Mental Health Final Exam Review
Questions 342 complete solutions.
Mental Health Final Exam Review
Questions 342 complete solutions.
A nurse at a large, tertiary care hospital cares for numerous clients who are experiencing the negative
effects of substance use disorder (SUD). Which action best promotes early identification of SUD.
a. Screening all newly admitted clients for substance use, regardless of individual characteristics.
b. Performing comprehensive SUD assessments on all clients between 14 and 49 years of age
c. Including detailed neurological and mental health assessments in the standard admission assessment
D. Performing liver function testing on all clients who state they drink alcohol - ANSWER A
A client with a history of IV heroin use is reluctant to pursue treatment. Consequently, the outreach
team is adopting a harm reduction approach. Which statement best describes the team's interaction
with the client?
a. Treatment will focus primarily on the root cause of substance use, especially in the spiritual and
psychological domains
b. Treatment will be based on the knowledge that the client's heroin use will likely be lifelong
c. Harm reduction is equally beneficial to abstinence in promoting long-term health
d. Treatment will consist of efforts to minimize the unhealthy effects of heroin use - ANSWER D
1. The nurse is providing care for a long history of alcohol addiction who has been admitted for the
management of withdrawal. Which nursing action should be included in this client's plan of care?
a. Administer methadone as ordered and monitor the client closely for 15 minutes after administration
b. Administer benzodiazepines as ordered to prevent cardiac dysrhythmias
c. Administer thiamine and other vitamin supplements as order to address deficiencies.
D.Keep a syringe of 0.8 mg naloxone at the bedside at all times - ANSWER C
1. A client with a 35 pack-year history of cigarette smoking has expressed to the nurse his desire to quit,
stating, "I've had it with smoking. If I could turn back time I would have even started." What is the
nurses most appropriate response to the client?
,Mental Health Final Exam Review
Questions 342 complete solutions.
a. Teach the client about physiological and psychological benefits of smoking cessation
b. Explore the reasons why the client first began smoking and address them
c. Encourage the client to seek support among his peers in the community
D. Facilitate nicotine replacement therapy and psychosocial supports - ANSWER D
1. The nurse is providing care for a client who has been addicted to cocaine and heroin for several years.
Which statement is true of this client's treatment?
a. The client's addiction will be considered to be cured once he or she successfully completes
detoxification
b. The client will likely require pharmacologic as well as psychosocial interventions
c. Success will be maximized by addressing one of the clients' addictions before the other
d. Long-term goals should focus on reduction of drug use rater than absolute elimination of use -
ANSWER B
Wernicke's encephalopathy is a degenerative brain disorder characterized by which type of deficiency.
a. Vitamin D
b. Vitamin C
c. Thiamine
D.Vitamin A - ANSWER C
A nurse is caring for a client who uses phencyclidine (PCP). PCP is classified as which type of substance?
a. Cannabis
b. Opioid
c. Inhalant
d. Hallucinogen - ANSWER D
Which are effects of alcohol withdrawal syndrome? Select all that apply
a. Decreased blood pressure
,Mental Health Final Exam Review
Questions 342 complete solutions.
b. Increased pulse
c. Delirium tremors
d. Hand tremors
e. Seizures - ANSWER B,C,D,E
In a person who abuses alcohol or is a chronic drinker, alcohol withdrawal syndrome usually begins
within which time frame from abrupt discontinuation or an attempt to decrease consumption?
a. 18 hours
b. 24 hours
c. 48 hours
D. 12 hours - ANSWER D
The care team has had frequent contact with a client who has a long-standing diagnosis of schizophrenia
and who uses cocaine and heroin. What is the most likely relationship between the client's mental
health condition and the substance use disorder?
a. The client likely uses cocaine and heroin to medicate the symptoms of schizophrenia
b. The client's schizophrenia is likely the physiological and psychological result of drug use
c. There is a clear relationship between the clients substance use and mental health condition, but this
relationship is not entirely understood
D. The risk factors for substance use and for schizophrenia are identical and the client possessed many
of these - ANSWER C
An adult client who is being treated for depression admits to drinking up to a litre of vodka each day.
