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 C
Explanation
A. Stimulants: While stimulants can cause symptoms such as increased energy, agitation, and paranoia, the specific combination of paranoia, visual disturbances (such as talking to the wall), and altered perception is more indicative of hallucinogen use.
B. Anabolic steroids: Anabolic steroids primarily affect physical strength and body composition, and while they can lead to aggressive behavior, they do not typically cause the acute symptoms of paranoia and visual hallucinations seen in this client.
C. Hallucinogens: The symptoms described, including paranoia, dizziness, vomiting, and visual disturbances (evidenced by the client talking to the wall), are characteristic of hallucinogen use. Hallucinogens can induce altered perceptions and significant changes in mood and thought processes, leading to behaviors like the ones exhibited by the client.
D. Opioids: Opioids generally cause sedation, respiratory depression, and a sense of euphoria, but they do not typically produce paranoia or hallucinations. The symptoms presented by the client do not align with opioid intoxication.
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.
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