222 Wk6 practice questions
Dr. Learner just snorted 10 lines of cocaine. What should the nurse expect? A. Thoughts of worthlessness B. Psychomotor retardation C. nightmares D. elevated HR & BP
D
Family members of an individual undergoing a residential alcohol rehabilitation program ask, "How can we help? Select the nurse's best response. A. Its important that you visit your family member on a regular basis B. Alcoholism is a lifelong disease. Relapses are expected C. Use random search and destroy tactics to keep the home alcohol free D. Make your loved one responsible for the consequences of behavior
D
The daughter of a 70 year old male client with dementia is attending a caretaker support meeting and asks a nurse for definition of dementia. Nurse responds: A. A personal neglect in self-care B. Poor judgment, especially in social situations C. Memory loss occurring as a natural consequence of aging D. Loss of intellectual abilities sufficient to impair self-care
D
The nurse wants to enroll a patient with poor social skills in a training program for patients diagnosed with schizophrenia.Which description accurately describes social skills training? A. Patient learn social skills by practicing them in a supported employment setting B. Patients learn to improve their attention and concentration C. Group leaders provide support without challenging patients to change D. Complex interpersonal skills are taught by breaking them into simpler behaviors
D
A nurse is planning a staff education program on substance use in older adults. Which of the following information should the nurse to include in the presentation? A. Older adults require higher doses of a substance to achieve a desired effects B. Older adults commonly use rationalization to cope with a substance use disorder C. Older adults are at an increased risk for substance use following retirement D. Older adults develop substance use to mask manifestations of dementia
C Incorrect A: requires higher dose B: Denial not rationalization D: can result in dementia
A nurse is discussing the use of methadone with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (SATA) A. Methadone is a replacement for physical dependance to opioids B. Methadone reduces the unpleasant effects associated with abstinence syndrome C. Methadone can be used during opioid withdrawal and to maintain abstinence D. Methadone increases the risk for acetaldehyde syndrome E. Methadone must be prescribed and dispensed by an approved treatment center
A,B,C,D,
Which nursing diagnosis is more appropriate for an older adult experiencing visual and auditory hallucinations? A. Interrupted family processes B. Ineffective role performance C. Impaired verbal communication D. Disturbed sensory perception
D
Which of the following is most characteristic of cognitive disorders? A. Catatonia B. Depression C. Feeling of dread and doom D. Deficit in memory
D
Which service would be expected to provide resources 24 hours a day, 7 days a week if needed for persons with serious mental illness? A. Clubhouse model B. Cognitive Behavioral Therapy (CBT) C. Cognitive Enhancement Therapy (CET) D. Assertive community treatment (ACT)
D
A nurse in a long term facility is caring for a client who has major neurocognitive disorder and attempts to wander out of the building, The client states, "I have to get home." Which of the following statements should the nurse take? A. You have forgotten that this is your home B. You cannot go outside without a staff member C. Why would you want to leave? Aren't you happy with your care? D. I am your nurse. Let's walk together to your room
D Incorrect: A: Avoid agrumetative or demeaning comments B: use positive not negative C: do not ask why
When planning care for an older adult client with dementia, the nurse would arrange for increased supervision of the client at what time of day? A. Night B. Noon C. Morning D. Afternoon
A
During the third week of treatment, the spouse of a patient in a rehabilitation program for substance abuse says, "After this treatment program, I think everything will be all right." Which remark by the nurse will be most helpful to the spouse A. While sobriety solves some problems, new ones may emerge as one adjusts to living without drugs and alcohol B. It will be important for you to structure life to avoid as much stress as you can and provide social protection C. Addiction is a lifelong disease of self-destruction. You will need to observe your spouse's behavior carefully D. It is good that you are supportive of your spouse's sobriety and want to help maintain it.
