A patient who is an alcoholic is prescribed disulfiram [Antabuse] to help prevent relapse and the nurse provides teaching about the use of this drug. Which statement by the patient indicates un-derstanding of the teaching?
a. "I may use alcohol in cooking since heat-ing foods destroys the alcohol."
b. "I should avoid shaving lotion and mouthwashes that contain even small amounts of alcohol."
c. "If I decide to drink, I should stop taking the disulfiram at least one week prior to consuming alcohol."
d. "If I use alcohol, the effects will be un-comfortable but are not dangerous."
B
Patients taking disulfiram should be counseled to avoid alcohol in any form and to avoid even alcohol applied to the skin. Alcohol in cooking must be avoided as well. Disulfiram effects will persist up to 2 weeks after taking the medication, so it is not safe to consume alcohol within a week of the last dose. Disulfiram, combined with alcohol, may produce fatal effects.
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A client who is to take a drug at equal intervals three times a day and who usually awakens at 8:00 AM and goes to bed at 10:00 PM should take the drug at what times? _______________
a. 0800 and 2000 b. 0900 and 2100 c. 0900, 1400, and 2000 d. 0800, 1500, and 2200
A client is being admitted to an inpatient clinical unit for treatment of obsessive-compulsive anxiety disorder. The nurse understands that this anxiety disorder is associated with which of the following?
A) Feelings of terror B) Nightmares C) Persistent unwanted thoughts and ritualistic behaviors D) Flashbacks
The plan for a depressed patient includes use of cognitive therapy. The nurse supports this therapy by
a. uncovering unconscious conflicts by encouraging description of childhood traumas. b. challenging pessimistic beliefs and recognizing the patient's accomplishments. c. determining areas of mutual understanding between the nurse and patient. d. using role-playing to rehearse new behaviors.
A client, age 42, has been battered by her husband since they were married 8 years ago. Until this hospitalization for major depression, she had avoided dealing with her situation, but she now ex-presses a desire to deal with the problem
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