ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING VARCAROLIS COMPREHENSIVE
EXAM SCRIPT COMPLETE QUESTIONS VERIFIED SOLUTIONS
Question:
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?
Answer:
Developmental influences
Question:
Which medication can the nurse expect for the treatment of a client with a gambling disorder? Select
all that apply.
Answer:
Clomipramine Carbamazepine
Question:
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?
Answer:
Peripheral neuropathy
Question:
Which statement from an alcoholic client indicates the chronic phase of alcoholism?
Answer:
"I feel sorry for myself because I cannot get rid of this addiction."
,Question:
The urine analysis of a client with alcohol addiction shows a reddish tinge in the urine. What would
the nurse suspect in the client?
Answer:
Alcoholic myopathy
Question:
A client with alcohol addiction says, "My spouse and children think that I am an alcoholic. I do not
have a drinking problem. I can quit drinking any time." What is the first step in decreasing the use of
denial in the client?
Answer:
Explaining the relationship between substance abuse and personal problems
Question:
Which outcome is desired for the client undergoing the second stage of treatment for codependency?
Answer:
The client should take responsibility for his dysfunctional behavior.
Question:
The medical history of a client with alcoholic intoxication shows congestive heart failure. Which
medication is contraindicated for this client?
Answer:
Disulfiram
Question:
What perceptual changes occur in a client with hallucinogen intoxication? Select all that apply.
Answer:
Synesthesia Derealization Depersonalization
, Question:
Which drug directly causes pupillary constriction?
Answer:
Opium
Question:
The nurse is teaching parents of an adolescent about the influence of peers on first-time substance
abusers. To which sociocultural factor does the nurse refer?
Answer:
Social learning
Question:
A nurse observes an impaired colleague. Which service should the nurse recommend to the
colleague?
Answer:
Peer assistance program
Question:
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?
Answer:
Four
Question:
A client who was recently diagnosed with peripheral neuropathy asks the nurse, "My fingers and
toes are burning. How can I stop this pain?" How should the nurse respond to the client?
Answer:
EXAM SCRIPT COMPLETE QUESTIONS VERIFIED SOLUTIONS
Question:
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?
Answer:
Developmental influences
Question:
Which medication can the nurse expect for the treatment of a client with a gambling disorder? Select
all that apply.
Answer:
Clomipramine Carbamazepine
Question:
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?
Answer:
Peripheral neuropathy
Question:
Which statement from an alcoholic client indicates the chronic phase of alcoholism?
Answer:
"I feel sorry for myself because I cannot get rid of this addiction."
,Question:
The urine analysis of a client with alcohol addiction shows a reddish tinge in the urine. What would
the nurse suspect in the client?
Answer:
Alcoholic myopathy
Question:
A client with alcohol addiction says, "My spouse and children think that I am an alcoholic. I do not
have a drinking problem. I can quit drinking any time." What is the first step in decreasing the use of
denial in the client?
Answer:
Explaining the relationship between substance abuse and personal problems
Question:
Which outcome is desired for the client undergoing the second stage of treatment for codependency?
Answer:
The client should take responsibility for his dysfunctional behavior.
Question:
The medical history of a client with alcoholic intoxication shows congestive heart failure. Which
medication is contraindicated for this client?
Answer:
Disulfiram
Question:
What perceptual changes occur in a client with hallucinogen intoxication? Select all that apply.
Answer:
Synesthesia Derealization Depersonalization
, Question:
Which drug directly causes pupillary constriction?
Answer:
Opium
Question:
The nurse is teaching parents of an adolescent about the influence of peers on first-time substance
abusers. To which sociocultural factor does the nurse refer?
Answer:
Social learning
Question:
A nurse observes an impaired colleague. Which service should the nurse recommend to the
colleague?
Answer:
Peer assistance program
Question:
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?
Answer:
Four
Question:
A client who was recently diagnosed with peripheral neuropathy asks the nurse, "My fingers and
toes are burning. How can I stop this pain?" How should the nurse respond to the client?
Answer:
