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    Exam Review

    1. A nurse is caring for a client who has depressive disorder, is in alcohol withdrawal, and reports a recent job loss. Which of the following should be the priority nursing intervention?
      A)
      Refer client to mental health care provider for evaluation and treatment.
      B)
      Assist the client to identify negative effects of chemical dependency.
      C)
      Identify support groups in the community for long-term treatment.
      D)
      Determine the presence and degree of suicidal risk.
    2. A nurse is caring for a client who is experiencing opioid withdrawal. Which of the following medications should the nurse anticipate the provider to prescribe?
      A)
      Methadone
      B)
      Disulfiram
      C)
      Risperidone
      D)
      Lithium carbonate
    3. A nurse is preparing to administer amitriptyline 150 mg PO. The amount available is amitriptyline 75 mg/ tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:2 tablets
    4. The nurse is assessing the drinking history of a client with a history of alcohol abuse. The client is being admitted after being found unresponsive in a public place. Which statement would indicate the use of defense mechanisms?
      A)
      "I have no intention to stop drinking. I like the way it makes me feel."
      B)
      "I have tried so many times to stop drinking. It is so hard."
      C)
      I don't really have a problem with alcohol. I've just been having a streak of bad luck lately."
      D)
      "I really need some help. My drinking is tearing my family apart."
    Page 1 of 10

    Exam Review

    1. A nurse manager is reviewing a recent client report related to a staff nurse. Which of the following behaviors by a nurse at work might be red flags for a substance use disorder?
      A)
      Increased irritability towards supervisors, outspokenness regarding work issues, increased attendance at staff meetings.
      B)
      Crying, sharing personal details of relationship problems, monopolizing conversations.
      C)
      Volunteering for overtime on a continual basis, avoiding having a witness to wasting narcotics, needing to be alone in the medication room when preparing medications.
      D)
      Increased cheerfulness, increased energy, helping other nurses on the shift.
    2. A nurse is caring for a client with whom he has developed a therapeutic relationship and who will be discharged later in the day. The client thanks the nurse for his help during the hospitalization. Which of the following responses should the nurse make?
      A)
      "I will send you a note in a few weeks."
      B)
      "I know you will do well living out in the community."
      C)
      "Aren't you excited about being discharged today?"
      D)
      "How do you feel about being discharged?"
    3. A public health nurse is working with a local school to implement programs for the prevention of drug and alcohol use disorder. The nurse should identify which of the following interventions is an effective strategy for preventing drug and alcohol use disorder in children?
      A)
      Education and interventions in high school during early adolescence when children are more susceptible to peer influence.
      B)
      Education and interventions early in childhood when children are more inclined to change.
      C)
      Education and interventions in middle school when children are learning about health and nutrition.
      D)
      Education and interventions in high school during late adolescence when children are more likely to engage in high-risk behaviors.
    4. A nurse is assisting the charge nurse to prepare for an in service with nursing staff to discuss substance use disorders. Which of the following should the nurse include as an etiological factor of addictive disorders? (Select all that apply.)
      (SATA)
      A)
      Family history of addiction
      B)
      Asian ethnicity
      C)
      Poor educational resources
      D)
      Low self-esteem
      E)
      Lack of support system
    Page 2 of 10

    Exam Review

    1. A nurse is collecting data from a 12-year-old child. Which of the following assessment findings would indicate a high risk for developing substance abuse? (Select All that Apply.)
      (SATA)
      A)
      Having a learning disability
      B)
      Inadequate sleep at night
      C)
      Substance uses within immediate family
      D)
      Feeling unsafe at home
      E)
      Fighting with peers at school
    2. A nurse is caring for a client who reports spending 12 hr daily playing video games online. The client has spent a significant amount of money betting on these games. They lost their job due to missed work, and they filed for bankruptcy because of their gambling debts. Their partner was supporting them financially until the partner left the client out of frustration with their behavior. Which of the following manifestations of non-substance addiction is characteristic of the client's behavior?
      A)
      They do not care that they lost their job and their partner.
      B)
      They filed for bankruptcy because of their debts and job loss.
      C)
      They are depressed over their current life situation.
      D)
      They compulsively act on the urge to continue internet gaming and gambling even though they suffered negative consequences.
    3. A nurse is preparing to administer buspirone 7.5 mg PO. The amount available is buspirone 15 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    4. A nurse is discussing the possible physical effects of alcohol withdrawal with a newly licensed nurse. Which of the following effects should the nurse include? (Select all that apply.)
      A)
      Polyphagia
      B)
      Illusions
      C)
      Seizures
      D)
      Nystagmus
      E)
      Tremors
    Page 3 of 10

