucinations.
PTS: 1 CON: Addiction and Behaviors
3. ANS: 3
Chapter: Chapter 14, Substance Use and Addictive Disorders
Objective: Identify nursing diagnoses common to clients with substance-related and addictive
disorders and select appropriate nursing interventions for each.
Page:
Heading: Alcohol Withdrawal
Examiner001@stu
N U R S I N G TB.COM
Integrated Processes: Nurs in g P r oc e ss
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Addiction and
Behaviors Difficulty: Moderate
Feedback
1 Encouraging AA meetings is important, but the administration of medication to
prevent alcohol withdrawal takes priority due to client safety.
2 Education is important, but the administration of medication to prevent alcohol
, withdrawal takes priority due to client safety.
3 The priority nursing intervention for this client should be to administer ordered
chlordiazepoxide in a dosage according to protocol. Chlordiazepoxide is a
benzodiazepine and is often used for medication-assisted therapy in alcohol
withdrawal to reduce life-threatening complications.
4 Thiamine administration is important, but the administration of medication to
prevent alcohol withdrawal takes priority due to client safety.
PTS: 1 CON: Addiction and Behaviors
4. ANS: 4
Chapter: Chapter 14, Substance Use and Addictive Disorders
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