NUR 384 Behavioral Health Nursing
NUR 384 FINAL EXAM 2026.2027
CONCORDIA ST. PAUL ACCURATE
FALL –SPRING SEMESTER GRADED
A+
A client diagnosed with a gambling disorder asks the nurse about medications that
may be ordered by the client's physician to treat this disorder. The nurse would give
the client information on which medications?
1. Escitalopram (Lexapro) and clozapine (Clozaril)
2. Citalopram (Celexa) and olanzapine (Zyprexa)
3. Lithium carbonate (Lithobid) and sertraline (Zoloft)
4. Naltrexone (ReVia) and ziprasidone (Geodon)
3. Lithium carbonate (Lithobid) and sertraline (Zoloft)
A nurse is assessing a pathological gambler. What would differentiate this client's
behaviors from the behaviors of a non-pathological gambler?
1. Pathological gamblers have abnormal levels of neurotransmitters, whereas non-
pathological gamblers do not.
2. Pathological gambling occurs more commonly among women, whereas non-
pathological gambling occurs more commonly among men.
3. Pathological gambling generally runs an acute course, whereas non-pathological
gambling runs a chronic course.
4. Pathological gambling is not related to stress relief, whereas non-pathological
gambling is related to stress relief.
1. Pathological gamblers have abnormal levels of neurotransmitters, whereas non-
pathological gamblers do not.
A nursing instructor is teaching about the impaired nurse and the consequences of
this impairment. Which statement by a student indicates that further instruction is
needed?
1. "The state board of nursing must be notified with factual documentation of
,NUR 384 Behavioral Health Nursing
impairment."
2. "All state boards of nursing have passed laws that, under any circumstances, do not
allow impaired nurses to practice."
3. "Many state boards of nursing require an impaired nurse to successfully complete
counseling treatment programs prior to a return to work."
4. "After a return to practice, a recovering nurse may be closely monitored for several
years."
2. "All state boards of nursing have passed laws that, under any circumstances, do not
allow impaired nurses to practice."
Which of the following nursing statements exemplify the cognitive process that
must be completed by a nurse prior to caring for clients diagnosed with a substance-
related disorder? (Select all that apply.)
1. "I am easily manipulated and need to work on this prior to caring for these clients."
2. "Because of my father's alcoholism, I need to examine my attitude toward these
clients."
3. "I need to review the side effects of the medications used in the withdrawal
process."
4. "I'll need to set boundaries to maintain a therapeutic relationship."
5. "I need to take charge when dealing with clients diagnosed with substance
disorders."
1. "I am easily manipulated and need to work on this prior to caring for these clients."
2. "Because of my father's alcoholism, I need to examine my attitude toward these
clients."
4. "I'll need to set boundaries to maintain a therapeutic relationship."
A nursing instructor is teaching nursing students about cirrhosis of the liver.
Which of the following statements about the complications of hepatic encephalopathy
should indicate to the nursing instructor that further student teaching is needed?
1. "A diet rich in protein will promote hepatic healing."
2. "This condition results from a rise in serum ammonia, leading to impaired mental
functioning."
3. "In this condition, an excessive amount of serous fluid accumulates in the abdominal
cavity."
4. "Neomycin and lactulose are used in the treatment of this condition."
5. "This condition is caused by the inability of the liver to convert ammonia to urea."
1. "A diet rich in protein will promote hepatic healing."
,NUR 384 Behavioral Health Nursing
A clinic nurse is about to meet with a client diagnosed with a gambling disorder. Which
of the following symptoms and/or behaviors is the nurse likely to assess? (Select all
that apply.)
1. Stressful situations precipitate gambling behaviors.
2. Anxiety and restlessness can only be relieved by placing a bet.
3. Winning brings about feelings of sexual satisfaction.
4. Gambling is used as a coping strategy.
5. Losing at gambling meets the client's need for self-punishment.
1. Stressful situations precipitate gambling behaviors.
2. Anxiety and restlessness can only be relieved by placing a bet.
4. Gambling is used as a coping strategy.
5. Losing at gambling meets the client's need for self-punishment.
Which term should a nurse use to describe the administration of a central nervous
system (CNS) depressant during the substance induced disorder of alcohol
withdrawal?
1. Antagonist therapy
2. Deterrent therapy
3. Codependency therapy
4. Substitution therapy
4. Substitution therapy
Various medications have been used to decrease the intensity of symptoms in an
individual who is withdrawing from, or who is experiencing the effects of
excessive use of, alcohol and other drugs. This is called substitution therapy and may
be required to reduce the life-threatening effects of alcohol withdrawal.