    Exam Review

    1. A nurse in an addiction rehabilitation center is contributing to the plan of care for a newly admitted client who has alcohol use disorder. Which of the following interventions is the nurse's priority?
      A)
      Place the client in a private room.
      B)
      Pad the side rails of the bed with towels.
      C)
      Accompany the client when ambulating
      D)
      Determine the client's level of disorientation
      E)
      Tremors
    2. A nurse is collecting data from a client who is experiencing alcohol withdrawal. Which of the following is an expected finding?
      A)
      Seizure activity
      B)
      Pathological change on CT scan
      C)
      Bradycardia
      D)
      Stuporous level of consciousness
    3. A nurse is educating a group of clients about addiction. The nurse should include that which of the following factors increases the potential for addiction?
      A)
      Medical insurance availability for substance use disorder treatment.
      B)
      The developing brain is exposed to substances at an early age.
      C)
      Initial use of substances began in adulthood.
      D)
      The brain already has cognitive deficits that cause it to be vulnerable to addiction.
    4. A nurse is discussing alcohol tolerance with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
      A)
      "Alcohol tolerance causes the client to have an increased effect when taking opiates."
      B)
      "Alcohol tolerance can result in a decreased physical response to alcohol."
      C)
      "A client who has alcohol tolerance develops physical changes when they haven't recently ingested alcohol."
      D)
      "Alcohol tolerance is a medical emergency and can develop as a result of withdrawal."
    Page 4 of 10

    Exam Review

    1. A nurse is collecting data from a client who is receiving treatment for alcohol detoxification. Which of the following findings is the nurse's priority?
      A)
      Hallucinations
      B)
      Tremors
      C)
      Anorexia
      D)
      Insomnia
    2. The nurse is assessing a client's risk factors for developing a substance abuse disorder. Which family characteristic would the nurse identify as the most significant risk factor?
      A)
      One parent who is an alcoholic
      B)
      Overprotective Parents
      C)
      Being raised in an urban area
      D)
      Parents who practiced strict discipline
    3. Which characteristic of the 12-step program distinguishes it from other programs?
      A)
      Infrequent attendance is usually successful.
      B)
      The philosophy that it is possible to reduce the use of substances without abstaining.
      C)
      It is a self-help group that focuses on total abstinence.
      D)
      Persons who use this program are independent in their sobriety.
    4. A nurse should identify which of the following factors is a protective factor that prevents adults from developing addictions?
      A)
      Passive personality
      B)
      Single status
      C)
      Positive self-image
      D)
      Being a parent
    Page 5 of 10

    Exam Review

    1. A nurse is preparing to administer lithium 300 mg PO to a client who has bipolar disorder. Available is lithium 150 mg capsules. How many capsules should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    2. A nurse is collecting data from a client who is experiencing alcohol withdrawal delirium. Which of the following findings should the nurse expect? (Select all that apply.)
      A)
      Visual hallucinations
      B)
      Grandiosity
      C)
      Tremors
      D)
      Hypotension
      E)
      Paranoid delusions
    3. A nurse is caring for a client who begins showing signs of alcohol withdrawal delirium. Which of the following medications should the nurse administer?
      A)
      Methadone
      B)
      Acamprosate
      C)
      Disulfiram
      D)
      Lorazepam
    4. A nurse is reinforcing teaching about alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates an understanding of the teaching?
      A)
      "Disulfiram will prevent my cravings for alcohol."
      B)
      "I should expect hand tremors to start less than 24 hours after I stop drinking."
      C)
      "It is important that I take Vitamin C to prevent liver cirrhosis or other liver damage."
      D)
      "Withdrawal symptoms should last about 5 to 7 days once they begin."
    Page 6 of 10