When planning the clients subsequent care, the nurse should identify which phenomena?
a. Impaired pharmacokinetics of the clients prescribed antidepressant
b. Risk of delirium and development of bipolar disorder
c. Hyperstimulation of the CNS resulting in worsened symptoms of depression
D. Increased risk for secondary schizophrenia - ANSWER A
, Mental Health Final Exam Review
Questions 342 complete solutions.
A client with a known history of bipolar disorder and opioid addiction has been admitted to the ER and
has been treated for a leg laceration that the client suffered in a fall. When planning the care of this
client with a concurrent disorder, the care team should prioritize what consideration?
a. The client's current motivation to change lifestyle
b. The client's risk of experiencing withdrawal symptoms
c. Factors that caused the client to relapse during the last round of treatment
d. Risk factors that underlie the development of the client's schizophrenia - ANSWER B
A client with schizophrenia has been using various street drugs for several years and attempts to treat
his/her substance use and his/her mental disorder have been largely ineffective. How can the care team
best promote future success in treatment?
a. Establish continuity of care and integration between different interventions
b. Educate the client about the harmful synergy between mental health conditions and substance use
c. Set limits with the client to help him/her experience natural consequences of the lifestyle
D. Dialogue with the client to promote insight into his/her health conditions - ANSWER A
A client with generalized anxiety disorder and who is addicted to alcohol has been referred to the
mental health team. What principle should guide the team's treatment of this client with concurrent
diagnosis?
a. The client should enter a 12-step program to treat his/her alcohol use before treatment of anxiety
b. The care team should determine which diagnosis is causing the other before choosing which to treat
first
c. The client's anxiety disorder should be stabilized before his/her alcohol use is addressed
D. The clients anxiety disorder and his/her alcohol use should be treated at the same time - ANSWER D
Which personality disorder has the highest risk for substance abuse
a. Schizophrenia
b. Panic disorder
c. Manic episode
D. Antisocial personality disorder - ANSWER D
Questions 342 complete solutions.
Mental Health Final Exam Review
Questions 342 complete solutions.
A nurse at a large, tertiary care hospital cares for numerous clients who are experiencing the negative
effects of substance use disorder (SUD). Which action best promotes early identification of SUD.
a. Screening all newly admitted clients for substance use, regardless of individual characteristics.
b. Performing comprehensive SUD assessments on all clients between 14 and 49 years of age
c. Including detailed neurological and mental health assessments in the standard admission assessment
D. Performing liver function testing on all clients who state they drink alcohol - ANSWER A
A client with a history of IV heroin use is reluctant to pursue treatment. Consequently, the outreach
team is adopting a harm reduction approach. Which statement best describes the team's interaction
with the client?
a. Treatment will focus primarily on the root cause of substance use, especially in the spiritual and
psychological domains
b. Treatment will be based on the knowledge that the client's heroin use will likely be lifelong
c. Harm reduction is equally beneficial to abstinence in promoting long-term health
d. Treatment will consist of efforts to minimize the unhealthy effects of heroin use - ANSWER D
1. The nurse is providing care for a long history of alcohol addiction who has been admitted for the
management of withdrawal. Which nursing action should be included in this client's plan of care?
a. Administer methadone as ordered and monitor the client closely for 15 minutes after administration
b. Administer benzodiazepines as ordered to prevent cardiac dysrhythmias
c. Administer thiamine and other vitamin supplements as order to address deficiencies.
D.Keep a syringe of 0.8 mg naloxone at the bedside at all times - ANSWER C
1. A client with a 35 pack-year history of cigarette smoking has expressed to the nurse his desire to quit,
stating, "I've had it with smoking. If I could turn back time I would have even started." What is the
nurses most appropriate response to the client?
