ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING VARCAROLIS UPDATED
ACTUAL EXAM QUESTIONS CORRECT ANSWERS GRADED A PLUS
Question:
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?
Answer:
Verbalizes and demonstrates adaptive coping strategies
Question:
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.
Answer:
Ascites Esophageal varices
Question:
The client is unable to meet his or her role expectations due to alcohol abuse. Which nursing
intervention would help the client?
Answer:
Encouraging the client to express feelings of fear and anxiety
Question:
Which therapy protects the client from the risk of death due to Wernicke's encephalopathy?
Answer:
Thiamine replacement therapy
,Question:
Which factor results in delayed absorption of alcohol?
Answer:
Presence of food in the stomach
Question:
A client with substance intoxication and mental illness is scheduled for cognitive therapy. Which
client outcome would indicate effective therapy?
Answer:
The client learns to monitor moods and thought processes that lead to substance abuse.
Question:
Which drugs produce anterograde amnesia in a client with sedative intoxication? Select all that
apply.
Answer:
Flunitrazepam Gamma hydroxybutyric acid
Question:
Which medication would be beneficial for a client with cocaine addiction and who is having status
epilepticus?
Answer:
Diazepam
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:
Which medication is initially used to treat stimulant intoxication?
Answer:
Chlordiazepoxide
Question:
Which medication could be used in the management of weight and hyperkinesia?
Answer:
Amphetamine
Question:
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?
Answer:
Decrease in serum ammonia levels
Question:
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?
Answer:
Correcting misconceptions about substance abuse
Question:
A client who is a smoker says, "Smoking relaxes me. It is not harmful." What would be the priority
nursing intervention for this client?
Answer:
ACTUAL EXAM QUESTIONS CORRECT ANSWERS GRADED A PLUS
Question:
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?
Answer:
Verbalizes and demonstrates adaptive coping strategies
Question:
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.
Answer:
Ascites Esophageal varices
Question:
The client is unable to meet his or her role expectations due to alcohol abuse. Which nursing
intervention would help the client?
Answer:
Encouraging the client to express feelings of fear and anxiety
Question:
Which therapy protects the client from the risk of death due to Wernicke's encephalopathy?
Answer:
Thiamine replacement therapy
,Question:
Which factor results in delayed absorption of alcohol?
Answer:
Presence of food in the stomach
Question:
A client with substance intoxication and mental illness is scheduled for cognitive therapy. Which
client outcome would indicate effective therapy?
Answer:
The client learns to monitor moods and thought processes that lead to substance abuse.
Question:
Which drugs produce anterograde amnesia in a client with sedative intoxication? Select all that
apply.
Answer:
Flunitrazepam Gamma hydroxybutyric acid
Question:
Which medication would be beneficial for a client with cocaine addiction and who is having status
epilepticus?
Answer:
Diazepam
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:
Which medication is initially used to treat stimulant intoxication?
Answer:
Chlordiazepoxide
Question:
Which medication could be used in the management of weight and hyperkinesia?
Answer:
Amphetamine
Question:
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?
Answer:
Decrease in serum ammonia levels
Question:
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?
Answer:
Correcting misconceptions about substance abuse
Question:
A client who is a smoker says, "Smoking relaxes me. It is not harmful." What would be the priority
nursing intervention for this client?
Answer:
