Mental Health Final Exam Review Questions And
Answers Verified A+
1. A nurse at a large, tertiary care hospital cares for numerous clients who
are experiencing the negative effects of substance use disorder (SUD). Which
action best promotes early identification of SUD.
a. Screening all newly admitted clients for substance use, regardless of indi-
vidual characteristics.
b. Performing comprehensive SUD assessments on all clients between 14 and
49 years of age
c. Including detailed neurological and mental health assessments in the stan-
dard admission assessment
D. Performing liver function testing on all clients who state they drink alcohol-
:A
2. A client with a history of IV heroin use is reluctant to pursue treatment.
Consequently, the outreach team is adopting a harm reduction approach.
Which statement best describes the team's interaction with the client?
a. Treatment will focus primarily on the root cause of substance use, especially
in the spiritual and psychological domains
b. Treatment will be based on the knowledge that the client's heroin use will
likely be lifelong
c. Harm reduction is equally beneficial to abstinence in promoting long-term
health
d. Treatment will consist of efforts to minimize the unhealthy effects of heroin
use: D
3. 1. The nurse is providing care for a long history of alcohol addiction who
has been admitted for the management of withdrawal. Which nursing action
should be included in this client's plan of care?
a. Administer methadone as ordered and monitor the client closely for 15
minutes after administration
b. Administer benzodiazepines as ordered to prevent cardiac dysrhythmias
c. Administer thiamine and other vitamin supplements as order to address
,deficiencies.
D.Keep a syringe of 0.8 mg naloxone at the bedside at all times: C
,4. 1. A client with a 35 pack-year history of cigarette smoking has expressed to
the nurse his desire to quit, stating, "I've had it with smoking. If I could turn
back time I would have even started." What is the nurses most appropriate
response to the client?
a. Teach the client about physiological and psychological benefits of smoking
cessation
b. Explore the reasons why the client first began smoking and address them
c. Encourage the client to seek support among his peers in the community
D. Facilitate nicotine replacement therapy and psychosocial supports: D
5. 1. The nurse is providing care for a client who has been addicted to cocaine
and heroin for several years. Which statement is true of this client's treat-
ment?
a. The client's addiction will be considered to be cured once he or she success-
fully completes detoxification
b. The client will likely require pharmacologic as well as psychosocial interven-
tions
c. Success will be maximized by addressing one of the clients' addictions
before the other
d. Long-term goals should focus on reduction of drug use rater than absolute
elimination of use: B
6. Wernicke's encephalopathy is a degenerative brain disorder characterized
by which type of deficiency.
a. Vitamin D
b. Vitamin C
c. Thiamine
D.Vitamin A: C
7. A nurse is caring for a client who uses phencyclidine (PCP). PCP is classified
as which type of substance?
a. Cannabis
b. Opioid
c. Inhalant
d. Hallucinogen: D
, 8. Which are effects of alcohol withdrawal syndrome? Select all that apply
a. Decreased blood pressure
b. Increased pulse
c. Delirium tremors
d. Hand tremors
e. Seizures: B,C,D,E
9. In a person who abuses alcohol or is a chronic drinker, alcohol withdrawal
syndrome usually begins within which time frame from abrupt discontinua-
tion or an attempt to decrease consumption?
a. 18 hours
b. 24 hours
c. 48 hours
D. 12 hours: D
10. The care team has had frequent contact with a client who has a long-stand-
ing diagnosis of schizophrenia and who uses cocaine and heroin. What is the
most likely relationship between the client's mental health condition and the
substance use disorder?
a. The client likely uses cocaine and heroin to medicate the symptoms of
schizophrenia
b. The client's schizophrenia is likely the physiological and psychological result
of drug use
c. There is a clear relationship between the clients substance use and mental
health condition, but this relationship is not entirely understood
D. The risk factors for substance use and for schizophrenia are identical and
the client possessed many of these: C
11. An adult client who is being treated for depression admits to drinking up
to a litre of vodka each day. When planning the clients subsequent care, the
nurse should identify which phenomena?
