*NURSING > EXAM PROCTORED > NUR 354 Varcarolis Foundations of Psychiatric-Mental Health Nursing 8th Edition by Halter (Chapter 2 (All)

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NUR 354 Varcarolis Foundations of Psychiatric-Mental Health Nursing 8th Edition by Halter (Chapter 22)

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NUR 354 Varcarolis Foundations of Psychiatric-Mental Health Nursing 8th Edition by Halter (Chapter 22) A patient diagnosed with alcohol use disorder asks, “How will Alcoholics Anonymous (AA) help... me?” Select the nurse’s best response. a. “The goal of AA is for members to learn controlled drinking with the support of a higher power.” b. “An individual is supported by peers while striving for abstinence one day at a time.” c. “You must make a commitment to permanently abstain from alcohol and other drugs.” d. “You will be assigned a sponsor who will plan your treatment program.” ANS: B Admitting to being an alcoholic, making an attempt to remain alcohol-free for a day at a time, and receiving support from peers are basic aspects of AA. The other options are incorrect. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 22-48, 50, 51 TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity 2. A nurse reviews vital signs for a patient admitted with an injury sustained while intoxicated. The medical record shows these blood pressure and pulse readings at the times listed: 0200: 118/78 mm Hg and 72 beats/minute 0400: 126/80 mm Hg and 76 beats/minute 0600: 128/82 mm Hg and 72 beats/minute 0800: 132/88 mm Hg and 80 beats/minute 1000: 148/94 mm Hg and 96 beats/minute What is the nurse’s priority action? a. Force fluids. b. Begin the detox protocol. c. Obtain a clean-catch urine sample. d. Place the patient in a vest-type restraint. ANS: B Elevated pulse and blood pressure may indicate impending alcohol withdrawal and the need for detox with medical intervention to prevent a hypertensive crisis and/or seizures. No indication is present that the patient may have a urinary tract infection or is presently in need of restraint. Hydration will not resolve the problem. PTS: 1 DIF: Cognitive Level: Analyze (Analysis) REF: Pages 22-31, 32, 38, 39 TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity [Show More]

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