,Mental Health Final Exam Review
Questions 342 complete solutions.
a. Teach the client about physiological and psychological benefits of smoking cessation
b. Explore the reasons why the client first began smoking and address them
c. Encourage the client to seek support among his peers in the community
D. Facilitate nicotine replacement therapy and psychosocial supports - ANSWER D
1. The nurse is providing care for a client who has been addicted to cocaine and heroin for several years.
Which statement is true of this client's treatment?
a. The client's addiction will be considered to be cured once he or she successfully completes
detoxification
b. The client will likely require pharmacologic as well as psychosocial interventions
c. Success will be maximized by addressing one of the clients' addictions before the other
d. Long-term goals should focus on reduction of drug use rater than absolute elimination of use -
ANSWER B
Wernicke's encephalopathy is a degenerative brain disorder characterized by which type of deficiency.
a. Vitamin D
b. Vitamin C
c. Thiamine
D.Vitamin A - ANSWER C
A nurse is caring for a client who uses phencyclidine (PCP). PCP is classified as which type of substance?
a. Cannabis
b. Opioid
c. Inhalant
d. Hallucinogen - ANSWER D
Which are effects of alcohol withdrawal syndrome? Select all that apply
a. Decreased blood pressure
,Mental Health Final Exam Review
Questions 342 complete solutions.
b. Increased pulse
c. Delirium tremors
d. Hand tremors
e. Seizures - ANSWER B,C,D,E
In a person who abuses alcohol or is a chronic drinker, alcohol withdrawal syndrome usually begins
within which time frame from abrupt discontinuation or an attempt to decrease consumption?
a. 18 hours
b. 24 hours
c. 48 hours
D. 12 hours - ANSWER D
The care team has had frequent contact with a client who has a long-standing diagnosis of schizophrenia
and who uses cocaine and heroin. What is the most likely relationship between the client's mental
health condition and the substance use disorder?
a. The client likely uses cocaine and heroin to medicate the symptoms of schizophrenia
b. The client's schizophrenia is likely the physiological and psychological result of drug use
c. There is a clear relationship between the clients substance use and mental health condition, but this
relationship is not entirely understood
D. The risk factors for substance use and for schizophrenia are identical and the client possessed many
of these - ANSWER C
An adult client who is being treated for depression admits to drinking up to a litre of vodka each day.
When planning the clients subsequent care, the nurse should identify which phenomena?
a. Impaired pharmacokinetics of the clients prescribed antidepressant
b. Risk of delirium and development of bipolar disorder
c. Hyperstimulation of the CNS resulting in worsened symptoms of depression
D. Increased risk for secondary schizophrenia - ANSWER A
, Mental Health Final Exam Review
Questions 342 complete solutions.
A client with a known history of bipolar disorder and opioid addiction has been admitted to the ER and
has been treated for a leg laceration that the client suffered in a fall. When planning the care of this
client with a concurrent disorder, the care team should prioritize what consideration?
a. The client's current motivation to change lifestyle
b. The client's risk of experiencing withdrawal symptoms
c. Factors that caused the client to relapse during the last round of treatment
d. Risk factors that underlie the development of the client's schizophrenia - ANSWER B
A client with schizophrenia has been using various street drugs for several years and attempts to treat
his/her substance use and his/her mental disorder have been largely ineffective. How can the care team
best promote future success in treatment?
a. Establish continuity of care and integration between different interventions
b. Educate the client about the harmful synergy between mental health conditions and substance use
c. Set limits with the client to help him/her experience natural consequences of the lifestyle
D. Dialogue with the client to promote insight into his/her health conditions - ANSWER A
A client with generalized anxiety disorder and who is addicted to alcohol has been referred to the
mental health team. What principle should guide the team's treatment of this client with concurrent
diagnosis?
a. The client should enter a 12-step program to treat his/her alcohol use before treatment of anxiety
b. The care team should determine which diagnosis is causing the other before choosing which to treat
first
c. The client's anxiety disorder should be stabilized before his/her alcohol use is addressed
D. The clients anxiety disorder and his/her alcohol use should be treated at the same time - ANSWER D
Which personality disorder has the highest risk for substance abuse
a. Schizophrenia
b. Panic disorder
c. Manic episode
D. Antisocial personality disorder - ANSWER D