A client diagnosed with chronic alcohol addiction is being discharged from an
inpatient treatment facility after detoxification. Which client outcome, related to AA,
would be most appropriate for a nurse to discuss with the client during discharge
teaching?
1. After discharge, the client will immediately attend 90 AA meetings in 90 days.
2. After discharge, the client will rely on an AA sponsor to help control alcohol
cravings.
3. After discharge, the client will incorporate family in AA attendance.
, NUR 384 Behavioral Health Nursing
4. After discharge, the client will seek appropriate deterrent medications through AA.
1. After discharge, the client will immediately attend 90 AA meetings in 90 days.
AA is a major self-help organization for the treatment of alcohol addiction. It accepts
alcohol addiction as an illness and promotes total abstinence as the only cure.
A client with a history of heavy alcohol use is brought to an emergency department
(ED) by family members who state that the client has had nothing to drink in the last
48 hours. When the nurse reports to the ED physician, which client symptom should be
the nurse's first priority?
1. Hearing and visual impairment
2. Blood pressure of 180/100 mm Hg
3. Mood rating of 2/10 on numeric scale
4. Dehydration
2. Blood pressure of 180/100 mm Hg
Which client statement demonstrates positive progress toward recovery from a
substance use disorder?
1. "I have completed detox and therefore am in control of my drug use."
2. "I will faithfully attend Narcotic Anonymous when I can't control my cravings."
3. "As a church deacon, my focus will now be on spiritual renewal."
4. "Taking those pills got out of control. It cost me my job, marriage, and children."
4. "Taking those pills got out of control. It cost me my job, marriage, and children."
A client who takes responsibility for the consequences of substance use disorder or
substance addiction is making positive progress toward recovery. This would indicate
completion of the first step of a 12-step program.
A nurse holds the hand of a client who is withdrawing from alcohol. What is the
nurse's rationale for this intervention?
1. To assess for emotional strength
2. To assess for Wernicke-Korsakoff syndrome
3. To assess for tachycardia
4. To assess for fine tremors
4. To assess for fine tremors
NUR 384 FINAL EXAM 2026.2027
CONCORDIA ST. PAUL ACCURATE
FALL –SPRING SEMESTER GRADED
A+
A client diagnosed with a gambling disorder asks the nurse about medications that
may be ordered by the client's physician to treat this disorder. The nurse would give
the client information on which medications?
1. Escitalopram (Lexapro) and clozapine (Clozaril)
2. Citalopram (Celexa) and olanzapine (Zyprexa)
3. Lithium carbonate (Lithobid) and sertraline (Zoloft)
4. Naltrexone (ReVia) and ziprasidone (Geodon)
3. Lithium carbonate (Lithobid) and sertraline (Zoloft)
A nurse is assessing a pathological gambler. What would differentiate this client's
behaviors from the behaviors of a non-pathological gambler?
1. Pathological gamblers have abnormal levels of neurotransmitters, whereas non-
pathological gamblers do not.
2. Pathological gambling occurs more commonly among women, whereas non-
pathological gambling occurs more commonly among men.
3. Pathological gambling generally runs an acute course, whereas non-pathological
gambling runs a chronic course.
4. Pathological gambling is not related to stress relief, whereas non-pathological
gambling is related to stress relief.
1. Pathological gamblers have abnormal levels of neurotransmitters, whereas non-
pathological gamblers do not.
A nursing instructor is teaching about the impaired nurse and the consequences of
this impairment. Which statement by a student indicates that further instruction is
needed?
1. "The state board of nursing must be notified with factual documentation of
,NUR 384 Behavioral Health Nursing
impairment."
2. "All state boards of nursing have passed laws that, under any circumstances, do not
allow impaired nurses to practice."
3. "Many state boards of nursing require an impaired nurse to successfully complete
counseling treatment programs prior to a return to work."
4. "After a return to practice, a recovering nurse may be closely monitored for several
years."
2. "All state boards of nursing have passed laws that, under any circumstances, do not
allow impaired nurses to practice."
Which of the following nursing statements exemplify the cognitive process that
must be completed by a nurse prior to caring for clients diagnosed with a substance-
related disorder? (Select all that apply.)
1. "I am easily manipulated and need to work on this prior to caring for these clients."
