BSNC 4000 MH UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
Abnormalities of dopamine use within the reward system pathways are
suspected to be a critical aspect of the development of
1)Depression and Anxiety
2)Drug and other addictions
3)Schizophrenia and Suicide
4)Depression and Mania
Answer:
Drug + Addiction
Question:
The nurse is teaching a community group about sub-stance abuse. She
explains that a genetic component has been implicated with which of the
following commonly abused substances?
1)Alcohol
2)Barbiturates
3)Heroin
4)Marijuana
Answer:
Alcohol
Question:
The nurse recommends that the family of a client with substance-related
disorder attend a support group, such as Al Anon. The purpose of these groups
is to help family members understand the problem and to:
1)change the problem behaviors of the abuser.
2)learn how to assist the abuser in getting help.
3)maintain focus on changing their own behaviors.
4)prevent substance problems in vulnerable family members.
Answer:
Learn how to assist the abuser in getting help
Question:
Which problems are related to thiamin deficiency in a client who chronically
abuses alcohol?
1)Cardiovascular symptoms, such as decreased hemoglobin and hematocrit
levels
2)CNS symptoms, such as ataxia and peripheral neu-
ropathy
3)Gastrointestinal symptoms, such as nausea and vomiting
4)Respiratory symptoms, such as cough and sore throat
Answer:
CNS symptoms like ataxia and peripheral neuropathy
, Question:
Nurse Wilma is teaching a client about disulfiram (Antabuse), which the client
is taking to deter his use of alcohol. She explains that using alcohol when
taking this medication can result in
1)abdominal cramps and diarrhea.
2)Drowsiness and decreased respiration
3)Flushing, vomiting, and dizziness
4)Increased pulse and blood pressure
Answer:
Flushing, vomiting, and dizziness
Question:
During an initial assessment of a client admitted to a substance abuse unit for
detoxification and treatment, the nurse asks questions to determine patterns
of use of substances. Which of question is most appropriate at this time?
1)Do you feel bad or guilty about your use of sub-stances?
2)Have you ever felt you should cut down substance use?
3)Have people annoyed you by criticizing your drinking?
4)What substances do you use?
Answer:
What substances do you use?
Question:
A client asks a nurse not to tell his parents about his alcohol problem. What is
the most appropriate response by the nurse?
1)"How can you not tell them? Is that being honest?"
2)"Don't you think you'll need to tell them someday?"
3)"Do alcohol problems run in either side of your family?"
4)"What do you think will happen if you tell your parents?"
Answer:
What do you think will happen if you tell your parents?
Question:
The nurse is caring for a client who is experiencing alcohol withdrawal. The
nurse would be most concerned if the client exhibited which of the following?
1)Hallucinations
2)Nervousness
3)Diaphoresis
4)Nausea
Answer:
Hallucinations
Question:
Alcohol abuse-induced thiamine deficiency can cause which of the following?
1)Lewy body dementia
2)Wernicke-Korsakoff syndrome
3)Agnosia
4)Wolf-Hirschhorn syndrome
Answer:
Wernicke-Korsakoff syndrome
CORRECT ANSWERS
Question:
Abnormalities of dopamine use within the reward system pathways are
suspected to be a critical aspect of the development of
1)Depression and Anxiety
2)Drug and other addictions
3)Schizophrenia and Suicide
4)Depression and Mania
Answer:
Drug + Addiction
Question:
The nurse is teaching a community group about sub-stance abuse. She
explains that a genetic component has been implicated with which of the
following commonly abused substances?
1)Alcohol
2)Barbiturates
3)Heroin
4)Marijuana
Answer:
Alcohol
Question:
The nurse recommends that the family of a client with substance-related
disorder attend a support group, such as Al Anon. The purpose of these groups
is to help family members understand the problem and to:
1)change the problem behaviors of the abuser.
2)learn how to assist the abuser in getting help.
3)maintain focus on changing their own behaviors.
4)prevent substance problems in vulnerable family members.
Answer:
Learn how to assist the abuser in getting help
Question:
Which problems are related to thiamin deficiency in a client who chronically
abuses alcohol?
1)Cardiovascular symptoms, such as decreased hemoglobin and hematocrit
levels
2)CNS symptoms, such as ataxia and peripheral neu-
ropathy
3)Gastrointestinal symptoms, such as nausea and vomiting
4)Respiratory symptoms, such as cough and sore throat
Answer:
CNS symptoms like ataxia and peripheral neuropathy
, Question:
Nurse Wilma is teaching a client about disulfiram (Antabuse), which the client
is taking to deter his use of alcohol. She explains that using alcohol when
taking this medication can result in
1)abdominal cramps and diarrhea.
2)Drowsiness and decreased respiration
3)Flushing, vomiting, and dizziness
4)Increased pulse and blood pressure
Answer:
Flushing, vomiting, and dizziness
Question:
During an initial assessment of a client admitted to a substance abuse unit for
detoxification and treatment, the nurse asks questions to determine patterns
of use of substances. Which of question is most appropriate at this time?
1)Do you feel bad or guilty about your use of sub-stances?
2)Have you ever felt you should cut down substance use?
3)Have people annoyed you by criticizing your drinking?
4)What substances do you use?
Answer:
What substances do you use?
Question:
A client asks a nurse not to tell his parents about his alcohol problem. What is
the most appropriate response by the nurse?
1)"How can you not tell them? Is that being honest?"
2)"Don't you think you'll need to tell them someday?"
3)"Do alcohol problems run in either side of your family?"
4)"What do you think will happen if you tell your parents?"
Answer:
What do you think will happen if you tell your parents?
Question:
The nurse is caring for a client who is experiencing alcohol withdrawal. The
nurse would be most concerned if the client exhibited which of the following?
1)Hallucinations
2)Nervousness
3)Diaphoresis
4)Nausea
Answer:
Hallucinations
Question:
Alcohol abuse-induced thiamine deficiency can cause which of the following?
1)Lewy body dementia
2)Wernicke-Korsakoff syndrome
3)Agnosia
4)Wolf-Hirschhorn syndrome
Answer:
Wernicke-Korsakoff syndrome
