NUR210 EXAM 4 EXAM SCRIPT 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ The nurse is providing care for a client who admits to alcohol
addiction. The client states she is able to hide the addiction from
family and friends. Based on this information, which independent
nursing intervention is appropriate for this client?
A) Assertiveness training
B) Milieu therapy
C) Family therapy
D) Communication training. Answer: D) Communication training
◉ A client with a history of alcohol abuse is being discharged to a
treatment facility. Which prescription does the nurse anticipate for
this client?
A) Disulfiram
B) Naloxone
C) Bupropion hydrochloride
D) Varenicline. Answer: A) Disulfiram
◉ A community health nurse is providing teaching to the faculty of a
local high school about preventing, recognizing, and treating
substance use and addiction in teenagers. Which of the following
,statements on the part of the faculty members suggests that further
teaching is necessary?
A) "The earlier a teenager begins using substances, the more likely it
is that the teenager will develop an addiction problem."
B) "Teenagers whose parents suffer from addiction are at greater
risk of addiction themselves."
C) "The brain stops developing during the teenage years, so any
substance-related brain changes that occur during this period will
likely affect a person for the rest of his or her life."
D) "Group therapy can be beneficial for teenagers with addiction,
but it comes with a risk of unintended adverse effects.". Answer: C)
"The brain stops developing during the teenage years, so any
substance-related brain changes that occur during this period will
likely affect a person for the rest of his or her life."
◉ A nurse is talking with the adult daughter of an 80-year-old client
who was recently discovered to be abusing prescription narcotics.
The daughter expresses frustration that this substance abuse wasn't
discovered sooner, and she asks the nurse how her father's previous
healthcare providers could have overlooked this problem. Which of
the following statements would not be appropriate for the nurse to
include in her reply?
A) "Substance abuse and addiction are almost unheard of among
older adults, so few providers would consider the possibility of
these diagnoses when working with clients like your father."
,B) "Older adults often choose not to tell their providers about
substance use because they either don't recognize they have a
problem or don't feel they need treatment."
C) "Diagnosis of substance abuse can be difficult in older clients
because their symptoms sometimes mimic those of other disorders."
D) "There is c. Answer: A) "Substance abuse and addiction are
almost unheard of among older adults, so few providers would
consider the possibility of these diagnoses when working with
clients like your father."
◉ Which of the following terms refers to a physiologic need for a
substance that the client cannot control and that results in
withdrawal symptoms if the substance is withheld?
A) Tolerance
B) Dependence
C) Addiction
D) Codependence. Answer: B) Dependence
◉ When used as part of behavioral therapy for addictions, token
economies function as a form of
A) punishment.
B) negative reinforcement.
C) positive reinforcement.
D) extinction.. Answer: C) positive reinforcement.
, ◉ A client has been admitted to a healthcare facility for treatment
for substance addiction. Shortly after entering the facility, the client
received a prescription for phenytoin. Based on this data, which of
the following statements is most likely true?
A) The client is addicted to opioids.
B) The client is experiencing cravings for nicotine.
C) The client has high levels of anxiety.
D) The client is experiencing withdrawal-related seizure activity..
Answer: D) The client is experiencing withdrawal-related seizure
activity.
◉ A client with alcoholism is receiving court-ordered care in a
residential treatment facility. After alcohol is discovered in her room,
the client states, "It is not mine." Which responses by the nurse are
appropriate in this situation? Select all that apply.
A) "You will lose your day pass privileges for this Sunday."
B) "We have a video of you accepting the alcohol from your brother."
C) "What do you think about sharing this at AA tonight?"
D) "You won't be allowed to go to dinner tonight."
E) "You have violated our behavior contract.". Answer: A) "You will
lose your day pass privileges for this Sunday."
B) "We have a video of you accepting the alcohol from your brother."
C) "What do you think about sharing this at AA tonight?"
QUESTIONS WITH ANSWERS GRADED A+
◉ The nurse is providing care for a client who admits to alcohol
addiction. The client states she is able to hide the addiction from
family and friends. Based on this information, which independent
nursing intervention is appropriate for this client?
A) Assertiveness training
B) Milieu therapy
C) Family therapy
D) Communication training. Answer: D) Communication training
◉ A client with a history of alcohol abuse is being discharged to a
treatment facility. Which prescription does the nurse anticipate for
this client?
A) Disulfiram
B) Naloxone
C) Bupropion hydrochloride
D) Varenicline. Answer: A) Disulfiram
◉ A community health nurse is providing teaching to the faculty of a
local high school about preventing, recognizing, and treating
substance use and addiction in teenagers. Which of the following
,statements on the part of the faculty members suggests that further
teaching is necessary?
A) "The earlier a teenager begins using substances, the more likely it
is that the teenager will develop an addiction problem."
B) "Teenagers whose parents suffer from addiction are at greater
risk of addiction themselves."
C) "The brain stops developing during the teenage years, so any
substance-related brain changes that occur during this period will
likely affect a person for the rest of his or her life."
D) "Group therapy can be beneficial for teenagers with addiction,
but it comes with a risk of unintended adverse effects.". Answer: C)
"The brain stops developing during the teenage years, so any
substance-related brain changes that occur during this period will
likely affect a person for the rest of his or her life."
◉ A nurse is talking with the adult daughter of an 80-year-old client
who was recently discovered to be abusing prescription narcotics.
The daughter expresses frustration that this substance abuse wasn't
discovered sooner, and she asks the nurse how her father's previous
healthcare providers could have overlooked this problem. Which of
the following statements would not be appropriate for the nurse to
include in her reply?
A) "Substance abuse and addiction are almost unheard of among
older adults, so few providers would consider the possibility of
these diagnoses when working with clients like your father."
,B) "Older adults often choose not to tell their providers about
substance use because they either don't recognize they have a
problem or don't feel they need treatment."
C) "Diagnosis of substance abuse can be difficult in older clients
because their symptoms sometimes mimic those of other disorders."
D) "There is c. Answer: A) "Substance abuse and addiction are
almost unheard of among older adults, so few providers would
consider the possibility of these diagnoses when working with
clients like your father."
◉ Which of the following terms refers to a physiologic need for a
substance that the client cannot control and that results in
withdrawal symptoms if the substance is withheld?
A) Tolerance
B) Dependence
C) Addiction
D) Codependence. Answer: B) Dependence
◉ When used as part of behavioral therapy for addictions, token
economies function as a form of
A) punishment.
B) negative reinforcement.
C) positive reinforcement.
D) extinction.. Answer: C) positive reinforcement.
, ◉ A client has been admitted to a healthcare facility for treatment
for substance addiction. Shortly after entering the facility, the client
received a prescription for phenytoin. Based on this data, which of
the following statements is most likely true?
A) The client is addicted to opioids.
B) The client is experiencing cravings for nicotine.
C) The client has high levels of anxiety.
D) The client is experiencing withdrawal-related seizure activity..
Answer: D) The client is experiencing withdrawal-related seizure
activity.
◉ A client with alcoholism is receiving court-ordered care in a
residential treatment facility. After alcohol is discovered in her room,
the client states, "It is not mine." Which responses by the nurse are
appropriate in this situation? Select all that apply.
A) "You will lose your day pass privileges for this Sunday."
B) "We have a video of you accepting the alcohol from your brother."
C) "What do you think about sharing this at AA tonight?"
D) "You won't be allowed to go to dinner tonight."
E) "You have violated our behavior contract.". Answer: A) "You will
lose your day pass privileges for this Sunday."
B) "We have a video of you accepting the alcohol from your brother."
C) "What do you think about sharing this at AA tonight?"
