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NUR |/ 214 |/(Mental |/Health |/- |/Test |/1) |/NCLEX
|/Style |/Practice |/Questions |/WITH
|/ANSWERS
A |/public |/health |/nurse |/is |/presenting |/a |/teaching |/session |/about |/alcohol |/use |/to |/a |/group |/of |/college |/seniors. |/During |/the |/session, |/one |/of |/the |/students |/admits |/to |/frequent |/alcohol |/use. |/What |/is |/the |/nurse's |/priority |/action? A) |/Initiate |/a |/community |/assessment |/of |/the |/campus B) |/Contact |/the |/campus |/nurse |/and |/refer |/the |/student |/for |/services C) |/Notify |/campus |/security |/that |/the |/student |/may |/be |/driving |/while |/intoxicated D) |/Complete |/a |/crisis |/assessment |/with |/the |/student P-22 |/- |/CORRECT |/ANSWERS |/✔✔D (Complete |/a |/crisis |/assessment |/with |/the |/student) A |/nurse |/educator |/is |/teaching |/a |/group |/of |/students |/about |/the |/comprehensive |/theory |/of |/addiction |/proposed |/by |/George |/Engel.
|/Which |/of |/the |/following |/student |/statements |/indicate |/proper |/understanding |/of |/this |/theory? |/(Select |/all |/that |/apply) A) |/"Addiction |/occurs |/because |/of |/a |/lack |/of |/emotional |/attachment." B) |/"There |/is |/a |/biological |/factor |/involved |/in |/the |/development |/of |/addiction." C) |/"There |/are |/social |/factors |/that |/contribute |/to |/the |/development |/of |/addiction." D) |/"There |/is |/a |/moral |/factor |/involved |/in |/the |/development |/of |/addiction." E) |/"There |/are |/psychologic |/elements |/involved |/in |/the |/development |/of |/addiction." P-22 |/- |/CORRECT |/ANSWERS |/✔✔B, |/C, |/& |/E ( |/"There |/is |/a |/biological |/factor |/involved |/in |/the |/development |/of |/addiction.") ("There |/are |/social |/factors |/that |/contribute |/to |/the |/development |/of |/addiction.") ("There |/are |/psychologic |/elements |/involved |/in |/the |/development |/of |/addiction.")
B) |/"What |/is |/the |/most |/significant |/problem |/affecting |/your |/life |/right |/now?" C) |/"How |/long |/has |/this |/been |/a |/problem?" D) |/"What |/are |/the |/living |/conditions |/in |/your |/neighborhood?" E) |/"What |/other |/stresses |/are |/you |/dealing |/with?" P-22 |/- |/CORRECT |/ANSWERS |/✔✔B, |/C, |/& |/E ("What |/is |/the |/most |/significant |/problem |/affecting |/your |/life |/right |/now?") ("How |/long |/has |/this |/been |/a |/problem?") ("What |/other |/stresses |/are |/you |/dealing |/with?") A |/client |/is |/admitted |/to |/the |/emergency |/department |/with |/signs |/of |/drug |/use. |/The |/client |/reports |/ingesting |/Percocet |/and |/is |/currently |/experiencing |/respiratory |/depression. |/Based |/on |/this |/information, |/which |/prescription |/should |/the |/nurse |/anticipate |/for |/this |/client? A) |/Diazepam B) |/Haldol C) |/Vitamin |/B
D) |/Naloxone P-22 |/- |/CORRECT |/ANSWERS |/✔✔D (Naloxone |/(Narcan)) A |/nurse |/who |/runs |/an |/addiction |/treatment |/group |/at |/an |/inner-city |/clinic |/has |/noticed |/that |/many |/of |/the |/group's |/participants |/struggle |/with |/the |/stigma |/attached |/to |/their |/condition. |/Which |/of |/the |/following |/statements |/on |/the |/part |/of |/the |/nurse |/would |/best |/help |/participants |/overcome |/this |/stigma? A) |/"Relapse |/is |/a |/common |/feature |/of |/substance |/abuse." B) |/"Heredity |/and |/complex |/environmental |/influences |/predispose |/some |/people |/to |/substance |/dependence." C) |/"People |/who |/have |/an |/addiction |/problem |/cannot |/be |/held |/accountable |/for |/their |/actions." D) |/"Alcoholics |/Anonymous |/and |/Narcotics |/Anonymous |/are |/both |/accepted |/treatment |/approaches." P-22 |/- |/CORRECT |/ANSWERS |/✔✔B ("Heredity |/and |/complex |/environmental |/influences |/predispose |/some |/people |/to |/substance |/dependence.")
