Mental Health Exam Questions Solved 100% Correct 2024

Mental Health Exam Questions Solved 100% Correct 2024 A client was in an automobile accident. Although he has the odor of alcohol on his breath, his speech is clear and he is alert and answers questions posed to him. The law enforcement officer requests that the emergency department staff draw a blood sample for blood alcohol level determination. The level is determined to be 0.30 mg%. What conclusion can be drawn? a. The client has a high tolerance to alcohol. b. The client ate a high-fat meal before drinking. c. The client has a decreased tolerance to alcohol. d. No conclusions can be drawn from the data. A nontolerant drinker would evidence staggering, ataxia, confusion, and stupor at this blood alcohol level. A client brought to the emergency department at the university hospital after PCP ingestion tries to run up and down the hallway. The nursing intervention that would be most therapeutic is a. taking him to the gym on the psychiatric unit. b. obtaining an order for seclusion and close observation. c. assigning a psychiatric technician to "talk him down." d. administering naltrexone as needed per hospital protocol. Aggressive, violent behavior is often seen with PCP ingestion. The client will respond best to a safe, low-stimulus environment such as that provided by seclusion until the effects of the drug wear off. Talking down is never advised because of the client's unpredictable violent potential. Naltrexone is an opiate antagonist. A teaching need is revealed when a client taking disulfiram states a. "I usually treat heartburn with antacids." b. "I take ibuprofen or acetaminophen for headache." c. "Most over-the-counter cough syrups are OK for me to use." d. "I have had to give up using aftershave lotion." The client taking disulfiram has to avoid hidden sources of alcohol. Many cough syrups contain alcohol. The most helpful message to transmit about relapse to the recovering alcoholic client is that lapses a. are an indicator of treatment failure. b. are caused by physiological changes. c. result from lack of good situational support. d. can be learning situations to prolong sobriety. Relapses can point out problems to be resolved and can result in renewed efforts for change. A syndrome that occurs after stopping use of a drug is a. amnesia. b. tolerance. c. enabling. d. withdrawal. Withdrawal is the physical and psychological symptoms that occur when a drug that has been taken for a long time is stopped or drastically reduced in amount. The only class of commonly abused drugs that has a specific antidote is a. opiates. b. hallucinogens. c. amphetamines. d. benzodiazepines. The effects of opiates can be negated by a narcotic antagonist such as naloxone. The term tolerance, as it relates to substance abuse, refers to a. use of a substance beyond acceptable societal norms. b. the additive effects achieved by taking two drugs with similar actions. c. the signs and symptoms that occur when an addictive substance is withheld. d. the need to take larger amounts of a substance to achieve the same effects. Tolerance is defined as the need to take higher and higher doses of a drug to achieve the desired effect. Benzodiazepines are useful for treating alcohol withdrawal because they a. block cortisol secretion. b. increase dopamine release. c. decrease serotonin availability. d. bind to ã-aminobutyric acid-benzodiazepine receptors. Benzodiazepines act by binding to ã-aminobutyric acid-benzodiazepine receptor sites and produce a calming effect. A person who covertly supports the substance-abusing behavior of another is called a(n) a. patsy. b. enabler. c. participant. d. minimizer. An enabler is one who helps a substance-abusing client avoid facing the consequences of drug use.