1) A nurse is planning a staff education program on substance use in older adults. Which of the following information should the nurse to include in the presentation? a) Older adults require higher doses of a substance to achieve a desired effect. b) Older adults commonly use rationalization to cope with a substance use disorder. c) Older adults are at an increased risk for substance use following retirement. d) Older adults develop substance use to mask manifestations of dementia. 2) A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect? (Select all that apply.) a) Bradycardia b) Fine tremors of both hands c) Hypotension d) Vomiting e) Restlessness 3) A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. Which of the following interventions should the nurse identify as the priority? a) Orient the client frequently to time, place, and person. b) Offer fluids and nourishing diet as tolerated. c) Implement seizure precautions. d) Encourage participation in group therapy sessions. 4) A nurse is caring for a client who has alcohol use disorder. The client is no longer experiencing withdrawal manifestations. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? a) Chlordiazepoxide b) Bupropion c) Disulfiram d) Carbamazepine 5) A nurse is providing teaching to the family of a client who has a substance use disorder. Which of the following statements by a family member indicates an understanding of the teaching? (Select all that apply.) a) “We need to understand that our sibling is responsible for their disorder.” b) “Eliminating codependent behavior will promote recovery.” c) “Our sibling should participate in an Al Anon group to assist with recovery.” d) “The primary goal of treatment is abstinence from substance use.” e) “Our sibling needs to discuss personal feelings about substance use to help with recovery.” 6) A client is being seen at an outpatient clinic and askes the nurse if there is anything he can do to quit smoking. The nurse recommend talking with provider about verenicline. What is the priority client teaching about this medication?  a) It can cause liver damage, take it with water b) It increase risk for suicide attempt, report change in mood and depressive symptoms. c) It is effective when taking with bupropion d) Start medication after three weeks from last cigarette

Substance Use disorders

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