N4 N5 - Test - Caring For an Alcohol Dependent Patient

This is useful info for both classes.

http://www.nursingcenter.com/prodev/ce_article.asp?tid=287337

http://www.erowid.org/chemicals/alcohol/alcohol_ARF_withdrawal_scale.shtml

http://www.mentalhealth.com%20/

http://etoh.niaa.nih.gov%20/

Using the CAGE screening questionnaire
More than two positive responses to the following questions suggests alcohol dependence.
1. Have you ever felt you ought to Cut down on your drinking?
2. Have people Annoyed you by criticizing your drinking?
3. Have you ever felt bad or Guilty about your drinking?
4. Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover ( Eye-opener)?

Test Yourself
1.
What percentage of Americans ages 18 to 64 meets the standard diagnostic criteria for alcohol abuse?
a. 8%
b. 20%
c. 27%
d. 36%

2.
A diagnosis of alcohol abuse is based on
a. a set amount of alcohol consumed per day.
b. the frequency with which alcohol is consumed.
c. behavioral indicators of addictive disease.
d. CIWA-Ar assessment tool scores.

3.
The severity of AWS is directly related to
a. the quantity of alcohol intake and the chronicity of alcohol abuse.
b. the incidence of alcohol hallucinosis.
c. CAGE screening results.
d. a score below 10 on the CIWA-Ar.

4.
The first phase of AWS is characterized by
a. status epilepticus.
b. autonomic hyperactivity.
c. global confusion.
d. delirium tremens.

5.
The percentage of patients who develop alcohol withdrawal seizures during the first phase of AWS is
a. 5% to 10%.
b. 15% to 20%.
c. 25% to 30%.
d. 50% to 60%.

6.
After the last drink, initial symptoms of DTs become evident within
a. 8 to 12 hours.
b. 16 to 24 hours.
c. 48 to 72 hours.
d. 76 to 96 hours.

7.
The most reliable, valid, and practical screening questionnaire for alcohol abuse is
a. GGT.
b. MCV.
c. CIWA-Ar.
d. CAGE.

8.
Which of the following forms the basis for pharmacologic management of AWS?
a. CAGE scores
b. CIWA-Ar scores
c. MCV, GGT, and CDT levels
d. number of withdrawal episodes the patient has experienced

9.
All patients with AWS should receive
a. clonidine.
b. beta-blockers.
c. I.V. fluids.
d. thiamine.

10.
Manage symptoms of AWS by replacing ethanol with a
a. CNS stimulant.
b. B complex vitamin.
c. beta-blocker.
d. benzodiazepine.

11.
A patient is considered in severe withdrawal if his CIWA-Ar score is above
a. 2.
b. 4.
c. 10.
d. 20.

12.
Treat autonomic symptoms of AWS with
a. clonidine.
b. haloperidol.
c. thiamine.
d. diazepam.

13.
Alcohol's adverse effects on the cardiovascular system include
a. peripheral vasoconstriction.
b. severe hypertension.
c. mural thrombi.
d. thrombocytopenia.

14.
Alcohol's effects on the GI system include
a. Wernicke's syndrome.
b. Korsakoff's syndrome.
c. Mallory-Weiss lesions.
d. increased granulocyte mobility.