Nclex-Rn Practice Questions-Care Of The Psychiatric Client - Substance Abuse Disorders Part 1
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Question 1 |
Family members of an alcoholic client ask the 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. |
Question 2 |
The nurse is developing interventions to prevent a client who abused alcohol from relapsing. What is the most important intervention for the client?
A | Avoid taking over-the-counter medications. |
B | Limit monthly contact with the family of origin. |
C | Refrain from becoming involved in group activities. |
D | Avoid people, places, and activities from the former lifestyle. |
Question 3 |
What is the most important assessment for a nurse to implement before starting a teaching session for a client who abuses alcohol?
A | Sleep patterns |
B | Decision making |
C | Note-taking skills |
D | Readiness to learn |
Question 4 |
The nurse is preparing a teaching plan for a client who abused alcohol. What is the most important information for the nurse to include?
A | Personal needs |
B | Illness exacerbation |
C | Cognitive distortions |
D | Communication skills |
Question 5 |
A nurse suggests to a client struggling with alcohol addiction that keeping a journal may be helpful. The goal of this nursing intervention is to help the client do what?
A | Identify stressors and responses to them. |
B | Understand the diagnosis. |
C | Help others by reading the journal to them. |
D | Develop an emergency plan for use in a crisis. |
Question 6 |
The nurse has just completed an assessment of a client recovering from alcohol addiction who has limited coping skills. During the assessment, the nurse also identified that the client is experiencing relationship problems. This assessment is supported by which finding?
A | The client is prone to panic attacks. |
B | The client doesn’t pay attention to details. |
C | The client has poor problem-solving skills. |
D | The client ignores the need to relax and rest. |
Question 7 |
A nurse is working with a client on recognizing the relationship between alcohol abuse and interpersonal problem. Which of the following is the priority intervention?
A | Help the client identify personal strengths. |
B | Help the client decrease compulsive behaviors. |
C | Examine the client’s use of defense mechanisms. |
D | Have the client work with peers who can serve as role models. |
Question 8 |
The nurse is caring for a client struggling with alcohol dependence. It is most important for the nurse to do which of the following?
A | Speak briefly and directly. |
B | Avoid blaming or preaching to the client. |
C | Confront feelings and examples of perfectionism. |
D | Determine if nonverbal communication will be more effective. |
Question 9 |
A client recovering from alcohol abuse needs to develop effective coping skills to handle daily stressors. What is the most appropriate nursing intervention for this client?
A | Determine the client’s level of verbal skills. |
B | Help the client avoid areas that cause conflict. |
C | Discuss examples of successful coping behavior. |
D | Teach the client to accept uncomfortable situations. |
Question 10 |
A client experiencing alcohol withdrawal tells the nurse she is upset about going through detoxification. What is the most important goal for this client?
A | The client will commit to a drug-free lifestyle. |
B | The client will work with the nurse to remain safe. |
C | The client will drink plenty of fluids on a daily basis. |
D | The client will make a personal inventory of strengths. |
Question 11 |
A client withdrawing from alcohol tells the nurse that he is worried about periodic hallucinations. What is the most appropriate intervention by the nurse?
A | Point out that the sensation doesn’t exist. |
B | Allow the client to talk about the experience. |
C | Encourage the client to wash the body areas well. |
D | Determine if the client has a cognitive impairment. |
Question 12 |
An alcoholic client tells the nurse, “I feel so depressed about what I’ve done to my family that I feel like giving up.” It is most important for the nurse to assess the client for which of the following?
A | Family support |
B | A plan for self-harm |
C | A sponsor for the client |
D | Other ambivalent feelings |
Question 13 |
What is the most important short-term goal for a client with a knowledge deficit about the effects of alcohol on the body?
A | Test blood chemistries daily. |
B | Verbalize the results of substance use. |
C | Talk to a pharmacist about the substance. |
D | Attend a weekly aerobic exercise program. |
Question 14 |
During a family therapy session, an alcoholic client tells a family member, “You made it easy for me to use alcohol. You always made excuses for my behavior.” What should the nurse encourage the family to do?
A | Give up enabling behaviors |
B | Manage the client’s self-care |
C | Deal with negative behaviors |
D | Evaluate the home environment |
Question 15 |
A nurse is caring for a client undergoing treatment for acute alcohol dependence. The client tells the nurse, “I don’t have a problem. My wife made me come here.” Which defense mechanism does the nurse interpret the client’s statement as representing?
A | Projection and suppression |
B | Denial and rationalization |
C | Rationalization and repression |
D | Suppression and denial |
Question 16 |
The nurse determines further teaching about nutrition is necessary when an alcoholic client makes which statement?
A | “I should avoid foods high in fat.” |
B | “I should eat only one balanced meal per day.” |
C | “I should take vitamin and mineral supplements.” |
D | “I should eat large portions of food containing fiber.” |
Question 17 |
A client with a history of alcohol abuse tells the nurse that he refuses to take his vitamins. What is the most appropriate response by the nurse?
A | “It’s important to take vitamins to stop your craving.” |
B | “Prolonged use of alcohol can cause vitamin depletion.” |
C | “For every vitamin you take, you’ll help your liver heal.” |
D | “By taking vitamins, you don’t need to worry about your diet.” |
Question 18 |
A client with a history of alcohol abuse has been diagnosed with nutritional deficits. What is the best intervention for the nurse to implement?
A | Encourage the client to eat a diet high in calories. |
B | Help the client recognize and follow a balanced diet. |
C | Have the client drink liquid protein supplements daily. |
D | Have the client monitor the calories consumed each day. |
Question 19 |
A young, depressed adult woman with a history of alcohol abuse is admitted to the hospital after a motor vehicle accident. The nurse performs the admission assessment of the client and anticipates that the history will include which of the following?
A | Defiant responses |
B | Infertility |
C | Memory loss |
D | Sexual abuse |
Question 20 |
The nurse is caring for a client with a history of chronic alcoholism and is aware that the client may be predisposed to which of the following?
A | Arteriosclerosis |
B | Heart failure |
C | Heart valve damage |
D | Pericarditis |
Question 21 |
A client who abuses alcohol tells the nurse that everyone in his family has an alcohol problem and nothing can be done about it. What is the most appropriate response by the nurse?
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.” |
Question 22 |
A client who is withdrawing from alcohol is being given lorazepam (Ativan). The client’s family asks the nurse about the medication. What is the best response by the nurse?
A | “Short-term use of lorazepam can lead to dependence.” |
B | “The lorazepam will reduce the symptoms of withdrawal.” |
C | “The lorazepam will make him forget about symptoms of withdrawal.” |
D | “The lorazepam will also help with his heart disease.” |
Question 23 |
A client who abuses alcohol tells a nurse, “Alcohol helps me sleep.” What is the most appropriate response by the nurse?
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.” |
Question 24 |
A client is receiving chlordiazepoxide (Librium) as needed for signs and symptoms of alcohol withdrawal. The nurse assesses the client and determines the need for medication when the client displays:
A | mild tremors, hypertension, tachycardia. |
B | bradycardia, hyperthermia, sedation. |
C | hypotension, decreased reflexes, drowsiness. |
D | hypothermia, mild tremors, slurred speech. |
Question 25 |
When assessing a client with prolonged, chronic alcohol intake, the nurse would expect to find which of the following?
A | Enlarged liver |
B | Nasal irritation |
C | Muscle wasting |
D | Limb paresthesia |
Question 26 |
The nurse is caring for a client who is experiencing alcohol withdrawal. The nurse would be most concerned if the client exhibited which of the following?
A | Hallucinations |
B | Nervousness |
C | Diaphoresis |
D | Nausea |
Question 27 |
A client asks a nurse not to tell his parents about his alcohol problem. What is the most appropriate response by the nurse?
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?” |
Question 28 |
A client who abuses alcohol tells a nurse, “I’m sure I can become a social drinker.” What is the most appropriate response by the nurse?
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?” |
Question 29 |
A client tells the nurse, “I have been drinking ever since they told me I had learning disabilities.” How does the nurse interpret this response?
A | The client is self-medicating. |
B | The client has an excuse to drink. |
C | The client isn’t a productive person. |
D | The client will be unable to stop drinking. |
Question 30 |
A client who has been drinking alcohol for 30 years asks a nurse if permanent damage has occurred to his immune system. What is the best response by the nurse?
A | “There is often less resistance to infections.” |
B | “Sometimes, the body’s metabolism will increase.” |
C | “Put your energies into maintaining sobriety for now.” |
D | “Drinking puts you at high risk for disease later in life.” |
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