2. "Because of my father's alcoholism, I need to examine my attitude toward these
clients."
3. "I need to review the side effects of the medications used in the withdrawal
process."
4. "I'll need to set boundaries to maintain a therapeutic relationship."
5. "I need to take charge when dealing with clients diagnosed with substance
disorders."
1. "I am easily manipulated and need to work on this prior to caring for these clients."
2. "Because of my father's alcoholism, I need to examine my attitude toward these
clients."
4. "I'll need to set boundaries to maintain a therapeutic relationship."
A nursing instructor is teaching nursing students about cirrhosis of the liver.
Which of the following statements about the complications of hepatic encephalopathy
should indicate to the nursing instructor that further student teaching is needed?
1. "A diet rich in protein will promote hepatic healing."
2. "This condition results from a rise in serum ammonia, leading to impaired mental
functioning."
3. "In this condition, an excessive amount of serous fluid accumulates in the abdominal
cavity."
4. "Neomycin and lactulose are used in the treatment of this condition."
5. "This condition is caused by the inability of the liver to convert ammonia to urea."
1. "A diet rich in protein will promote hepatic healing."
,NUR 384 Behavioral Health Nursing
A clinic nurse is about to meet with a client diagnosed with a gambling disorder. Which
of the following symptoms and/or behaviors is the nurse likely to assess? (Select all
that apply.)
1. Stressful situations precipitate gambling behaviors.
2. Anxiety and restlessness can only be relieved by placing a bet.
3. Winning brings about feelings of sexual satisfaction.
4. Gambling is used as a coping strategy.
5. Losing at gambling meets the client's need for self-punishment.
1. Stressful situations precipitate gambling behaviors.
2. Anxiety and restlessness can only be relieved by placing a bet.
4. Gambling is used as a coping strategy.
5. Losing at gambling meets the client's need for self-punishment.
Which term should a nurse use to describe the administration of a central nervous
system (CNS) depressant during the substance induced disorder of alcohol
withdrawal?
1. Antagonist therapy
2. Deterrent therapy
3. Codependency therapy
4. Substitution therapy
4. Substitution therapy
Various medications have been used to decrease the intensity of symptoms in an
individual who is withdrawing from, or who is experiencing the effects of
excessive use of, alcohol and other drugs. This is called substitution therapy and may
be required to reduce the life-threatening effects of alcohol withdrawal.
A client diagnosed with chronic alcohol addiction is being discharged from an
inpatient treatment facility after detoxification. Which client outcome, related to AA,
would be most appropriate for a nurse to discuss with the client during discharge
teaching?
1. After discharge, the client will immediately attend 90 AA meetings in 90 days.
2. After discharge, the client will rely on an AA sponsor to help control alcohol
cravings.
3. After discharge, the client will incorporate family in AA attendance.
, NUR 384 Behavioral Health Nursing
4. After discharge, the client will seek appropriate deterrent medications through AA.
1. After discharge, the client will immediately attend 90 AA meetings in 90 days.
AA is a major self-help organization for the treatment of alcohol addiction. It accepts
alcohol addiction as an illness and promotes total abstinence as the only cure.
A client with a history of heavy alcohol use is brought to an emergency department
(ED) by family members who state that the client has had nothing to drink in the last
48 hours. When the nurse reports to the ED physician, which client symptom should be
the nurse's first priority?
1. Hearing and visual impairment
2. Blood pressure of 180/100 mm Hg
3. Mood rating of 2/10 on numeric scale
4. Dehydration
2. Blood pressure of 180/100 mm Hg
Which client statement demonstrates positive progress toward recovery from a
substance use disorder?
1. "I have completed detox and therefore am in control of my drug use."
2. "I will faithfully attend Narcotic Anonymous when I can't control my cravings."
3. "As a church deacon, my focus will now be on spiritual renewal."
4. "Taking those pills got out of control. It cost me my job, marriage, and children."
4. "Taking those pills got out of control. It cost me my job, marriage, and children."
A client who takes responsibility for the consequences of substance use disorder or
substance addiction is making positive progress toward recovery. This would indicate
completion of the first step of a 12-step program.
A nurse holds the hand of a client who is withdrawing from alcohol. What is the
nurse's rationale for this intervention?
1. To assess for emotional strength
2. To assess for Wernicke-Korsakoff syndrome
3. To assess for tachycardia
4. To assess for fine tremors
4. To assess for fine tremors
