Nclex-Rn Practice Questions-Care Of The Psychiatric Client - Substance Abuse Disorders Part 2
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Question 1 |
A client recovering from alcohol abuse tells the nurse, “I get nothing out of Alcoholics Anonymous (AA) meetings.” What is the best response by the nurse?
A | “What were you told about going to AA meetings?” |
B | “What do you want to get out of the AA meetings?” |
C | “When do you think you’ll stop going to the meetings?” |
D | “Do you think you can control what happens in a meeting?” |
Question 2 |
A nurse is caring for a client recovering from cocaine abuse. The priority intervention for this client would be?
A | Skin care |
B | Suicide precautions |
C | Frequent orientation |
D | Nutrition consultation |
Question 3 |
The nurse is assessing a client who repeatedly abuses cocaine. It is important for the nurse to observe the client for which of the following?
A | Panic attacks |
B | Bipolar cycling |
C | Attention deficits |
D | Expressive aphasia |
Question 4 |
A client who uses cocaine finally admits he also abused other drugs to equalize the effect of cocaine. The nurse is aware that the client’s drug history may include which substance?
A | Alcohol |
B | Amphetamines |
C | Caffeine |
D | Phencyclidine |
Question 5 |
A group of teenagers tell the school nurse they used cocaine because they were bored. What is the most important goal for the nurse?
A | Prepare a drug lecture. |
B | Restrict school privileges. |
C | Establish an activity schedule. |
D | Report the incident to their parents. |
Question 6 |
The nurse determines that teaching about cocaine has been effective when the client makes which statement?
A | “I wasn’t using cocaine to feel better about myself.” |
B | “I started using cocaine more and more until I couldn’t stop.” |
C | “I’m not addicted to cocaine because I don’t use it every day.” |
D | “I’m not going to be a chronic user; I only use it on holidays.” |
Question 7 |
A client who formerly used lysergic acid diethylamide (LSD) is seeking counseling. The nurse anticipates that the assessment of the client will include which finding?
A | Lack of trust |
B | Panic attacks |
C | Recurrent depression |
D | Loss of ego boundaries |
Question 8 |
A client with a history of cocaine abuse exhibits behavior changes following return from an inpatient treatment facility. The nurse anticipates that the physician will order which test?
A | Antibody screen |
B | Glucose screen |
C | Hepatic screen |
D | Urine screen |
Question 9 |
The nurse is developing a plan of care for a client who has been using phencyclidine (PCP). What is the priority assessment for this client?
A | Cardiac arrest |
B | Seizure disorder |
C | Violent behavior |
D | Delirium reaction |
Question 10 |
A nurse is performing a physical assessment on a client who uses heroin. It is most important for the nurse to assess the client for which of the following?
A | Hepatitis |
B | Peptic ulcers |
C | Hypertension |
D | Chronic pharyngitis |
Question 11 |
A pregnant client is thinking about stopping cocaine use. The nurse determines that teaching about drug use and pregnancy has been effective when the client makes which statement?
A | “Right after birth, I’ll give the baby up for adoption.” |
B | “I’ll help the baby get through the withdrawal period.” |
C | “I don’t want the baby to have withdrawal symptoms.” |
D | “It’s scary to think the baby may have Down syndrome.” |
Question 12 |
What is the most important teaching information for the nurse to provide a client who abuses prescription drugs?
A | Herbal substitutes are safer to use. |
B | Medication should be used only for the reason prescribed. |
C | The client should consult a physician before using a drug. |
D | Consider if family members influence the client to use drugs. |
Question 13 |
A client asks the nurse, “Why does it matter if I talk to my peers in group therapy?” What is the most appropriate response by the nurse?
A | “Group therapy lets you see what you’re doing wrong in your life.” |
B | “Group therapy acts as a defense against your disorganized behavior.” |
C | “Group therapy provides a way to ask for support as well as to support others.” |
D | “In group therapy, you can vent your frustrations and others will listen.” |
Question 14 |
The nurse is facilitating a family meeting for a client who abuses alcohol. During the meeting, the nurse observes the communication and determines an unhealthy pattern of:
A | use of descriptive jargon. |
B | disapproval of behaviors. |
C | avoidance of conflicting issues. |
D | unlimited expression of nonverbal communication. |
Question 15 |
A client addicted to alcohol is scheduled to begin individual therapy with the nurse. What is the most important nursing intervention for the client?
A | Learn to express feelings. |
B | Establish new roles in the family. |
C | Determine strategies for socializing. |
D | Decrease preoccupation with physical health. |
Question 16 |
A client recovering from alcohol addiction asks the nurse how to talk to his children about the impact of addiction on them. What is the best response by the nurse?