A
Patient diagnosed with a serious mental illness lives independently and attends a psychosocial rehabilitation program. The patient presents at the emergency department seeking hospitalization. The patient has no acute symptoms but says, "I have no money to pay my rest or refill my prescription" Select nurses best action A. Involve patients case manager to provide crisis intervention B. Send the patient to a homeless shelter until housing can be arranged C. Arrange for a short in-patient admission and begin discharge planning D. Explain that one must have active psychiatric symptoms to be admitted
A
A home health nurse is making a visit to a client who has Alzheimer's disease to assess the home for safety. Which of the following suggestions should the nurse make to decrease the client's risk for injury? A. Install extra locks at the top of exit doors B. Place rugs over electrical cords C. Place cleaning supplies on top shelf D.Place clients mattress on the floor E. Install light fixtures above stairs
A,D,E incorrect: B: no rugs, can trip C: cleaning supplies should be locked
A client did a massive amounts of cocaine 20 min ago. What should the nurse expect? A. hypertension B. Hypersomnia C. Polyphagia D. Respiratory arrest
A. hypertension
A nurse is evaluating a clients understanding of a new prescription for clonidine for the treatment of opioid use disorder. Which of the following statements by the client indicates and understanding of the teaching? A. Taking this medication will help reduce my craving for heroin B. While taking this medication, I should keep a pack of sugarless gum C. I can expect some diarrhea from taking this medicine D. Each dose of this medication should be placed under my tongue to dissolve
B
In the emergency department, a patients vital signs are BP 66/40mmHg, pulse 140 beats/min, respirations 8 breaths/ min and shallow. Nursing diagnosis is ineffective breathing pattern related to depression of respiratory center secondary to narcotic intoxication. Select the priority outcome. A. The patient will demonstrate effective coping skills and identify community resources for treatment of substance abuse within 1 week of hospitalization B. Within 4 hours, vital signs will stabilize, with BP over 90/60, pulse less than 100, and respirations at or above 12 breaths/min C. The patient will correctly describe a plan for home care an achieving a drug-free state before release from the emergency department D. Within 6 hours, the patient's breath sounds will be clear bilaterally and throughout lung fields
B
Symptoms of withdrawal from opioids for which the nurse should assess include: A. Dilated pupils, tachycardia, elevated BP, elation B. Nausea, vomiting, diaphoresis, anxiety, hyerreflexia C. Mood lability, incoordination, fever, drowsiness, D. Excessive eating, constipation, headache
B
An nurse is performing an admission assessment for a client who has delirium related to an acute urinary tract infection. Which of the following findings should the nurse expect? (SATA) A. History of gradual memory loss B. Family report of personality changes C. Hallucinations D. Unaltered level of consciousness E. Restlessness
B,C,E Incorrect A: Can experience sudden memory loss D: expected to have ALOC
A nurse is providing teaching to the family of a client who has substance use disorder. Which of the following statements by a family member indicates an understanding of the teaching? (SATA) A. We need to understand that our sibling is responsible for their disorder B. Eliminating codependent behavior will promote recovery C. Our sibling should participate in an Al-Anon group to assist with recovery D. The primary goal of treatment is abstinence from substance use E. Our sibling needs to discuss personal feelings about substance use to help with recovery
B,D,E Incorrect A: Client responsible for disease not recovery C: used for the family of client not client
A client just downed a costco-sized bottle of patron to win a bet. What should the nurse expect? A. Delusions/ Hallucinations B. temp 102F C. Decreased motor functions D. Tremors
C
A client has taken diazepam for years and stopped cold turkey 16hr ago. What should the nurse expect? A. Respiratory depression B. Somnolence C. Ataxia D. Seizure activity
D
A client states they just ingested a half a bottle of alprazolam. What should the nurse expect? A. 26 respirations/min B. Seizure C. Psychotic reaction D. Sedation
D
A nurse is teaching a client who has tobacco use disorder about the use of nicotine gum. Which of the following information should the nurse include in the teaching? A. Chew the gum for no more than 10 min B. Rinse out the mouth immediately before chewing the gum C. Avoid eating 15 min prior to chewing the gum D. Use of the gum is limited to 90 days
D
A patient diagnosed with an alcohol abuse disorder says, "Drinking helps me cope with being a single parent." Which therapeutic response by the nurse would help the patient conceptualize the drinking objectively? A. Sooner or later, alcohol will kill you. Then what will happen to your children? B. I hear a lot of defensiveness in your voice. Do you really believe this? C. If you were coping so well, why were you hospitalized again? D. Tell me what happened the last time you drank
D
A patient diagnosed with schizophrenia has had multiple relapses. The patient usually responds quickly to antipsychotic medication but soon discontinues the medication. Discharge plans include follow-up at the mental health center, group home placement, and a psychosocial day program. Which strategy should apply as the patient transitions from hospital to community? A. Administer a second-generation antipsychotic to help negative symptoms B. Use a quick-dissolving medication formulation to reduce "Cheeking" C. Prescribe a long acting intramuscular antipsychotic medication D. Involve the patient in decisions about which medication is best
D
Select the priority outcomes for a patient completing the fourth alcohol- detoxicification program in the past year. Prior to discharge, the patient will: A. State. "I know I need long-term treatment" B. use denial and rationalization in healthy ways C. Identify constructive outlets for expression of anger D. Develop a trusting relationship with one staff member
A
A client just bought adderall (amphetamine mixture) from a friend and took several pills at once to study for finals. What should the nurse expect? A. Tachycardia B. Fatigue C. Cravings D. Stupor
A
A nurse's neighbor says, "My sister has been diagnosed with bipolar disorder but will not take her medication. I have tried to help her for over 20 years, but it seems like everything I do fails. Do you have any suggestions? Select nurses best response A. The national Alliance on Mental Illness offers a family education serious that you might find helpful. B. Since your sister is noncompliant, perhaps its time for her to be changed to injectable medication C. You have done all you can. Now its time to put yourself first and move on with your life D. You cannot help her. Would you like to weigh the pros and cons of discontinuing your relationship?
