A nurse is caring for a client who has cocaine use disorder. Which of the following manifestations should the nurse expect the client to have during withdrawal?
Fatigue
Hand tremors
Rapid speech
Seizures
The Correct Answer is A
A. Fatigue: Fatigue is a common symptom of cocaine withdrawal, as the body adjusts to the absence of the stimulant. Clients often feel extremely tired or lethargic during this phase. Depressive symptoms that accompany withdrawal can also contribute to feelings of exhaustion.
B. Hand tremors: Hand tremors are more often seen with alcohol withdrawal or neurological disorders. While tremors can occur in some cases, they are not a typical manifestation of cocaine withdrawal. The focus is more on mood and energy changes.
C. Rapid speech: Rapid speech is a sign of cocaine intoxication, not withdrawal. During withdrawal, clients tend to experience slowed speech and cognitive dulling, not the heightened energy associated with the drug.
D. Seizures: Seizures are more related to cocaine overdose or intoxication, not withdrawal. Withdrawal typically involves mood changes and fatigue rather than physical manifestations like seizures.
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Related Questions
Correct Answer is C
Explanation
A. "My boss fired me due to my frequent absence": This statement indicates a lack of support in the client's work environment, rather than a positive support system. Losing a job due to alcohol use suggests strained relationships and challenges in the client's social or professional life.
B. "My friends frequently drink alcohol, so I do not see them anymore": While the client is avoiding potentially harmful relationships, this statement indicates isolation rather than a supportive network.
C. "I have a sibling who attends Al-Anon": This statement indicates that the client has a family member actively involved in a support group (Al-Anon), which is designed for families and friends of individuals with alcohol use disorders. This suggests the client has a support system in place.
D. "I take care of my parent who has Wernicke-Korsakoff syndrome": While this indicates a sense of responsibility, it does not necessarily point to a supportive relationship. The client may be struggling with caregiving without the emotional or social support they need.
Correct Answer is B
Explanation
A. Client withdrawal of prior consent must be done in writing: While clients can withdraw consent, it does not always need to be done in writing, depending on the situation. Verbal withdrawal is often sufficient unless specified otherwise.
B. Clients can refuse to attend group therapy: Clients have the right to refuse treatments and therapies, including group therapy, unless they pose a direct threat to themselves or others. This is part of respecting client autonomy.
C. Clients who are involuntarily committed do not maintain access to legal counsel: Clients who are involuntarily committed still have the right to access legal counsel. They have the right to challenge their commitment and consult with an attorney.
D. Clients who have a severe mental illness cannot request a psychiatric advance directive: Clients, regardless of the severity of their mental illness, can request a psychiatric advance directive. This document helps ensure that their treatment preferences are known if they are unable to communicate them during a crisis.
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