A patient with Wernicke-Korsakoff syndrome has the nursing diagnosis impaired memory, related to neurotoxicity of alcohol. Which defining characteristic applies to this diagnosis?
a. Confabulation
b. Hallucinosis
c. Flashbacks
d. Blackouts
Question 2Which assessment findings related to a 68-year-old patient should be identified as risk factors for late-onset alcohol abuse and dependence? Select all that apply.
a. Chronic obstructive pulmonary disease
b. Insomnia
c. Male gender
d. Boredom and loneliness
e. Recent loss of spouse
Question 3A blackout is described as
a. a comatose period related to alcohol withdrawal.
b. a comatose episode associated with alcohol intoxication and poisoning.
c. a time period in which a person who has used alcohol is unresponsive to the environment.
d. an episode in which a person under the influence of alcohol functions normally but later is unable to remember.
Question 4Which remarks by a 72-year-old patient should prompt the nurse to assess for depression? Select all that apply.
a. Lately I have had a lot of aches and pains and just haven't felt very well.
b. My appetite is better than usual, and I am sleeping about 9 hours a night.
c. People are in and out of my room all day and all night taking my things.
d. Don't ask me to eat. I can't because my stomach is upset all the time.
e. Life is more organized now that I don't live in my own home.
Question 5Select the most important assessment question to ask a patient suspected of having a dissociative disorder.
a. Do any members of your family have problems with drugs or alcohol?
b. Do you ever find yourself in places with no idea how you got there?
c. How would you describe your current level of anxiety?
d. How do you think we can be of help to you?
Question 6A priority focus of milieu management for a patient diagnosed with dissociative identity disorder (DID) should be
a. ensuring safety.
b. stimulating memory return.
c. insight-oriented group therapy.
d. gathering data about family relationships.
Question 7A patient says, I felt good from drinking a six-pack a few months ago. Now I need a few extra cans to get the same high. The nurse assesses this phenomenon as related to
a. tolerance.
b. withdrawal.
c. co-dependency.
d. abstinence syndrome.
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