A nurse is discussing alcohol tolerance with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"Alcohol tolerance causes the client to have an increased effect when taking opiates."

"Alcohol tolerance can result in a decreased physical response to alcohol."

"A client who has alcohol tolerance develops physical changes when they haven't recently ingested alcohol."

"Alcohol tolerance is a medical emergency and can develop as a result of withdrawal."

Answer and Explanation

The Correct Answer is B

A. "Alcohol tolerance causes the client to have an increased effect when taking opiates." Alcohol tolerance is specific to alcohol and does not directly increase the effect of opiates. However, cross-tolerance with other sedatives (e.g., benzodiazepines) may occur.

B. "Alcohol tolerance can result in a decreased physical response to alcohol." Alcohol tolerance develops as the body adapts to frequent alcohol use, requiring higher amounts to achieve the same effects.

C. "A client who has alcohol tolerance develops physical changes when they haven't recently ingested alcohol." This describes alcohol dependence, not tolerance. Physical changes, such as withdrawal symptoms, occur with dependence.

D. "Alcohol tolerance is a medical emergency and can develop as a result of withdrawal." Tolerance develops over time with frequent alcohol use. Withdrawal symptoms are the result of dependence, not tolerance.

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Correct Answer is C

Explanation

A. Infrequent attendance is usually successful. Success in a 12-step program often depends on consistent attendance and active participation.

B. The philosophy that it is possible to reduce the use of substances without abstaining. The 12-step program emphasizes total abstinence rather than moderation or reduced use.

C. It is a self-help group that focuses on total abstinence. This is the hallmark of the 12-step program, as it emphasizes a commitment to complete abstinence through peer support and personal accountability.

D. Persons who use this program are independent in their sobriety. The program focuses on mutual support, and participants rely on the group and sponsors to maintain sobriety.

A. Polyphagia B. Illusions C. Seizures D. Nystagmus E. Tremors

Correct Answer is ["B","C","E"]

Explanation

A. Polyphagia: This is not associated with alcohol withdrawal; appetite changes are not characteristic symptoms.

B. Illusions: Visual or auditory illusions are common during alcohol withdrawal and are due to central nervous system hyperactivity.

C. Seizures: Alcohol withdrawal seizures, especially tonic-clonic seizures, can occur within 12–48 hours after cessation.

D. Nystagmus: Nystagmus is more often associated with intoxication rather than withdrawal.

E. Tremors: Tremors (shaking or tremulousness) are hallmark signs of alcohol withdrawal and often appear within hours of cessation.

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A nurse is discussing alcohol tolerance with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

Which characteristic of the 12-step program distinguishes it from other programs?

Correct Answer is C

Explanation

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Correct Answer is ["B","C","E"]

Explanation

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