a. Impaired pharmacokinetics of the clients prescribed antidepressant
b. Risk of delirium and development of bipolar disorder
c. Hyperstimulation of the CNS resulting in worsened symptoms of depres-
Answers Verified A+
1. A nurse at a large, tertiary care hospital cares for numerous clients who
are experiencing the negative effects of substance use disorder (SUD). Which
action best promotes early identification of SUD.
a. Screening all newly admitted clients for substance use, regardless of indi-
vidual characteristics.
b. Performing comprehensive SUD assessments on all clients between 14 and
49 years of age
c. Including detailed neurological and mental health assessments in the stan-
dard admission assessment
D. Performing liver function testing on all clients who state they drink alcohol-
:A
2. A client with a history of IV heroin use is reluctant to pursue treatment.
Consequently, the outreach team is adopting a harm reduction approach.
Which statement best describes the team's interaction with the client?
a. Treatment will focus primarily on the root cause of substance use, especially
in the spiritual and psychological domains
b. Treatment will be based on the knowledge that the client's heroin use will
likely be lifelong
c. Harm reduction is equally beneficial to abstinence in promoting long-term
health
d. Treatment will consist of efforts to minimize the unhealthy effects of heroin
use: D
3. 1. The nurse is providing care for a long history of alcohol addiction who
has been admitted for the management of withdrawal. Which nursing action
should be included in this client's plan of care?
a. Administer methadone as ordered and monitor the client closely for 15
minutes after administration
b. Administer benzodiazepines as ordered to prevent cardiac dysrhythmias
c. Administer thiamine and other vitamin supplements as order to address
,deficiencies.
D.Keep a syringe of 0.8 mg naloxone at the bedside at all times: C
,4. 1. A client with a 35 pack-year history of cigarette smoking has expressed to
the nurse his desire to quit, stating, "I've had it with smoking. If I could turn
back time I would have even started." What is the nurses most appropriate
response to the client?
a. Teach the client about physiological and psychological benefits of smoking
cessation
b. Explore the reasons why the client first began smoking and address them
c. Encourage the client to seek support among his peers in the community
D. Facilitate nicotine replacement therapy and psychosocial supports: D
5. 1. The nurse is providing care for a client who has been addicted to cocaine
and heroin for several years. Which statement is true of this client's treat-
ment?
a. The client's addiction will be considered to be cured once he or she success-
fully completes detoxification
b. The client will likely require pharmacologic as well as psychosocial interven-
tions
c. Success will be maximized by addressing one of the clients' addictions
before the other
d. Long-term goals should focus on reduction of drug use rater than absolute
elimination of use: B
6. Wernicke's encephalopathy is a degenerative brain disorder characterized
by which type of deficiency.
a. Vitamin D
b. Vitamin C
c. Thiamine
D.Vitamin A: C
7. A nurse is caring for a client who uses phencyclidine (PCP). PCP is classified
as which type of substance?
a. Cannabis
b. Opioid
c. Inhalant
d. Hallucinogen: D
, 8. Which are effects of alcohol withdrawal syndrome? Select all that apply
a. Decreased blood pressure
b. Increased pulse
c. Delirium tremors
d. Hand tremors
e. Seizures: B,C,D,E
9. In a person who abuses alcohol or is a chronic drinker, alcohol withdrawal
syndrome usually begins within which time frame from abrupt discontinua-
tion or an attempt to decrease consumption?
a. 18 hours
b. 24 hours
c. 48 hours
D. 12 hours: D
10. The care team has had frequent contact with a client who has a long-stand-
ing diagnosis of schizophrenia and who uses cocaine and heroin. What is the
most likely relationship between the client's mental health condition and the
substance use disorder?
a. The client likely uses cocaine and heroin to medicate the symptoms of
schizophrenia
b. The client's schizophrenia is likely the physiological and psychological result
of drug use
c. There is a clear relationship between the clients substance use and mental
health condition, but this relationship is not entirely understood
D. The risk factors for substance use and for schizophrenia are identical and
the client possessed many of these: C
11. An adult client who is being treated for depression admits to drinking up
to a litre of vodka each day. When planning the clients subsequent care, the
nurse should identify which phenomena?
a. Impaired pharmacokinetics of the clients prescribed antidepressant
b. Risk of delirium and development of bipolar disorder
c. Hyperstimulation of the CNS resulting in worsened symptoms of depres-