C) |/Family |/therapy D) |/Communication |/training P-22 |/- |/CORRECT |/ANSWERS |/✔✔D (Communication |/training) A |/client |/with |/a |/history |/of |/alcohol |/abuse |/is |/being |/discharged |/to |/a |/treatment |/facility. |/Which |/prescription |/does |/the |/nurse |/anticipate |/for |/this |/client? A) |/Disulfiram B) |/Naloxone C) |/Bupropion |/hydrochloride D) |/Varenicline P-22 |/- |/CORRECT |/ANSWERS |/✔✔A (Disulfiram |/(Antabuse)) A |/community |/health |/nurse |/is |/providing |/teaching |/to |/the |/faculty |/of |/a |/local |/high |/school |/about |/preventing, |/recognizing, |/and |/treating |/substance |/use |/and |/addiction |/in |/teenagers. |/Which |/of |/the |/following
|/statements |/on |/the |/part |/of |/the |/faculty |/members |/suggests |/that |/further |/teaching |/is |/necessary? A) |/"The |/earlier |/a |/teenager |/begins |/using |/substances, |/the |/more |/likely |/it |/is |/that |/the |/teenager |/will |/develop |/an |/addiction |/problem." B) |/"Teenagers |/whose |/parents |/suffer |/from |/addiction |/are |/at |/greater |/risk |/of |/addiction |/themselves." C) |/"The |/brain |/stops |/developing |/during |/the |/teenage |/years, |/so |/any |/substance-related |/brain |/changes |/that |/occur |/during |/this |/period |/will |/likely |/affect |/a |/person |/for |/the |/rest |/of |/his |/or |/her |/life." D) |/"Group |/therapy |/can |/be |/beneficial |/for |/teenagers |/with |/addiction, |/but |/it |/comes |/with |/a |/risk |/of |/unintended |/adverse |/effects." P-22 |/- |/CORRECT |/ANSWERS |/✔✔C ("The |/brain |/stops |/developing |/during |/the |/teenage |/years, |/so |/any |/substance-related |/brain |/changes |/that |/occur |/during |/this |/period |/will |/likely |/affect |/a |/person |/for |/the |/rest |/of |/his |/or |/her |/life.") A |/nurse |/is |/talking |/with |/the |/adult |/daughter |/of |/an |/80-year-old |/client |/who |/was |/recently |/discovered |/to |/be |/abusing |/prescription |/narcotics. |/The |/daughter |/expresses |/frustration |/that |/this |/substance |/abuse |/wasn't |/discovered |/sooner, |/and |/she |/asks |/the |/nurse |/how |/her |/father's |/previous |/healthcare |/providers |/could |/have |/overlooked |/this |/problem.
C) |/Addiction D) |/Codependence P-22 |/- |/CORRECT |/ANSWERS |/✔✔B (Dependence) When |/used |/as |/part |/of |/behavioral |/therapy |/for |/addictions, |/token |/economies |/function |/as |/a |/form |/of: A) |/Punishment B) |/Negative |/reinforcement C) |/Positive |/reinforcement D) |/Extinction P-22 |/- |/CORRECT |/ANSWERS |/✔✔C (Positive |/Reinforcement) A |/client |/has |/been |/admitted |/to |/a |/healthcare |/facility |/for |/treatment |/for |/substance |/addiction. |/Shortly |/after |/entering |/the |/facility, |/the |/client |/received |/a |/prescription |/for |/phenytoin. |/Based |/on |/this |/data, |/which |/of |/the |/following |/statements |/is |/most |/likely |/true?
