The nurse working with clients who have a history of substance abuse understands that a major reason ...

The answer to question 1

Answer: 4

1. Fears also might contribute to their avoidance, but they are not the main reason.
2. Fears also might contribute to their avoidance, but they are not the main reason.
3. Fears also might contribute to their avoidance, but they are not the main reason.
4. Denial is a common coping mechanism used by people with substance abuse.

The answer to question 2

Answer: 1

1. An increased tolerance indicates a maladaptive pattern and can progress to substance dependency.
2. Drinking with friends is not a positive sign, but is typical teenage behavior and would not be the best indicator of an abuse problem.
3. A desire to stop is positive.
4. Absences from school can be attributed to any of many reasons.

The answer to question 3

Answer: 3

1. Infertility is an issue with the alcoholic that cannot be prevented by adequate nutrition.
2. Osteoporosis develops as a result of damage to the musculoskeletal system.
3. Korsakoff's syndrome is caused by a deficiency of the B vitamins.
4. Cirrhosis of the liver results from alcohol-induced liver damage.

The answer to question 4

Answer: 3

1. Amphetamines are a CNS stimulant. The nurse would observe for the heart rate to decrease to normal.
2. During withdrawal, the client is generally depressed, and the nurse would assess for a normal mood as a goal.
3. The client on amphetamines loses weight as every system speeds up. The weight gain would indicate that the client is meeting a goal.
4. The nurse would expect less irritability with improvement.

The answer to question 5

Answer: 4

1. Bleeding during labor is not a complication of drinking wine.
2. Wine is an alcoholic beverage, and should not be ingested during pregnancy.
3. Wine can cause fetal anomalies.
4. Fetal alcohol syndrome can result from ingesting wine or liquor during pregnancy.

The answer to question 6

Answer: 1

1. Depending on the severity of withdrawal, the client might experience seizures. The nurse should pad the bed with blankets and puts other seizure precautions in place.
2. The nurse should assess vital signs more frequently than every 8 hours, as vital signs will help the nurse determine the severity of withdrawal.
3. The client in withdrawal will not be able to eat in the acute phase.
4. Skin care is always appropriate; however, when in withdrawal, safety of the client is the nursing priority.

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