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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. To empower the client to be engaged in personal care: Understanding a client's cultural and spiritual beliefs is essential for developing a personalized care plan that respects their values and preferences. This empowerment can enhance the client's involvement in their own care, promoting a sense of autonomy and ownership over their treatment.
B. To decrease the client's stress: While recognizing cultural and spiritual beliefs may help reduce stress by providing a sense of support, the primary purpose of collecting this information is to enhance engagement in care rather than solely focusing on stress reduction.
C. To increase the client's motivation to learn about their culture: While discussing cultural beliefs may encourage reflection on identity, the primary aim is not necessarily to motivate the client to learn about their culture, but rather to ensure that care is culturally competent and supportive.
D. To detect changes in the client's condition: While understanding cultural and spiritual beliefs can provide context for a client’s behavior and emotional state, the primary purpose of collecting this information is to support and empower the client in their personal care rather than to solely monitor changes in their condition.
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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