QUESTIONS AND ANSWERS
1. Family members of a client who abuses alcohol asks a nurse to help them
intervene. Which action is essential for a successful intervention?
a. All family members must tell the client they're powerless.
b. All family members must describe how the addiction affects them.
c. All family members must come up with their share of financial support.
d. All family members must become caregivers during the detoxification period.
b. All family members must describe how the addiction affects them.
2. A client who abuses alcohol tells a nurse, "I'm sure I can become a social
drinker." Which response is most appropriate?
a. "When do you think you can become a social drinker?
b. "What makes you think you'll learn to drink normally?"
c. "Does your alcohol use cause major problems in your life?"
d. "How many alcoholic beverages can a social drinker consume?"
c. "Does your alcohol use cause major problems in your life?"
3. A client askes a nurse not to tell his parents about his alcohol problem. Which
response is most appropriate?"
a. "How can you not tell them? Is that being honest?"
b. "Don't you think you'll need to tell them someday?"
c. "Do alcohol problems run in either side of your family?"
d. "What do you think will happen if you tell your parents?"
d. "What do you think will happen if you tell your parents?"
4. A nurse assesses a client with alcohol withdrawal. Which finding is of most
concern to the nurse?
a. Hallucinations
b. Nervousness
c. Diaphoresis
d. Nausea
a. Hallucinations
5. The nurse is assessing a client with prolonged, chronic alcohol intake. Which
of the following findings would the nurse expect to find?
a. Enlarged liver
b. Nasal irritation
c. Muscle wasting
d. Limb paresthesia
a. Enlarged liver
6. A client has an order for chlordiazepoxide (Librium) to be given as needed for
signs and symptoms of alcohol withdrawal. Which symptoms indicate that the
client needs this medication?
a. Mild tremors, hypertension, tachycardia
b. Bradycardia, hyperthermia, sedation
, c. Hypotension, decreased reflexes, drowsiness
d. Hypothermia, mild tremors, slurred speech
a. Mild tremors, hypertension, tachycardia
7. A client who abuses alcohol tells a nurse, "Alcohol helps me sleep." Which
information about alcohol use and sleep is most accurate?
a. Alcohol doesn't help promote sleep.
b. Continued alcohol use causes insomnia.
c. One glass of alcohol at dinnertime can induce sleep.
d. Sometimes alcohol can make one drowsy enough to fall asleep.
a. Alcohol doesn't help promote sleep.
8. A client withdrawing from alcohol is given lorazepam (Ativan). The nurse
teaches the client's family about the drug. Which response by a family member
indicates that the nurse's teaching has been successful?
a. "Short-term use of lorazepam can lead to dependence."
b. The lorazepam will reduce symptoms of withdrawal."
c. "The lorazepam will make him forget about symptoms of withdrawal."
d. "The lorazepam will also help with his heart disease."
b. The lorazepam will reduce symptoms of withdrawal."
9. A client who abuses alcohol tells a nurse everyone in his family has an alcohol
problem and nothing can be done about it. Which response is the most
appropriate?
a. "You're right, it's much harder to become a recovering person."
b. "This is just an excuse for you so you don't have to work on becoming sober."
c. Sometimes nothing can be done, but you may be the exception in this family."
d. "Alcohol problems can occur in families but you can decide to take the steps to
become and stay sober."
d. "Alcohol problems can occur in families but you can decide to take the steps to
become and stay sober."
10. A client with chronic alcoholism may be predisposed to develop which of the
following conditions?
a. Arteriosclerosis
b. Heart failure
c. Heart valve damage
d. Pericarditis
b. Heart failure
11. Which assessment finding is commonly associated with the abuse of alcohol
in a young, depressed adult women?
a. Defiant responses
b. Infertility
c. Memory loss
d. Sexual abuse
d. Sexual abuse
12. A nurse determines that a client who abused alcohol has nutritional problems.
Which strategy is best for addressing the client's nutritional needs?
a. Encourage the client to eat a diet high in calories.
b. Help the client recognize and follow a balanced diet.