A) |/The |/client |/is |/addicted |/to |/opioids B) |/The |/client |/is |/experiencing |/cravings |/for |/nicotine C) |/The |/client |/has |/high |/levels |/of |/anxiety D) |/The |/client |/is |/experiencing |/withdrawal-related |/seizure |/activity P-22 |/- |/CORRECT |/ANSWERS |/✔✔D (The |/client |/is |/experiencing |/withdrawal-related |/seizure |/activity) After |/alcohol |/is |/discovered |/in |/her |/room, |/the |/client |/states, |/"It |/is |/not |/mine." |/Which |/responses |/by |/the |/nurse |/are |/appropriate |/in |/this |/situation? |/(Select |/all |/that |/apply) A) |/"You |/will |/lose |/your |/day |/pass |/privileges |/for |/this |/Sunday." B) |/"We |/have |/a |/video |/of |/you |/accepting |/the |/alcohol |/from |/your |/brother." C) |/"What |/do |/you |/think |/about |/sharing |/this |/at |/AA |/tonight?" D) |/"You |/won't |/be |/allowed |/to |/go |/to |/dinner |/tonight." E) |/"You |/have |/violated |/our |/behavior |/contract." P-22 |/- |/CORRECT |/ANSWERS |/✔✔A, |/B, |/C, |/& |/E
(The |/nurse |/in |/question |/frequently |/volunteers |/to |/give |/medications |/to |/clients) The |/nurse |/is |/collecting |/data |/on |/clients |/at |/a |/clinic. |/One |/client |/has |/risk |/factors |/for |/substance |/abuse. |/What |/physical |/sign |/or |/signs |/did |/the |/nurse |/assess |/that |/suggest |/substance |/abuse |/in |/this |/client? |/(Select |/all |/that |/apply) A) |/Dilated |/pupils B) |/Odor |/of |/alcohol |/on |/the |/breath C) |/Frequent |/accidents |/or |/falls D) |/Extremely |/low |/body |/weight E) |/Dressed |/in |/jeans |/and |/a |/t-shirt P-22 |/- |/CORRECT |/ANSWERS |/✔✔A, |/B, |/& |/D (Dilated |/pupils) (Odor |/of |/alcohol |/on |/the |/breath) (Extremely |/low |/body |/weight)
The |/nurse |/is |/providing |/care |/to |/a |/client |/diagnosed |/with |/alcoholism. |/The |/client's |/physical |/examination |/reveals |/a |/BMI |/of |/18. |/Which |/prescription |/does |/the |/nurse |/anticipate |/to |/manage |/the |/client's |/nutritional |/status? A) |/Sertraline B) |/Methadone C) |/Naloxone D) |/Multivitamin |/with |/folic |/acid P-22 |/- |/CORRECT |/ANSWERS |/✔✔D (Multivitamin |/with |/folic |/acid) A |/college |/student |/attends |/a |/seminar |/on |/alcohol |/abuse. |/Which |/statement |/would |/alert |/the |/nurse |/that |/the |/student |/needs |/more |/education? A) |/"The |/children |/of |/alcoholics |/have |/a |/lower |/risk |/of |/becoming |/alcoholic." B) |/"Native |/Americans |/are |/at |/higher |/risk |/of |/becoming |/alcoholic." C) |/"Married |/college |/graduates |/are |/less |/likely |/to |/become |/alcoholics."
("Drinking |/any |/alcoholic |/beverages |/of |/any |/type |/during |/pregnancy |/puts |/your |/baby |/at |/risk |/for |/injury.") The |/nurse |/is |/evaluating |/a |/list |/of |/outcome |/goals |/for |/a |/client |/with |/alcoholism |/who |/is |/being |/discharged |/from |/a |/detoxification |/program. |/The |/list |/was |/written |/by |/a |/nursing |/student |/who |/is |/being |/mentored |/by |/the |/nurse. |/Which |/of |/the |/following |/outcomes |/are |/appropriate |/for |/this |/client? |/(Select |/all |/that |/apply) A) |/Follow |/a |/2000-calorie |/high-carbohydrate |/diet B) |/Sponsor |/a |/participant |/in |/Alcoholics |/Anonymous |/(AA) |/meetings C) |/Obtain |/at |/least |/6-8 |/hours |/of |/sleep |/per |/night D) |/Acknowledge |/the |/blame |/that |/family |/members |/must |/take |/for |/codependent |/behavior E) |/Enroll |/in |/the |/Employee |/Assistance |/Program |/(EAP) |/through |/the |/client's |/employer P-22 |/- |/CORRECT |/ANSWERS |/✔✔C |/& |/E (Obtain |/at |/least |/6-8 |/hours |/of |/sleep |/per |/night) (Enroll |/in |/the |/Employee |/Assistance |/Program |/(EAP) |/through |/the |/client's |/employer)