A | “Try to limit references to the addiction and focus on the present.” |
B | “Talk about all the hardships you’ve had in working to remain sober.” |
C | “Tell them you’re sorry and emphasize that you’re doing so much better now.” |
D | “Talk to them by acknowledging the difficulties and pain your drinking caused.” |
Question 17 |
The nurse is preparing a client with the diagnosis of alcohol dependency for discharge from the hospital. What is the most important goal for the client?
A | Find a way to drink socially. |
B | Allow self to grieve recent losses. |
C | Work to bring others into treatment. |
D | Develop relapse-prevention strategies. |
Question 18 |
A client addicted to alcohol tells a nurse, “Making friends used to be hard for me.” The nurse determines that client teaching about relationships has been successful when the client makes which statement?
A | “I’ve set limits on my behaviors toward others.” |
B | “I need to be judgmental of others.” |
C | “I won’t become intimately involved with others.” |
D | “I can’t bear to see myself hurt again in a relationship.” |
Question 19 |
The family of an adolescent who smokes marijuana asks a nurse if the use of marijuana leads to abuse of other drugs. What is the most appropriate response by the nurse?
A | “Use of marijuana is a stage your child will go through.” |
B | “Many people use marijuana and don’t use other street drugs.” |
C | “Use of marijuana can lead to abuse of more potent substances.” |
D | “It’s difficult to answer that question as I don’t know your child.” |
Question 20 |
A client tells a nurse, “I’m not going to have problems from smoking marijuana.” What is the most appropriate response by the nurse?
A | “Evidence shows it can cause major health problems.” |
B | “Marijuana can cause reproductive problems later in life.” |
C | “Smoking marijuana isn’t as dangerous as smoking cigarettes.” |
D | “Some people have minor or no reactions to smoking marijuana.” |
Question 21 |
A client says, “I started using cocaine as a recreational drug, but now I can’t seem to control the use.” The nurse interprets the client’s statement as most consistent with which drug behavior?
A | Toxic dose |
B | Dual diagnosis |
C | Cross-tolerance |
D | Compulsive use |
Question 22 |
A client tells the nurse that he used amphetamines to be productive at work. The nurse is aware that abrupt discontinuation of the drug will produce which symptom?
A | Severe anxiety |
B | Increased yawning |
C | Altered perceptions |
D | Amotivational syndrome |
Question 23 |
A client has stopped using phencyclidine (PCP). It is most important for the nurse to monitor the client’s behavior for which reason?
A | Fatigue can cause feelings of being overwhelmed. |
B | Agitation and mood swings can occur during withdrawal. |
C | Bizarre behavior can be a precursor to a psychotic episode. |
D | Memory loss and forgetfulness can cause unsafe conditions. |
Question 24 |
A nurse is caring for a client who is experiencing amphetamine withdrawal. The nurse should assess the client for which of the following?
A | Disturbed sleep |
B | Increased yawning |
C | Psychomotor agitation |
D | Inability to concentrate |
Question 25 |
A client has been admitted to the emergency department and states he just used cocaine. The nurse monitors the client for which condition?
A | Tachycardia |
B | Hyperthermia |
C | Hypotension |
D | Bradypnea |
Question 26 |
The nurse is performing an assessment of a client with a history of polysubstance abuse. What is the most important information for the nurse to obtain?
A | Oral administration of any drug |
B | Time of last use of each drug |
C | How the drug was obtained |
D | The place the drug was used |
Question 27 |
A client who smoked marijuana daily for 10 years tells a nurse, “I don’t have any goals, and I just don’t know what to do.” What is the most appropriate nursing intervention for this client?
A | Focus the interaction. |
B | Use nonverbal methods. |
C | Use reflection techniques. |
D | Ask open-ended questions. |
Question 28 |
A client who abused alcohol for more than 20 years is diagnosed with cirrhosis of the liver. The nurse determines that teaching about the disease has been successful when the client makes which statement?
A | “If I decide to stop drinking, I won’t kill myself.” |
B | “If I watch my blood pressure, I should be okay.” |
C | “If I take vitamins, I can undo some liver damage.” |
D | “If I use nutritional supplements, I won’t have problems.” |
Question 29 |
A 20-year-old client is admitted with bone marrow depression. He tells the nurse he’s been abusing drugs since age 13. The nurse reviews the client’s history for use of which drug?
A | Amphetamines |
B | Cocaine |
C | Inhalants |
D | Marijuana |
Question 30 |
A nurse is assessing a client with a history of substance abuse who has pinpoint pupils, a heart rate of 56 beats/minute, a respiratory rate of 6 breaths/minute, and temperature of 96.4° F. The nurse determines that which is the most likely cause of the client’s symptoms?
A | Opioids |
B | Amphetamines |
C | Cannabis |
D | Alcohol |
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