Essentials of Psychiatric Mental Health Nursing 8th edition
Chapter 14 Exam 2026 Questions and Answers Graded A+
A chronic alcoholic client has elevated levels of muscle enzymes and symptoms of decreased exercise tolerance, dyspnea,
edema, and palpitations. As directed by the primary health-care provider, the nurse restrains the client from alcohol use and
initiates therapy with digitalis and diuretics. What outcome will the nurse expect in the client? - Correct answer-The chest x-
ray of the client will show a proper functioning of the heart.
The nurse is caring for a client who started drinking alcohol often following the death of his wife. Which indicates an
effective outcome of therapy? - Correct answer-Verbalizes and demonstrates adaptive coping strategies
The clinical findings of a client who is an alcoholic indicate the replacement of liver cells with fibrous tissue. Which
complications could the nurse expect in this client? Select all that apply. - Correct answer-Ascites
Esophageal varices
The client is unable to meet his or her role expectations due to alcohol abuse. Which nursing intervention would help the
client? - Correct answer-Encouraging the client to express feelings of fear and anxiety
Which therapy protects the client from the risk of death due to Wernicke's encephalopathy? - Correct answer-Thiamine
replacement therapy
Which factor results in delayed absorption of alcohol? - Correct answer-Presence of food in the stomach
A client with substance intoxication and mental illness is scheduled for cognitive therapy. Which client outcome would
indicate effective therapy? - Correct answer-The client learns to monitor moods and thought processes that lead to substance
abuse.
Which drugs produce anterograde amnesia in a client with sedative intoxication? Select all that apply. - Correct answer-
Flunitrazepam
Gamma hydroxybutyric acid
Which medication would be beneficial for a client with cocaine addiction and who is having status epilepticus? - Correct
answer-Diazepam
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, After assessing a client using the Michigan Alcoholism Screening Test (MAST), the nurse identifies a possible problem with
alcohol. Which MAST score is consistent with the nurse's conclusion? - Correct answer-Four
Which medication is initially used to treat stimulant intoxication? - Correct answer-Chlordiazepoxide
Which medication could be used in the management of weight and hyperkinesia? - Correct answer-Amphetamine
A client diagnosed with hepatic encephalopathy completely abstains from alcohol, eats a low-protein diet, and is on
neomycin therapy. Which laboratory findings indicate a successful treatment modality? - Correct answer-Decrease in serum
ammonia levels
A client who uses drugs says, "I am not a drug addict. I can stop any time I want." Which nursing intervention would the
nurse most likely apply in this client? - Correct answer-Correcting misconceptions about substance abuse
A client who is a smoker says, "Smoking relaxes me. It is not harmful." What would be the priority nursing intervention for
this client? - Correct answer-Assessing the client's level of knowledge
A client is admitted to the emergency department with methanol poisoning. Which antidote would the nurse arrange for this
client? - Correct answer-Alcohol
The clinical history of a client who is an alcoholic shows excessive amount of serous fluid accumulation in the abdominal
cavity. What is the condition of the client? - Correct answer-Ascites
A client after the withdrawal from a hallucinogen says, "I feel I am still on the drug." What is the condition of the client? -
Correct answer-Flashback
Which action would neomycin produce when a client with alcoholic use disorder is treated for hepatic encephalopathy? -
Correct answer-Reduces intestinal ammonia
A client with a punitive superego turned to alcohol to diminish unconscious anxiety. Which risk factors would predispose
this client to a substance abuse disorder? - Correct answer-Developmental influences
Which medication can the nurse expect for the treatment of a client with a gambling disorder? Select all that apply. - Correct
answer-Clomipramine
Carbamazepine
A client who is a chronic alcoholic says, "My fingers are aching. I can feel a burning and prickling sensation." Which
disorder will the nurse suspect in the client? - Correct answer-Peripheral neuropathy
© COPYRIGHT 2026,ALL RIGHTS RESERVED 2
Chapter 14 Exam 2026 Questions and Answers Graded A+
A chronic alcoholic client has elevated levels of muscle enzymes and symptoms of decreased exercise tolerance, dyspnea,
edema, and palpitations. As directed by the primary health-care provider, the nurse restrains the client from alcohol use and
initiates therapy with digitalis and diuretics. What outcome will the nurse expect in the client? - Correct answer-The chest x-
ray of the client will show a proper functioning of the heart.
