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C. Your boss sounds pretty harsh!

D. Well, you are here on your own, so you can leave whenever you want to.

23. A patient has completed treatment for alcoholism. If treatment was successful, a nurse might expect which of the following outcome statements from this patient upon discharge?

A. Now, if my family will just be good, I wont be back!

B. I just know I can have an occasional drink and be fine. I know how to handle it now.

C. I realize that Alcoholics Anonymous will always be a requirement. I am responsible for my own sobriety.

D. I am so glad I found out what my problem is. I am cured now!

24. Which of the following is a club drug?

A. Rohypnal

B. Crack

C. Placidyl

D. Angel dust

Completion

Complete each statement.

25. You are completing the discharge plan for an alcoholic patient. Which support group should be included in the plan?

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

26. You find out that your schizophrenic patient is also using opioids to counteract the frightening hallucinations. What term(s) is used to describe this? (Select all that apply)

A. Dual diagnosis

B. Bipolar schizophrenia

C. Co-occurring disorder

D. Opioid-related schizophrenia

E. Schizophrenia: Addiction type

27. Which of the following are true about Alcoholics Anonymous? (Select all that apply)

A. A physician referral is needed.

B. Family and friends are encouraged to attend the regular meetings with the alcoholic.

C. No last names are used at the meetings.

D. The group for family members is Al-Anon.

E. Offshoots such as Narcotics Anonymous follow a different philosophy.

F. The individual is encouraged to admit he or she is powerless over alcohol.

Answer Section

MULTIPLE CHOICE

1. ANS: C

These three symptoms are common with a stimulant such as cocaine. They could occur with the other substances but are not the hallmark symptoms.

2. ANS: A

This medication is often initially used to treat alcohol withdrawal symptoms. Response B is a treatment for alcoholism not withdrawal. Response C is an antipsychotic and response D is used in opioid addiction.

PTS: 1

3. ANS: B

This response indicates the person is minimizing or not acknowledging that she has a problem. In the other responses the patient is acknowledging drinking but rationalizing the causes.

4. ANS: C

Responses A, B, and D all reinforce use of ineffective defense mechanisms, including denial, rationalization, and minimization. Response C reflects understanding of the disease as a lifelong struggle.

PTS: 1

5. ANS: B

Blackouts are gaps in memory that are symptomatic of advanced alcoholism.

6. ANS: A

Marijuana is a cannabinol. It is not a narcotic or an amphetamine.

7. ANS: C

Disulfiram (Antabuse) is used to treat alcoholism by producing severe adverse effects in the presence of alcohol. Responses A and D are antipsychotics, and response B is an antianxiety medication used to treat alcohol withdrawal.

8. ANS: C

This response supports a safe environment for this patient, the other patients, visitors, and staff. Ignoring him will escalate the situation. Because her judgment is impaired, trying to reason with her will be unsuccessful.

9. ANS: B

This response shows that the wife is covering for her husband so he doesnt have to take responsibility for his actions. Response D is more denial. Responses A and C are indications of facing the reality of this situation.

PTS: 1

10. ANS: B

Supporting problem solving and helping her express herself is most important. Response A is advice giving, which is not appropriate. You dont have enough information to know if response C or D is correct.

11. ANS: B

Withdrawal symptoms in a heavy drinker generally begin within 24 to 48 hours after the last drink, although they can occur as early as 8 hours after the last drink.

12. ANS: C

This is the healthiest response that she is not accepting a victim role. In response A she continues to accept his bad behavior. In response B she is taking responsibility for his drinking, which is codependent. Response D views the meetings as escape rather than a place to work on issues.

13. ANS: A

These are classic symptoms along with irritability, rhinorrhea, and chills.

14. ANS: A

Response A is an open-ended statement to help her identify her feelings and encourage further exploration. Response B asks for him to understand why he feels this way and he may not know. Responses C and D reinforce denial.

15. ANS: C

Blackouts are indications of advanced alcoholism when the person has no memory of recent events.

16. ANS: D

Taking personal responsibility for the misuse of alcohol and the distress it has caused others is key to beginning recovery. It is the basis of Alcoholics Anonymous. Blaming others for ones problem may be an initial coping mechanism.

PTS: 1