A
A nurse is providing teaching to a client who has alcohol use disorder and a new prescription for carbamazepine. Which of the following information should the nurse include in the teaching? A. This medication will help prevent seizures during alcohol withdrawal B. Taking this medication will decrease your cravings for alcohol C. This medication maintains your blood pressure at a normal level during alcohol withdrawal D. Taking this medication will improve your ability to maintain abstinence from alcohol
A incorrect B: promote safe withdrawal rather than decrease craving D: Used to promote safe withdrawal rather than abstinance
The nurse is caring for a client with delirium. Which nursing intervention would be highest priority? A. Maintain consistency in routine B. Maintain physiological safety C. Promoting optimal level of functioning D. Promoting orientation to person, place, and time
B
What is the most appropriate goal of therapy for the client with vascular dementia A. Avoid confusing conversations B. Maintain optimal functioning C. Promote steady improvement D. Improve interpersonal relationships
B
prof Alfonso is withdrawing from extensive heroin use. What pupillary response should the nurse expect? A. nystagmus B. Dilation C. Constriction D. Discharge laser beams
B
A nurse is caring for a client who has early stage Alzheimer's disease and a new prescription for donepezil. The nurse should include which of the following statements when teaching the client about the medication? A. You should avoid taking over-the-counter acetaminophen about the medication B. You should take this medication before going to bed at the end of the day C. You will be screened for underlying kidney disease prior to starting donepezil D. you should stop taking donepezil if you experience nausea or diarrhea
B Incorrect A: avoid NSAID, not acetaminophen due to RF GI bleed C: screened for heart & pulmonary disease D: GI AE is common
A client has been abusing amphetamines but stopped taking them yesterday. What should the nurse expect. A. psychomotor agitation B. Depression C. Hypervigilence D. Tachycardia
B depression
A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect? (SATA) A. Bradycardia B. Fine tremors of both hands C. Hypotension D. Vomiting E. Restlessness
B,D,E Incorrect A: Tachy not brady C: hyper not hypo
A 70 year old client with alzheimer's disease becomes verbally abusive toward the nursing staff. What is the most appropriate action for the nurse to take? A. Administer lorazepam to calm the client B. Apply four-point restraints to physically control the client C. Speak in a calm, caring tone of voice, and attempt to divert the client's attention D. Advise the client that unit privileges will be withheld if the behavior continues
C
A client just took a triple dose of their presribed hydrocodone. What should the nurse expect? A. Rhinorrhea B. muscle spasms C. Stupor D. Restlessness
C
The treatment team discusses the plan of care for a patient diagnosed with schizophrenia and daily cannabis abuse who is having increased hallucinations and delusions. To plan effective treatment, the team should: A. Provide long term care for the patient in a residential facility B. Withdraw the patient from cannabis, then treat the schizophrenia C. Consider each diagnosis primary and provide simultaneous treatment D. First treat the schizophrenia, then establish goals for substance abuse treatment
C
Which factor is least associated with increased incidence of Alzheimer's disease? A. Head trauma B. Advanced age C. Excessive alcohol consumption D. Family history Alzheimer's disease
C
A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. Which of the following interventions should the nurse identify as a priority A. Orient the client frequently to time, place, and person B. Offer fluids and nourishing diet as tolerated C. Implement seizure precautions D. Encourage participation in group therapy sessions
C Incorrect A,B,D not priority
A nurse is caring for a client who has alcohol use disorder. The client is no longer experiencing withdrawal manifestations. Which of the following medications should the nurse anticipate administering to assist the client when maintaining abstinence from alcohol A. Chlordiazepoxide B. Bupriopion C. Disulfiram D. Carbamazepine
C Incorrect A: for acute alcohol withdrawal B: indicated for nicotine withdrawal D: acute alcohol withdrawal
A nurse is making a home visit to a client who is in the late stage of Alzheimer's disease. The client's partner, who is the primary caregiver wishes to discuss concerns about the clients nutrition and the stress of providing care. Which of the following actions should the nurse take? A. Verify that a current power of attorney document is not file B. Instruct the clients partner to offer finger foods to increase oral intake C. Provide information on resources for respite care. D. Schedule the client for placement of an enteral feeding tube
C Incorrect A: Does not address concerns B: RF choking are are unable to eat without assistance D: need prescription
A client drank a liter of vodka per day for weeks and is now beginning to withdraw. What should the nurse expect? A. Slurred speech B. Lethargy C. Inability to sleep D. Constricted pupils
C. Inability to sleep
A nurse is assisting in the discharge planning for a client following alcohol detoxification. The nurse should expect prescriptions for which of the following medications to promote long-term abstinence from alcohol (SATA) A. Lorazepam B. Diazepam C. Disulfiram D. Naltrexone E. Acamprosate
C: promotes abstinance through aversion therapy D: by suppressing craaving and unpleasurable effects of alcohol E: Decreases unpleasant effects from abstinence Incorrect A: Short term used during withdrawal B: short term
