NURS 202 MENTAL HEALTH VSIM PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+<RECENT VERSION>

NURS 202 MENTAL HEALTH VSIM PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+&lt;RECENT VERSION&gt; 1) Symptoms of alcohol withdrawal begin within what time period after the cessation or marked reduction of alcohol intake by the chronic alcohol drinker? A. 120 minutes B. 1 week C. 3 days D. 12 hours - ANSWER D 2) Which clinical manifestations confirm that a patient is experiencing Stage I (mild) of alcohol withdrawal syndrome? (select all that apply) A. hypotension B. course hand tremors C. disorientation D. diaphoresis E. anxiety - ANSWER BDE 3) What symptom of alcohol withdrawal syndrome would be the most urgent for the nurse to address? A. hallucinations B. grand mal seizures C. anxiety D. insomnia - ANSWER B 4) Which assessment finding confirms that a patient is experiencing moderate alcohol withdrawal? A. nausea and vomiting B. profuse sweating C. restless sleep D. total wakefulness - ANSWER A 5) What request of the patient being assessed for possible alcohol withdrawal should the nurse make to determine the presence of tremors? A. "please touch your thumb to your little finger" B. "please extend your arms and spread your fingers apart" C. "please interlock the fingers of both hands" D. "please make a tight fit and hold it for 5 seconds" - ANSWER B 6) What nursing intervention would most likely improve the therapeutic relationship between the nurse and a patient experiencing alcohol withdrawal by increasing the nurse's self-awareness? A. providing prompt, effective nursing care for the patient with a history of alcohol abuse B. monitoring one's own biases and reactions regarding alcoholism C. providing empathetic care for the patient in alcohol withdrawal D. regularly reviewing research results regarding the triggers for chronic alcoholism - ANSWER B 7) Which class of medication is regularly prescribed to provide a gradual withdrawal from alcohol? A. tranquilizer B. stimulant C. anticonvulsant D. antidepressant - ANSWER A 8) A client with a blood alcohol level of 0.20 mg% is at high risk for injury related to the impairment of which function? A. motor B. respiratory C. consciousness D. orientation - ANSWER A 9) Which factor is most likely to decrease the severity of Mr. Davis's alcohol withdrawal signs and symptoms? A. never experiencing alcohol withdrawal signs and symptoms before B. having the emotional support of his strong religious faith and beliefs C. having been consuming vodka for only 5 years D. being only 56 years of age - ANSWER A 10) Mr. Davis reported having consumed his last drink around 4 pm, and he was admitted to the facility's detoxification unit shortly thereafter. What clinical manifestations of alcohol withdrawal should the nurse expect him to demonstrate by 10 pm that night? A. he is likely currently experiencing the peak of his signs and symptoms B. his signs and symptoms will likely taper off in severity over the next 12 hours C. the majority of his withdrawal will consist of signs and symptoms similar to the current ones D. the signs and symptoms are likely to increase in type and severity - ANSWER D 11) Which nursing interventions are directly associated with the primary goals of the management of a patient, like Mr. Davis, who is currently experiencing alcohol withdrawal? (select all that apply) A. implement seizure precautions B. assess and record heart rate every 4 hours C. keep SpO2 probe at bedside D. provide information regarding AA support groups E. identifying triggers for alcohol consumption - ANSWER ABC 12) A patient with a history of chronic alcohol abuse has begun to demonstrate signs and symptoms of delirium tremens (DTs). The nurse demonstrates an understanding of the seriousness of the patient's risk for injury when implementing which intervention? A. orienting for time, place and person as needed B. assessing for auditory and visual hallucinations frequently C. observing seizure precautions D. restricting patient to the room - ANSWER C 13) Which nursing interventions would best assess Mr. Davis's safety issues if his CIWA-Ar score were to rise to 8 or above? (select all that apply) A. minimize all sources of noise in his room B. dim the lighting in his room C. suction equipment is kept at the bedside D. institute falls precautions E. provide him with high protein, low fat meals - ANSWER ABCD 14) How can the nurse caring for Mr. Davis best provide the appropriate emotional care during his alcohol withdrawal? A. remind him frequently that the signs and symptoms will lessen in severity B. ensure that his needs are met in a nonjudgmental manner C. assure him that the withdrawal process generally lasts no more than 96 hours D. encourage his family to spend time at his bedside - ANSWER B 15) Mr. Davis has been prescribed an oral benzodiazepine to assist in managing his withdrawal symptoms should his CIWA-Ar score rise to 8 or above. After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? A. patient reports ringing in his ears B. patient reports a headache rated as 3/5 C. respiratory rate of 11 breaths/minute D. blood pressure of 154/90 mm Hg - ANSWER C 16) What characteristic behavior demonstrated by Mr. Davis is associated with stage III withdrawal