The nurse is caring for a client who started drinking alcohol often following the death of his wife. Which indicates an
effective outcome of therapy? - Correct answer-Verbalizes and demonstrates adaptive coping strategies
The clinical findings of a client who is an alcoholic indicate the replacement of liver cells with fibrous tissue. Which
complications could the nurse expect in this client? Select all that apply. - Correct answer-Ascites
Esophageal varices
The client is unable to meet his or her role expectations due to alcohol abuse. Which nursing intervention would help the
client? - Correct answer-Encouraging the client to express feelings of fear and anxiety
Which therapy protects the client from the risk of death due to Wernicke's encephalopathy? - Correct answer-Thiamine
replacement therapy
Which factor results in delayed absorption of alcohol? - Correct answer-Presence of food in the stomach
A client with substance intoxication and mental illness is scheduled for cognitive therapy. Which client outcome would
indicate effective therapy? - Correct answer-The client learns to monitor moods and thought processes that lead to substance
abuse.
Which drugs produce anterograde amnesia in a client with sedative intoxication? Select all that apply. - Correct answer-
Flunitrazepam
Gamma hydroxybutyric acid
Which medication would be beneficial for a client with cocaine addiction and who is having status epilepticus? - Correct
answer-Diazepam
© COPYRIGHT 2026,ALL RIGHTS RESERVED 1
, After assessing a client using the Michigan Alcoholism Screening Test (MAST), the nurse identifies a possible problem with
alcohol. Which MAST score is consistent with the nurse's conclusion? - Correct answer-Four
Which medication is initially used to treat stimulant intoxication? - Correct answer-Chlordiazepoxide
Which medication could be used in the management of weight and hyperkinesia? - Correct answer-Amphetamine
A client diagnosed with hepatic encephalopathy completely abstains from alcohol, eats a low-protein diet, and is on
neomycin therapy. Which laboratory findings indicate a successful treatment modality? - Correct answer-Decrease in serum
ammonia levels
A client who uses drugs says, "I am not a drug addict. I can stop any time I want." Which nursing intervention would the
nurse most likely apply in this client? - Correct answer-Correcting misconceptions about substance abuse
A client who is a smoker says, "Smoking relaxes me. It is not harmful." What would be the priority nursing intervention for
this client? - Correct answer-Assessing the client's level of knowledge
A client is admitted to the emergency department with methanol poisoning. Which antidote would the nurse arrange for this
client? - Correct answer-Alcohol
The clinical history of a client who is an alcoholic shows excessive amount of serous fluid accumulation in the abdominal
cavity. What is the condition of the client? - Correct answer-Ascites
A client after the withdrawal from a hallucinogen says, "I feel I am still on the drug." What is the condition of the client? -
Correct answer-Flashback
Which action would neomycin produce when a client with alcoholic use disorder is treated for hepatic encephalopathy? -
Correct answer-Reduces intestinal ammonia
A client with a punitive superego turned to alcohol to diminish unconscious anxiety. Which risk factors would predispose
this client to a substance abuse disorder? - Correct answer-Developmental influences
Which medication can the nurse expect for the treatment of a client with a gambling disorder? Select all that apply. - Correct
answer-Clomipramine
Carbamazepine
A client who is a chronic alcoholic says, "My fingers are aching. I can feel a burning and prickling sensation." Which
disorder will the nurse suspect in the client? - Correct answer-Peripheral neuropathy
© COPYRIGHT 2026,ALL RIGHTS RESERVED 2
