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WorksheetsNursing 103-Unit 5 Review
Total questions: 25
Worksheet time: 25mins
Given a scenario where a person is struggling after getting married due to lack of role models and poor coping skills, plan a nursing intervention that addresses the underlying cause of their crisis. Which approach best aligns with the recommended nursing focus for maturational crises?
Provide immediate emotional support and help find support systems.
Encourage open discussion about change and teach positive coping skills.
Encourage expression of feelings and provide reassurance.
Help the person regain control and stability through medication.
A nurse is supporting a patient who is a victim of a recent accident and is experiencing intense anger and loss of control. Using strategic thinking, select the most appropriate nursing focus for this type of crisis and justify your choice.
Teach positive coping and stress-reduction skills.
Provide reassurance and role support.
Provide immediate emotional support and help problem solve.
Encourage open discussion about change.
Strategically analyze why rotating opioid medication regimens might put patients at risk for opioid overdose, using reasoning based on the information provided.
Rotating regimens always increases opioid tolerance, making overdose impossible.
Rotating regimens can result in incomplete cross-tolerance, meaning the body may not be fully adapted to the new opioid, increasing the risk of overdose.
Rotating regimens ensures that patients never experience withdrawal symptoms.
Rotating regimens eliminates all risk of overdose by balancing opioid levels.
Analyze how the DSM-5’s approach to substance use disorder differs from previous classifications, and discuss the implications of combining “abuse” and “dependence” into a single diagnosis.
DSM-5 separates “abuse” and “dependence” into two distinct disorders, making diagnosis more specific.
DSM-5 eliminates both “abuse” and “dependence” as diagnostic categories, focusing only on withdrawal symptoms.
DSM-5 combines “abuse” and “dependence” into a single diagnosis, reflecting a spectrum of severity.
DSM-5 only recognizes “dependence” and ignores “abuse” as a clinical issue.
Imagine a scenario where someone stops using a drug after prolonged use and begins to experience physical and psychological symptoms. Using reasoning, identify the term that best describes this process and explain why it occurs.
Intoxication; because the drug is affecting thinking and behavior.
Tolerance; because the body needs more of the drug.
Withdrawal; because the body is reacting after stopping the drug.
Addiction; because the person is using the drug compulsively.
Consider a situation where a person’s thinking and behavior are noticeably altered after taking a drug. Using your understanding of related terms, identify the most appropriate term for this condition and justify your choice.
Withdrawal; because the body is reacting after stopping the drug.
Intoxication; because the drug is affecting thinking and behavior.
Tolerance; because the body needs more of the drug.
Addiction; because the person is using the drug compulsively.
Given the signs and causes listed, how might a healthcare facility strategically plan to prevent substance use among its staff?
Implement stress management programs, restrict medication access, and provide coping skills training
Increase work hours, reduce staff breaks, and limit communication
Remove all medications from the facility and eliminate reporting laws
Focus only on patient care and ignore staff well-being
Analyze how cultural and genetic factors might influence the rates of alcoholism among different ethnic groups, using Native Americans and Asians as examples.
Cultural and genetic factors have no impact on alcoholism rates among ethnic groups.
Native Americans have higher alcoholism rates, while Asians have lower rates and their bodies react poorly to alcohol, indicating the influence of both culture and genetics.
All ethnic groups have the same alcoholism rates regardless of culture or genetics.
Only genetics, not culture, affects alcoholism rates among ethnic groups.
Given the information about alcohol use disorder, analyze why alcohol is both widely accepted in many cultures and yet is the most commonly abused substance. Discuss the implications of this paradox for public health strategies.
Alcohol is widely accepted because it is legal and used in celebrations, but its legality leads to higher rates of abuse, requiring targeted public health interventions.
Alcohol is only abused in cultures where it is illegal, so making it legal everywhere would reduce abuse.
Alcohol is not actually abused more than other substances, so public health strategies should focus elsewhere.
Alcohol is only used in private settings, so public health strategies are unnecessary.
Evaluate the risks associated with different blood alcohol levels (BAL) and explain why a BAL of 0.4 or higher is considered life-threatening.
A BAL of 0.4 or higher can cause coma or death due to severe alcohol intoxication affecting vital bodily functions.
A BAL of 0.4 or higher only causes mild intoxication and is not dangerous.
A BAL of 0.4 or higher improves mood and coordination.
A BAL of 0.4 or higher is the legal limit for driving in most countries.
Given the information about alcohol's effects, devise a plan for a public health campaign that addresses both the health and family consequences of alcohol abuse. What key points should be included to ensure the campaign is effective?
Focus only on the legal consequences of alcohol use.
Highlight both the risk of diseases like cancer and stroke, and the impact on family relationships such as codependency and emotional stress.
Emphasize that alcohol is safe for older adults.
Only discuss the effects of alcohol on pregnant women.
Given the signs of alcohol withdrawal, how would you strategically plan the monitoring and care for a patient at risk of severe withdrawal symptoms?
