Disorders Exam with Questions and Answers
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Question 1
A nurse is caring for a client.
Nurses' Notes
Admission - Day 1: 19-year-old client admitted for evaluation of potential substance
use disorder. Client lives with adult parents and is enrolled in college courses leading
to an associate degree in accounting. Client regularly attends spiritual services with
their father. Client acknowledges that they have been dating the same individual for
18 months, and "we plan to move into together as soon as we have the money."
Day 2:
1500:Client revealed during group therapy session that they were physically abused
by a family member while they were an adolescent. Also stated, "My mom is
depressed and has been taking pills for a long time." Client also acknowledged that
their favorite uncle has been "smoking dope and taking pain pills for as long as I can
remember."
Select the 2 findings that require immediate follow-up.
a. Statement regarding clients uncle
b. Living arrangements
c. Spiritual affiliations
d. Revelation of what occurred while client was an adolescent
e. Educational status
f. Relationship status
Correct Answer
a, d
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, Question 2
A nurse is meeting with an established client at a substance use disorder clinic. The
client has been in treatment for six months. In this meeting, the client shares with the
nurse that their partner previously would bail them out of jail when they were
arrested for DUI. The client says their partner would also call into the workplace and
tell the supervisor that the client was too ill to come to work when they were hung
over from drugs or alcohol. The partner's behavior is indicative of which of the
following?
a. Codependency
b. Enabling
c. Intervention
d. Passive-aggressiveness
Correct Answer
b. Enabling
Question 3
A nurse is providing education to a group of clients about addiction. The nurse
should include which of the following as a definition of addiction?
a. Recurring, uncontrollable urges to engage in compulsive behaviors such as
substance use in spite of negative consequences
b. Needing more and more of a substance to get the level of high or enjoyment as
earlier use
c. Physiological manifestations that happen when drug or alcohol use is stopped
d. Wanting to cut down or stop using drugs and/or alcohol but not being able to
Correct Answer
a. Recurring, uncontrollable urges to engage in compulsive behaviors such as
substance use in spite of negative consequences
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