Mental Health Quiz #3

A client in a detox unit had an alcohol withdrawal seizure. Diazapam (Valium) 7.5 mg IM stat is prescribed. Valium is available 5 mg/mL. How many mL should the nurse administer?

1.5 mL

A client with an alcohol dependence problem asks whether the nurse can see the bugs that are crawling on the bed. What is the nurse's initial reply? A. "No, I don't see any bugs." B. "I will get rid of them for you." C. "I will stay here until you are calmer" D. "Those bugs are part of your sickness"

A. "No, I don't see any bugs."

While a client is attending an AA meeting, a nurse talks with the client's spouse about the purpose of AA. What is the priority goal of this self-help group? A. Change destructive behavior B. Develop functional relationships C. Indentify how they present themselves to others D. Understand their patterns of interacting within the group

A. Change destructive behavior

Clients addicted to alcohol often use the defense mechanism of denial. What is the reason why this defense is so often used? A. Reduces their feelings of guilt B. Creates the appearance of independence C. Helps them live up to others' expectations D. Makes them look better in the eyes of others

A. Reduces their feelings of guilt

A nurse uses the CAGE Screening Test for Alcoholism to determine the potential n individual has for a drinking problem. Which is one of four questions included in the test? A. "Do you feelyou are a normal drinker?" B. "Have you ever felt bad or guilty about your drinking?" C. "Are you always able to stop drinking when you want to?" D. "How often did you have a drink containing alcohol in the last year?"

B. "Have you ever felt bad or guilty about your drinking?"

A client undergoing alcohol detoxification asks about attending AA meetings after discharge. What is the nurse's best intial reply? A. "You'll find you'll need their support." B. "What feelings do you have about going to those meetings?" C. "They will help you to learn how to cope with your problem." D. "Don't you think it's better to wait until you are sure you are ready?"

B. "What feelings do you have about going to those meetings?"

A recovering alcoholic joins AA to help maintain sobriety. What type of group is AA? A. Social group B. Self-help group C. Resocialization group D. Psychotherapeutic group

B. Self-help group

A client who has just begun attending AA meetings asks a nurse how important it is to attend meetings regularly. What is the nurse's best response? A. "It's reallt important if you want to get well." B. "It's your decision about whether or not you want to go." C. "Do you think attending these meetings may not be helpful?" D. "Do you feel it's not worth the effort to keep on attending meetings?"

C. "Do you think attending these meetings may not be helpful?"

A client with a history of alcoholism is diagnosed with Wernicke encephalopathy associated with Korsakoff syndrome. What does the nurse anticipate will be prescribed? A. Traditional phenothiazine B. Judicious use of antipsychotics C. Intramuscular injections of thyamine D. Oral administration of chlorpromazine

C. Intramuscular injections of thyamine

A nurse is dicussing plans with a client who has decided to withdraw from alcohol. What should the nurse recommend as one of the most effective treatments for alcoholism? A. Individual or group psychotherapy B. Admission to an alcoholic unit in a hospital C. Daily administration of disulfiram (Antabuse) D. Active membership in AA

D. Active membership in AA

A client with a long history of alcohol dependence spends 28 days in an alcohol rehabilitation unit. What type of referral does the nurse anticipate will be included in the discharge plan? A. Halfway house B. Family therapist C. Psychoanalytic therapy group D. Community-based self-help group

D. Community-based self-help group

What should a nurse conclude that a client is doing when making up stories to fill in blank spaces of memory? A. Lying B. Denying C. Rationalizing D. Confabulating

D. Confabulating