A |/nurse |/is |/providing |/preconception |/counseling |/and |/education |/to |/an |/adult |/client |/with |/no |/prior |/pregnancies. |/Which |/client |/statement |/indicates |/that |/the |/nurse's |/teaching |/has |/been |/effective? A) |/"I |/can |/continue |/to |/drink |/alcohol |/throughout |/my |/pregnancy." B) |/"One |/beer |/once |/per |/week |/will |/not |/harm |/the |/fetus." C) |/"I |/don't |/need |/to |/stop |/drinking |/alcohol |/until |/my |/pregnancy |/is |/confirmed." D) |/"I |/can't |/drink |/alcohol |/while |/breastfeeding, |/because |/it |/will |/pass |/into |/my |/breast |/milk." P-22 |/- |/CORRECT |/ANSWERS |/✔✔D ("I |/can't |/drink |/alcohol |/while |/breastfeeding, |/because |/it |/will |/pass |/into |/my |/breast |/milk.") The |/nurse |/is |/conducting |/a |/health |/history |/and |/wants |/to |/determine |/the |/client's |/level |/of |/alcohol |/use. |/What |/question |/from |/the |/nurse |/will |/provide |/the |/greatest |/amount |/of |/information? A) |/"Are |/you |/a |/heavy |/drinker?" B) |/"How |/many |/alcoholic |/beverages |/do |/you |/drink |/each |/day?" C) |/"Is |/alcohol |/use |/a |/concern |/for |/you?"
B) |/Likely |/to |/wait |/a |/greater |/number |/of |/years |/before |/entering |/treatment |/for |/alcohol |/abuse C) |/Less |/susceptible |/to |/alcohol-related |/organ |/damage D) |/Likely |/to |/experience |/greater |/cognitive |/impairment |/from |/alcohol |/consumption P-22 |/- |/CORRECT |/ANSWERS |/✔✔D (Likely |/to |/experience |/greater |/cognitive |/impairment |/from |/alcohol |/consumption) Which |/of |/the |/following |/nursing |/interventions |/would |/be |/most |/appropriate |/when |/caring |/for |/clients |/who |/are |/experiencing |/acute |/alcohol |/withdrawal? A) |/Avoiding |/administration |/of |/benzodiazepines B) |/Reassuring |/clients |/who |/are |/experiencing |/delusions |/that |/you |/share |/their |/beliefs C) |/Reducing |/environmental |/stimuli |/to |/the |/greatest |/extent |/possible D) |/Arguing |/with |/clients |/who |/are |/experiencing |/visual |/hallucinations |/in |/an |/attempt |/to |/prove |/that |/what |/they |/are |/seeing |/is |/not |/real P-22 |/- |/CORRECT |/ANSWERS |/✔✔C
(Reducing |/environmental |/stimuli |/to |/the |/greatest |/extent |/possible) The |/nurse |/is |/providing |/care |/to |/a |/client |/who |/admits |/to |/smoking |/two |/packs |/of |/cigarettes |/per |/day |/for |/ 34 |/years. |/The |/client |/also |/has |/a |/history |/of |/intermittent |/claudication, |/chronic |/bronchitis, |/and |/emphysema. |/After |/ 6 |/weeks |/of |/smoking |/cessation, |/the |/client |/reports |/that |/he |/is |/frequently |/"yelling" |/at |/his |/spouse |/and |/"flying |/off |/the |/handle." |/Which |/effects |/of |/cigarette |/smoking |/are |/associated |/with |/the |/data |/the |/nurse |/has |/collected |/from |/the |/client? |/(Select |/all |/that |/apply) A) |/Nicotine |/causes |/destruction |/of |/the |/alveoli B) |/Smoking |/triggers |/the |/release |/of |/epinephrine, |/which |/causes |/vasoconstriction C) |/Dopaminergic |/processes |/are |/implicated |/in |/nicotine |/withdrawal D) |/The |/tar |/in |/cigarettes |/can |/cause |/the |/mucus |/production |/seen |/in |/chronic |/bronchitis E) |/Tobacco |/use |/leads |/to |/atherosclerosis P-22 |/- |/CORRECT |/ANSWERS |/✔✔B, |/C, |/D, |/& |/E (Smoking |/triggers |/the |/release |/of |/epinephrine, |/which |/causes |/vasoconstriction)
