A nurse is discussing medication used for maintaining alcohol abstinence with a client who is undergoing this type of treatment. Which of the following statements by the client indicates an understanding of their prescriptions?
"I know that when taking disulfiram that I can only have 3 alcohol drinks a day."
"I know I need to take benzos several times a day to keep from drinking alcohol."
“I understand that my medication will help me cut down to 2 drinks a day."
“I know I will be taking naltrexone in accordance with my provider's instructions to help me avoid using alcohol."
The Correct Answer is D
A. "I know that when taking disulfiram that I can only have 3 alcohol drinks a day."This statement reflects a misunderstanding of disulfiram, as it is meant to deter alcohol consumption entirely. Even small amounts of alcohol can trigger severe reactions when taking disulfiram.
B. "I know I need to take benzos several times a day to keep from drinking alcohol.” Benzodiazepines are not typically prescribed for maintaining alcohol abstinence; rather, they may be used for managing withdrawal symptoms. This statement does not indicate an understanding of the appropriate medications for alcohol abstinence.
C. “I understand that my medication will help me cut down to 2 drinks a day.": This statement indicates a misunderstanding, as medications for alcohol abstinence are not intended to allow any alcohol consumption. The goal is to achieve complete abstinence.
D. “I know I will be taking naltrexone in accordance with my provider's instructions to help me avoid using alcohol.": This statement accurately reflects an understanding of naltrexone, which is prescribed to help reduce cravings for alcohol and support abstinence. It emphasizes adherence to the provider's instructions, which is crucial for effective treatment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. To ensure the client participates in a walk with staff on a daily basis: While regular physical activity can be beneficial, this goal focuses more on physical activity rather than addressing the underlying issues related to medication adherence and relapse prevention.
B. To keep the client's environment calm and with minimal daily stimuli: Creating a calm environment can help manage symptoms, but it is a more immediate concern rather than a long-term goal focused on the client's overall management and understanding of their condition.
C. To develop and acknowledge understanding of a relapse plan prior to discharge: This goal is crucial for the client's long-term recovery and management of their condition. By understanding their relapse plan, the client can identify triggers, recognize early warning signs of relapse, and engage in proactive strategies to maintain their mental health after discharge.
D. To be reoriented to their current environment as needed: While reorientation may be necessary for managing acute symptoms, it does not address long-term strategies for preventing relapse or promoting the client's overall well-being. This goal is more focused on immediate needs rather than long-term outcomes.
Correct Answer is D
Explanation
A. Impaired ability to regulate body temperature: This condition is not characterized by jerking movements and twitching of the face and tongue. Impaired temperature regulation is more associated with conditions like neuroleptic malignant syndrome but does not specifically relate to the movements described.
B. Neuroleptic malignant syndrome: Neuroleptic malignant syndrome is a serious and potentially life-threatening condition that includes symptoms such as muscle rigidity, fever, autonomic instability, and altered mental status. While it can occur in patients taking antipsychotic medications, the movements described do not fit this diagnosis.
C. Extrapyramidal symptoms: Extrapyramidal symptoms (EPS) refer to a range of movement disorders caused by antipsychotic medications, including tremors, rigidity, and bradykinesia. However, the specific symptoms of jerking movements and twitching of the face and tongue are more characteristic of tardive dyskinesia rather than general EPS.
D. Tardive dyskinesia: Tardive dyskinesia is a condition often seen in individuals taking first-generation antipsychotic medications for an extended period. It is characterized by involuntary, repetitive movements, particularly in the face, tongue, and extremities. The client's symptoms of jerking movements and twitching align with this diagnosis.
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