Substance Abuse | NCLEX Quiz 214
All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
- 1.Select all nursing interventions for a hospitalized client with mania who is exhibiting manipulative behavior.
- A.
Communicate expected behaviors to the client
- B.
Enforce rules and inform the client the he or she will not be allowed to attend group therapy sessions.
- C.
Ensure that the client knows that he or she is not in charge of the nursing unit
- D.
Be clear with the client regarding the consequences of exceeding limits set regarding behavior.
- E.
Assist the client in testing out alternative behaviors for obtaining needs
- 2.A woman comes into the ER in a severe state of anxiety following a car accident. The most appropriate nursing intervention is to:
- A.
Remain with the client
- B.
Put the client in a quiet room
- C.
Teach the client deep breathing
- D.
Encourage the client to talk about their feelings and concern.
- 3.When planning the discharge of a client with chronic anxiety. the nurse directs the goals at promoting a safe environment at home. The most appropriate maintenance goal should focus on which of the following?
- A.
Continued contact with a crisis counselor
- B.
Identifying anxiety-producing situations
- C.
Ignoring feelings of anxiety
- D.
Eliminating all anxiety from daily situations
- 4.The nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal. Which of the following would alert the nurse to the potential for delirium tremors?
- A.
Hypertension. changes in LOC. hallucinations
- B.
Hypotension. ataxia. hunger
- C.
Stupor. agitation. muscular rigidity
- D.
Hypotension. coarse hand tremors. agitation
- 5.The spouse of a client admitted to the mental health unit for alcohol withdrawal says to the nurse “I should get out of this bad situation.” The most helpful response by the nurse would be:
- A.
“I agree with you. You should get out of this situation.”
- B.
“What do you find difficult about this situation?”
- C.
“Why don’t you tell your husband about this?”
- D.
“This is not the best time to make that decision.”
- 6.The nurse determines that the wife of an alcoholic client is benefiting from attending Al-Anon group when she hears the wife say:
- A.
“My attendance at the meetings has helped me to see that I provoke my husband’s violence.”
- B.
“I no longer feel that I deserve the beatings my husband inflicts on me.”
- C.
“I can tolerate my husband’s destructive behavior now that I know they are common with alcoholics.”
- D.
“I enjoy attending the meetings because they get me out of the house and away from my husband.”
- 7.The client has been hospitalized and is participating in a substance abuse therapy group sessions. On discharge. the client has consented to participate in AA community groups. The nurse is monitoring the client’s response to the substance abuse sessions. Which statement by the client best indicates that the client has developed effective coping response styles and has processed information effectively for self use?
- A.
“I know I’m ready to be discharged. I feel I can say ‘no’ and leave a group of friends if they are drinking… ‘No Problem.’”
- B.
“This group has really helped a lot. I know it will be different when I go home. But I’m sure that my family and friends will all help me like the people in this group have… They’ll all help me… I know they will… They won’t let me go back to my old ways.”
- C.
“I’m looking forward to leaving here. I know that I will miss all of you. So. I’m happy and I’m sad. I’m excited and I’m scared. I know that I have to work hard to be strong and that everyone isn’t going to be as helpful as you people.”
- D.
“I’ll keep all my appointments; go to all my AA groups; I’ll do everything I’m supposed to… Nothing will go wrong that way.”
- 8.A hospitalized client with a history of alcohol abuse tells the nurse. “I am leaving now. I have to go. I don’t want anymore treatment. I have things that I have to do right away.” The client has not been discharged. In fact. the client is scheduled for an important diagnostic test to be performed in 1 hour. After the nurse discusses the client’s concerns with the client. the client dresses and begins to walk out of the hospital room. The most important nursing action is to:
- A.
Restrain the client until the physician can be reached
- B.
Call security to block all areas
- C.
Tell the client that the client cannot return to this hospital again if the client leaves now.
- D.
Call the nursing supervisor.
- 9.Select the appropriate interventions for caring for the client in alcohol withdrawal.
- A.
Monitor vital signs
- B.
Provide stimulation in the environment
- C.
Maintain NPO status
- D.
Provide reality orientation as appropriate
- E.
Address hallucinations therapeutically
- 10.Which of the following nursing actions would be included in a care plan for a client with PTSD who states the experience was “bad luck”?
- A.
Encourage the client to verbalize the experience
- B.
Assist the client in defining the experience
- C.
Work with the client to take steps to move on with his life
- D.
Help the client accept positive and negative feelings
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