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1. Cirrhosis due to Alcohol Use Disorder
Q: A caregiver is caring for a patient who has cirrhosis of the liver due to alcohol use
disorder. Which of the following findings should the caregiver suspect?
A) Acrocyanosis
B) Arrhythmias
C) Ascites ✅
D) Weight gain
Rationale:
Ascites is a common complication of cirrhosis due to portal hypertension and low serum
albumin levels, causing fluid accumulation in the peritoneal cavity.
2. Binge-Eating Disorder
Q: A caregiver is collecting data from a patient who has binge-eating disorder. Which of the
following findings should the caregiver expect?
A) Amenorrhea
B) Abdominal pain ✅
C) Restricted caloric intake
D) Frequent use of laxatives
Rationale:
Patients with binge-eating disorder often experience abdominal pain or discomfort after
consuming large amounts of food, but typically do not use compensatory behaviors like
laxatives.
3. Anorexia Nervosa
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,Q: A caregiver is collecting admission data for a patient who has anorexia nervosa and
has recently lost significant weight. Which of the following findings should the caregiver
expect?
A) Flushed extremities
B) Hyperkalemia
C) Loose stools
D) Amenorrhea ✅
Rationale:
Amenorrhea is a hallmark symptom of anorexia nervosa due to low body fat and hormonal
disruptions.
4. Alcohol Use Disorder - Maintenance Treatment
Q: A caregiver is caring for a patient with alcohol use disorder. After withdrawal, which of
the following medications should the caregiver expect to administer during maintenance
therapy?
A) Methadone
B) Disulfiram ✅
C) Chlordiazepoxide
D) Naloxone
Rationale:
Disulfiram is used as a deterrent in the maintenance phase of alcohol use disorder by
causing unpleasant effects when alcohol is consumed.
5. PTSD Following Sexual Assault
Q: A caregiver is collecting data from a patient who has PTSD due to a sexual assault 3
months ago. Which of the following findings should the caregiver expect?
A) Increased hours of sleep
B) Repeatedly talking about the assault
C) Dreams about the assault ✅
D) Decreased responsiveness to stimuli
Rationale:
Recurrent distressing dreams related to the trauma are a classic symptom of PTSD.
6. Legal Aspects of Involuntary Admission
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,Q: A caregiver in a mental health facility is discussing involuntary admissions. Which
statement should be included?
A) A patient must take all prescribed medications
B) Admission is limited to 2 weeks
C) Patient can leave against medical advice
D) An involuntary admission is justified if the patient is a danger to others ✅
Rationale:
A patient can be admitted involuntarily if they pose a danger to themselves or others, even
without their consent.
7. Care Plan Priority: Self-Inflicted Injuries
Q: A caregiver is developing a care plan for a patient being treated for self-inflicted injuries.
What is the priority nursing intervention?
A) Promoting and maintaining the patient’s safety ✅
B) Discussing reasons for behavior
C) Assisting patient to recognize feelings
D) Teaching alternative coping strategies
Rationale:
The priority is always patient safety. Once stabilized, the caregiver can address
psychosocial factors and coping skills.
8. OCD Interventions
Q: A caregiver is helping plan care for a patient with OCD. Which of the following actions
should the caregiver recommend?
A) Encourage focus on hygiene
B) Limit hours of sleep
C) Instruct patient to practice thought stopping ✅
D) Make negative statements about behavior
Rationale:
Thought stopping is a cognitive-behavioral technique used to help patients manage
obsessive thoughts and reduce compulsive behavior.
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, 9. Valproic Acid Monitoring
Q: A caregiver is teaching a patient with bipolar disorder about valproic acid. Which test
should be routinely performed?
A) Electrocardiogram
B) Chest X-ray
C) Thyroid function tests
D) Liver function levels ✅
Rationale:
Valproic acid is hepatotoxic, so liver function tests should be monitored regularly to detect
liver damage.
10. Heroin Intoxication
Q: A caregiver in the ED is assessing a patient with heroin intoxication. What finding should
the caregiver expect?
A) Seizure activity
B) Respiratory depression ✅
C) Hypersensitivity to pain
D) Increased alertness
Rationale:
Opioids like heroin depress the central nervous system, leading to decreased respiratory
rate and potential respiratory failure.
11. Misconceptions About Alzheimer’s Disease
Q: During a community education session, a participant identifies "sudden confusion" as a
symptom of Alzheimer’s disease. What should the caregiver conclude?
A) Impaired judgment
B) Sudden confusion
C) Decreased attention span
D) Short-term memory loss
Rationale:
Sudden confusion is more typical of delirium. Alzheimer’s disease has a gradual onset and
progressive decline in cognitive function.
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