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Study concepts, example questions & explanations for NCLEX
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Example Questions
Example Question #1 : Alcohol And Drug Abuse
The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM V) criteria for substance abuse includes all of the following except __________.
All of these are part of the DSM V criteria for substance abuse
recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home
continued substance use despite having persistent or recurrent social or interpersonal problems caused by or exacerbated by the effects of the substance
recurrent substance use in situations in which it is physically hazardous
All of these are part of the DSM V criteria for substance abuse
All of the items listed are part of the DSM V criteria for substance abuse. In addition, the individual's symptoms must not qualify for substance dependence and recurrent substance-related legal problems are other DSM V criteria for substance abuse.
Example Question #1 : Alcohol And Drug Abuse
A 42 year old man presents to the ER for alcohol toxicity. While taking the history, the nurse discovers that he drinks on average one fifth of vodka per night, and often must drink an additional 6-12oz to get "a good buzz." When he doesn't drink, he experiences tremors and feels unwell until he is able to drink again. When asked if he would like to quit drinking he states that he has tried unsuccessfully several times over his life. He knows that he needs to get control over his drinking because it is seriously impairing his relationship with his husband and their 13 year old daughter.
According to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM V), this patient can be considered to have which of the following conditions?
Substance abuse
Substance dependency
Substance addiction
None of these
Substance dependency
The symptoms described by this patient put his alcohol use in the category of substance dependency, according to the DSM V, a more severe form of abuse than substance addiction. The criteria for this condition are:
- Tolerance
- Withdrawal
- Unintentional excesses in consumption
- Persistent desire or unsuccessful efforts to reduce or control substance use
- A great deal of time is spent to get, use, or recover from the substance
- Interference with social life
- The substance use is continued despite knowledge problems caused by use
Example Question #1 : Alcohol And Drug Abuse
Prolonged alcohol abuse can result in a severe deficiency in what vitamin?
Folate
Thiamine (B1)
Niacin (B3)
Vitamin C
Thiamine (B1)
Prolonged alcohol abuse can result in a severe deficiency in thiamine, or vitamin B1 by reducing dietary thiamine intake, impairing gastrointestinal absorption of thiamine, and causing impaired thiamine utilization in cells. Note that individuals who partake in prolonged alcohol abuse may have various other dietary deficiencies.
Example Question #3 : Alcohol And Drug Abuse
Which of the following symptoms is most worrisome in a patient undergoing alcohol withdrawal?
Tachycardia
Agitation
Delirium tremens
Bradycardia
Delirium tremens
Delirium tremens (DT) is a rapid onset of confusion seen during alcohol withdrawal. The symptoms of DT include altered mental status, autonomic instability, and even seizures. DT is also characterized by hallucinations such as the sensation of something "crawling" on the patient. DT is the most severe consequence of withdrawal and can be fatal if untreated.
Example Question #781 : Nclex
Example Question #782 : Nclex
Example Question #1 : Nurse Patient Relationship
Example Question #783 : Nclex
Identify the disorder that presents the following signs and symptoms: numbness, paralysis, loss of vision, or other neurological symptoms after a traumatic or stressful event, without any identifiable medical cause.
Stiff person syndrome
Schizophrenia
Bipolar disorder
Conversion disorder
Conversion disorder
Conversion disorder is typified by numbness, paralysis, loss of vision, or other neurological symptoms after a traumatic or stressful event, without any identifiable medical cause. Schizophrenia, bipolar disorder, and stiff person syndrome all have medically identifiable causes.
Example Question #784 : Nclex
What is the best approach towards dealing with a delirious patient?
Frequent 4-point restraints
Frequent reorientation to time, place, and name.
Frequent sedation with benzodiazepenes
Frequent sedation with antipsychotics
Frequent reorientation to time, place, and name.
Delirium is an organic dysfunction of the brain usually seen in sick patients post-op. These patients need frequent reorientation to name, time, and place until the delirium resolves. Agitation, confusion, and difficult to control behavior is typically controlled with antipsychotics, however, they are not first line treatment. Restraints should be avoided at all costs.
Example Question #785 : Nclex
Which of the following describes the professional role of the nurse in a healthcare setting?
Assessment
Caregiver
Patient advocate
All of these
All of these
All of these are important professional roles of the nurse in a healthcare setting.
Certified Tutor
Certified Tutor
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