The nurse admits a patient with a serious medical condition. During the assessment, the focus is on physical problems. The presence of substance abuse does not become apparent until the patient develops symptoms of

respiratory problems

depression problems

withdrawal problems

cardiac problems

Answer and Explanation

The Correct Answer is C

A. respiratory problems
These may occur with some drugs (like opioids), but are not a general indicator that someone has a substance use disorder.

B. depression problems
Depression might co-exist with addiction, but it doesn't reveal the substance abuse unless directly linked.

C. withdrawal problems
Substance abuse often becomes evident when the patient enters withdrawal, especially in a controlled environment like a hospital where access to substances is restricted.

D. cardiac problems
Some drugs can affect the heart, but cardiac issues alone do not necessarily point to substance abuse.

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Correct Answer is ["A","D","E"]

Explanation

A. Paranoid delusions:
Delirium tremens (DTs) may cause paranoid or persecutory delusions.

B. Grandiosity:
Typically associated with mania or certain personality disorders, not alcohol withdrawal.

C. Hypotension:
Alcohol withdrawal delirium is more likely to cause hypertension and tachycardia due to autonomic hyperactivity.

D. Tremors:
Tremors are a hallmark early sign of alcohol withdrawal and can persist into withdrawal delirium.

E. Visual hallucinations:
Alcohol withdrawal delirium often includes vivid visual (and tactile) hallucinations.

A. late stage B. end stage C. middle stage D. early stage

Correct Answer is A

Explanation

A. late stage
In the late stage, individuals are often isolated, physically dependent, and unable to function without the drug.

B. end stage
Often used interchangeably with late stage, but "late stage" is the more appropriate clinical term.

C. middle stage
Characterized by increasing use and noticeable life disruption, but functioning may still be present.

D. early stage
In the early stage, individuals may deny the problem and often maintain normal routines despite increasing use.

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The nurse admits a patient with a serious medical condition. During the assessment, the focus is on physical problems. The presence of substance abuse does not become apparent until the patient develops symptoms of

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is experiencing alcohol withdrawal delirium. Which of the following findings should the nurse expect? (Select all that apply)

Correct Answer is ["A","D","E"]

Explanation

When does the addictive/dependent personality, due to continuous drug use, result in an inability to function without the substance, and little or no contact with other people?

Correct Answer is A

Explanation

In which situation, can privileged communication be revealed?

Driving and drinking accounts for large numbers of motor vehicle accidents. In an effort to prevent this, most states have limit laws governing the level of alcohol which is allowed in the blood stream of a driver. In most states this level is:

Symptoms of withdrawal from alcohol characterized by agitation, disorientation, hallucinations and/or delusions are termed:

A nurse is reinforcing teaching with a client who has alcohol use disorder and is taking disulfiram. Which of the following statements should the nurse include in the teaching?

An involuntary admission is:

Nurses know that alcohol functions as a

The person chronically abusing drugs runs the risk of mental impairment. The area of the brain which can be affected and be permanently damaged is the:

A nurse is caring for a client who is experiencing opioid withdrawal. Which of the following medications should the nurse anticipate the provider to prescribe?