Substance Abuse | NCLEX Quiz 213
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.The nurse is planning activities for a client who has bipolar disorder with aggressive social behavior. Which of the following activities would be most appropriate for this client?
- A.
Ping pong
- B.
Writing
- C.
Chess
- D.
Basketball
- 2.A client is admitted to the hospital with a diagnosis of major depression. severe. single episode. The nurse assesses the client and identifies a nursing diagnosis of imbalanced nutrition related to poor nutritional intake. The most appropriate nursing intervention related to this diagnosis is:
- A.
Explain to the client the importance of a good nutritional intake
- B.
Weight the client 3 times per week before breakfast
- C.
Report the nutritional concern to the psychiatrist and obtain a nutritional consultation as soon as possible.
- D.
Consult with the nutritionist. offer the client several small meals per day. and schedule brief nursing interactions with the client during these times.
- 3.In planning activities for the depressed client. especially during the early stages of hospitalization. which of the following plans is best?
- A.
Provide an activity that is quiet and solitary to avoid increased fatigue. such as working on a puzzle or reading a book.
- B.
Plan nothing until the client asks to participate in milieu.
- C.
Offer the client a menu of daily activities and insist the client participate in all of them
- D.
Provide a structured daily program of activities and encourage the client to participate.
- 4.The depressed client verbalizes feelings of low self-esteem and self-worth typified by statements such as “I’m such a failure… I can’t do anything right!” The best nursing response would be:
- A.
To tell the client this is not true; that we all have a purpose in life.
- B.
To remain with the client and sit in silence; this will encourage the client to verbalize feelings
- C.
To reassure the client that you know how the client is feeling and that things will get better
- D.
To identify recent behaviors or accomplishments that demonstrates skill ability.
- 5.Which one do you like?
- A.
Option 1
- B.
Option 2
- C.
Option 3
- D.
Option 4
- 6.Which one do you like?
- A.
Option 1
- B.
Option 2
- C.
Option 3
- D.
Option 4
- 7.The nurse assesses a client with the admitting diagnosis of bipolar affective disorder. mania. The symptom presented by the client that requires the nurse’s immediate intervention is the client’s:
- A.
Outlandish behaviors and inappropriate dress
- B.
Grandiose delusions of being a royal descendant of King Arthur.
- C.
Nonstop physical activity and poor nutritional intake
- D.
Constant. incessant talking that includes sexual innuendoes and teasing the staff
- 8.The nurse reviews the activity schedule for the day and plans which activity for the manic client?
- A.
Brown-bag luncheon and book review
- B.
Tetherball
- C.
Paint-by-number activity
- D.
Deep breathing and progressive relaxation group
- 9.A hospitalized client is being considered for ECT. The client appears calm. but the family is anxious. The client’s mother begins to cry and states “My son’s brain will be destroyed. How can the doctor do this to him?” The nurses best response is:
- A.
“It sounds as though you need to speak with the psychiatrist”
- B.
“Your son has decided to have this treatment. You should be supportive of him.”
- C.
“Perhaps you’d like to see the ECT room and speak to the staff.”
- D.
“It sounds as though you have some concerns about the ECT procedure. Why don’t we sit down together and discuss any concerns you may have.”
- 10.The manic client announces to everyone in the dayroom that a stripper is coming to perform this evening. When the nurse firmly states that this will not happen. the manic client becomes verbally abusive and threatens physical violence to the nurse. Based on the analysis of this situation. the nurse determines that the most appropriate action would be to:
- A.
With assistance. escort the manic client to her room and administer Haldol as prescribed if needed
- B.
Tell the client that smoking privileges are revoked for 24 hours
- C.
Orient the client to time. person. and place
- D.
Tell the client that the behavior is not appropriate.
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