Monitor for seizures/confusion and provide supportive care for anxiety and high blood pressure
Focus only on hydration and ignore neurological symptoms
Only monitor for shaking hands and ignore other symptoms
Encourage the patient to resume alcohol use to prevent symptoms
Given a patient with severe vitamin deficiencies during withdrawal, how would you integrate vitamin replacement into the overall withdrawal management plan, and why is this step critical?
Vitamin replacement is unnecessary if fluids are given.
Vitamin replacement should be prioritized to address deficiencies and prevent complications, as part of a multi-step approach.
Only electrolytes need to be replaced, not vitamins.
Vitamin replacement should be delayed until after detoxification is complete.
How does the use of benzodiazepines contribute to the safety and comfort of a patient undergoing withdrawal, and what reasoning supports their inclusion in the treatment protocol?
Benzodiazepines are used to increase vitamin absorption.
Benzodiazepines are included to provide comfort and safety by reducing withdrawal symptoms and preventing complications such as seizures.
Benzodiazepines are only used to replace lost fluids.
Benzodiazepines are not recommended in withdrawal management.
A patient with alcohol use disorder is struggling with intense cravings but does not experience sickness when consuming alcohol. Based on the medications listed, which would be the most strategic choice to help manage their cravings, and why?
Disulfiram, because it causes sickness if alcohol is consumed.
Naltrexone, because it blocks the "high."
Acamprosate, because it helps with cravings.
Topiramate, because it may reduce drinking desire.
Imagine you are developing a prevention program for suicide in a high school. Based on strategic thinking, which risk factors should you prioritize addressing to have the greatest impact on reducing suicide risk among students?
Prior suicide attempt, access to lethal means, impulsive or aggressive behavior
Physical illness, recent academic failure, lack of hobbies
Poor nutrition, excessive screen time, lack of sleep
Family history of diabetes, frequent travel, allergies
Evaluate how the presence of command hallucinations (psychotic voices) might influence a person's behavior, and design a strategic approach for mental health professionals to address this risk.
Command hallucinations may instruct self-harm, so professionals should use antipsychotic medication and close monitoring to reduce risk.
Command hallucinations are harmless and require no intervention.
Command hallucinations only affect physical health, so exercise is the best approach.
Command hallucinations can be ignored as they do not influence behavior.
Analyze why an individual might develop an "escape plan" as a response to emotional, physical, or psychological suffering, and propose a strategic intervention to address this mindset.
An escape plan may be seen as a way to end suffering; intervention should focus on building coping skills, providing support, and addressing underlying issues.
An escape plan is unrelated to suffering; intervention is unnecessary.
An escape plan only addresses physical pain; medication is the only solution.
An escape plan is a sign of recovery; no intervention is needed.
When planning nursing interventions for a patient at risk of self-harm, which strategic actions should be prioritized to maintain safety?
Remove sharp objects, cords, razors, glass, and belts from the patient’s environment.
Allow the patient to keep personal belongings for comfort.
Focus only on medication administration.
Encourage the patient to spend time alone for reflection.
Assess the impact of early intervention programs on reducing the incidence of substance use disorders among adolescents. Which strategy is most effective based on current evidence?
Providing education about the dangers of substance use and building coping skills in schools.
Encouraging experimentation to build resilience.
Focusing only on punitive measures for students caught using substances.
Ignoring substance use until it becomes a severe problem.
Describe the potential complications that can arise from untreated alcohol withdrawal and explain the importance of early intervention.
Untreated alcohol withdrawal only causes mild discomfort and does not require intervention.
Untreated alcohol withdrawal improves mental clarity and physical health.
Untreated alcohol withdrawal is not associated with any medical risks.
Untreated alcohol withdrawal can lead to seizures, delirium tremens, and even death, making early intervention critical for patient safety.
Analyze how family involvement can influence the recovery process for a person with a substance use disorder, and suggest a key intervention to support positive outcomes.
Family involvement can provide emotional support and accountability; involving families in therapy can improve recovery outcomes.
Family involvement has no impact on recovery and should be avoided.
Family involvement increases the risk of relapse and should be discouraged.
Family involvement is only necessary after recovery is complete.
Identify the most effective nursing intervention for a patient experiencing severe anxiety after a traumatic event, and explain your reasoning.
Encourage the patient to suppress their emotions and avoid discussing the event.
Provide a calm environment, offer reassurance, and assist the patient in expressing their feelings.
Advise the patient to isolate themselves until the anxiety subsides.
Focus solely on medication administration to reduce anxiety.
Discuss how peer support groups can impact the recovery journey of individuals with substance use disorders, and select the most beneficial approach for integrating these groups into treatment plans.
Peer support groups are only effective for adolescents, not adults.
Peer support groups are not recommended as they may trigger relapse.
Peer support groups should only be used after all other treatments have failed.
Peer support groups offer shared experiences and encouragement, which can enhance motivation and accountability in recovery.
Evaluate the importance of early screening for substance use in primary care settings. Which strategy best supports early identification and intervention?
Implement routine screening questionnaires for all patients and provide brief interventions when necessary.
Wait until patients show severe symptoms before screening.
Screen only patients who request help for substance use.
Rely solely on physical exams to detect substance use issues.