symptoms? (select all that apply) A. experiencing tactile disturbances B. admitting to visual hallucinations C. disoriented by more than 2 calendar days D. near continuous pacing E. hypothermia - ANSWER ABCD 17) How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? A. "alcohol withdrawal can be life-threatening and thus requires care provided by trained staff" B. "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" C. "the cost of the treatment is covered by insurance only if delivered in a hospital setting" D. "patients prefer to be isolated from family and friends when experiencing the severe symptoms of withdrawal" - ANSWER A 18) A nurse is planning a staff education program on substance use in older adults. Which of the following is appropriate for the nurse to include in the presentation? A. older adults require higher doses of a substance to achieve a desired effect B. older adults commonly use rationalization to cope with a substance use disorder C. older adults are at an increased risk for substance use following retirement D. older adults develop substance use to mask manifestations of dementia - ANSWER C 19) A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect? (select all that apply) A. bradycardia B. fine tremors of both hands C. hypotension D. vomiting E. restlessness - ANSWER BDE 20) A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. Which of the following interventions should the nurse identify as the priority? A. orient the client frequently to time, place and person B. offer fluids and nourishing diet as tolerated C. implement seizure precautions D. encourage participation in group therapy sessions - ANSWER C 21) A nurse is caring for a client who has alcohol use disorder. The client is no longer experiencing withdrawal manifestations. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? A. chlordiazepoxide B. bupropion C. disulfiram D. carbamazepine - ANSWER C 22) A nurse is providing teaching to the family of a client who has a substance use disorder. Which of the following statements by a family member indicate an understanding of the teaching? (select all that apply) A. "We need to understand that she is responsible for her disorder" B. "eliminating any codependent behavior will promote her recovery" C. "she should participate in an Al-Anon group to help her recover" D. "the primary goal of her treatment is abstinence from substance use" E. "she needs to discuss her feelings about substance use to help her recover" - ANSWER BDE 23) A nurse is providing teaching to a client who has alcohol use disorder and a new prescription for carbamazepine. Which of the following information should the nurse include in the teaching? A. "this medication will help prevent seizures during alcohol withdrawal" B. "taking this medication will decrease your cravings for alcohol" C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" D. "taking this medication will improve your ability to maintain abstinence from alcohol" - ANSWER A 24) A nurse is evaluating a client's understanding of a new prescription for clonidine for the treatment of opioid use disorder. Which of the following statements by the client indicates an understanding of the teaching? A. "taking this medication will help reduce by craving for heroin" B. "while taking this medication, I should keep a pack of sugarless gum" C. "I can expect some diarrhea from taking this medicine" D. "each dose of this medication should be placed under my tongue to dissolve" - ANSWER B 25) A nurse is teaching a client who has tobacco use disorder about the use of nicotine gum. Which of the following information should the nurse include in the teaching? A. chew the gum for no more than 10 min B. rinse out the mouth immediately before chewing the gum C. avoid eating 15 min prior to chewing the gum D. use of the gum is limited to 90 days - ANSWER C 26) A nurse is discussing the use of methadone with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (select all that apply) A. "methadone is a replacement for physical dependence to opioids" B. "methadone reduces the unpleasant effects associated with abstinence syndrome" C. "methadone can be used during opioid withdrawal and to maintain abstinence" D. "methadone increases the risk for acetaldehyde syndrome" E. "methadone must be prescribed and dispensed by an approved treatment center" - ANSWER ABCE 27) A nurse is providing teaching for a client who is withdrawing from alcohol and has a new prescription for propranolol. Which of the following information should the nurse to include in the teaching? A. increases the risk for seizure activity B. provides a form of aversion therapy C. decreases cravings D. results in mild hypertension - ANSWER C 28) A charge nurse is planning a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. Which of the following medications should the charge nurse include in the discussion? (select all that apply) A. lorazepam B. diazepam C. disulfiram D. naltrexone E. acamprosate - ANSWER AB 29) A nurse is providing teaching to a client who has a new prescription for clonidine to assist with maintenance of abstinence from opioids. The nurse should instruct the client to monitor for which of the following adverse effects? A. diarrhea B. dry mouth C. insomnia D. hypertension - ANSWER B