Mental Health Substance Related
And Addictive Disorders Nclex Exam
With 100% Correct And Verified
Answers 2025
Whatishouldibeitheipriorityinursingidiagnosisiforiaiclientiexp
eriencingialcoholiwithdrawal?
A.iRiskiforiinjuryiR/Ticentralinervousisystemistimulation
B.iDisturbedithoughtiprocessesiR/Titactileihallucinations
C.iIneffectiveicopingiR/Tipowerlessnessioverialcoholiuse
D.iIneffectiveidenialiR/
Ticontinuedialcoholiuseidespiteinegativeiconsequencesi-
iCORRECTiANSWERS-ANS:iA
Theipriorityinursingidiagnosisiforiaiclientiexperiencingialco
holiwithdrawalishouldibeiriskiforiinjuryiR/
Ticentralinervousisystemistimulation.iAlcoholiwithdrawalim
ayiincludeitheifollowingisymptoms:icourseitremorsiofihands,i
tongue,iorieyelids;iseizures;inauseaiorivomiting;imalaiseiori
weakness;itachycardia;isweating;ielevatedibloodipressure;ia
nxiety;idepressedimood;ihallucinations;iheadache;iandiinso
mnia.
Ainurseievaluatesiaiclient'sipatient-
controlledianalgesiai(PCA)ipumpiandinoticesi100iattemptsiw
ithiniai30-
minuteiperiod.iWhichiisitheibestirationaleiforiassessingithisi
clientiforisubstanceidependence?
A.iNarcoticipainimedicationiisicontraindicatediforialliclientsi
withiactiveisubstance-abuseiproblems.
B.iClientsiwhoiareidependentionialcoholioribenzodiazepinesi
mayihaveidevelopedicross-
toleranceitoianalgesicsiandirequireiincreasedidosesitoiachie
veieffectiveipainicontrol.
C.iThereiisinoineeditoiassessitheiclientiforisubstanceidepend
ence.iThereiisianiobviousiPCAimalfunction.
vendarsol
,D.iTheiclientiisiexperiencingisymptomsiofiwithdrawaliandine
edsitoibeiaccuratelyiassessediforilorazepami(Ativan)idosage.i
-iCORRECTiANSWERS-ANS:iB
Theinurseishouldiassessitheiclientiforisubstanceidependence
ibecauseiclientsiwhoiareidependentionialcoholioribenzodiaze
pinesimayihaveidevelopedicross-
toleranceitoianalgesics,iandirequireiincreasedidosesitoiachie
veieffectiveipainicontrol.iCross-
toleranceioccursiwhenioneidrugilesseneditheiclient'sirespon
seitoianotheridrug.
Onitheifirstidayiofiaiclient'sialcoholidetoxification,iwhichinur
singiinterventionishoulditakeipriority?
A.iStronglyiencourageitheiclientitoiattendi90iAlcoholicsiAno
nymousimeetingsiini90idays.
B.iEducateitheiclientiaboutitheibiopsychosocialiconsequence
siofialcoholiabuse.
C.iAdministeriorderedichlordiazepoxidei(Librium)iiniaidosag
eiaccordingitoiprotocol.
D.iAdministerivitaminiB1itoipreventiWernicke-
Korsakoffisyndrome.i-iCORRECTiANSWERS-ANS:iC
Theipriorityinursingiinterventioniforithisiclientishouldibeitoi
administeriorderedichlordiazepoxidei(Librium)iiniaidosageia
ccordingitoiprotocol.iChlordiazepoxidei(Librium)iisiaibenzod
iazepineiandiisiofteniusediforisubstitutionitherapyiinialcoholi
withdrawal.iSubstitutionitherapyimayibeirequireditoireduceil
ife-
threateningieffectsiofitheireboundistimulationiofitheicentrali
nervousisystemithatioccursiduringiwithdrawal.
Whichiclientistatementiindicatesiaiknowledgeideficitirelatedi
toisubstanceiabuse?
A.i"Althoughiit'silegal,ialcoholiisioneiofitheimostiwidelyiabus
edidrugsiiniourisociety."
B.i"Toleranceitoiheroinidevelopsiquickly."
C.i"FlashbacksifromiLSDiuseimayireoccurispontaneously."
D.i"Marijuanaiisilikeismokingicigarettes.iEveryoneidoesiit.iIt'
siessentiallyiharmless."i-iCORRECTiANSWERS-ANS:iD
vendarsol
, Theinurseishouldidetermineithatitheiclientihasiaiknowledgei
deficitirelateditoisubstanceiabuseiwhenitheiclienticomparesi
marijuanaitoismokingicigarettesiandiclaimsiititoibeiharmless
.iCannabisiisitheisecondimostiwidelyiabusedidrugiinitheiUnit
ediStates.
Ailonely,idepressedidivorcéeihasibeeniself-
medicatingiwithicocaineiforitheipastiyear.iWhichitermishoul
diainurseiuseitoibestidescribeithisiindividual'sisituation?
A.iTheiindividualiisiexperiencingipsychologicalidependency.
B.iTheiindividualiisiexperiencingiphysicalidependency.
C.iTheiindividualiisiexperiencingisubstanceidependency.
D.iTheiindividualiisiexperiencingisocialidependency.i-
iCORRECTiANSWERS-ANS:iA
Theinurseishouldiuseitheitermi"psychologicalidependency"it
oibestidescribeithisiclient'sisituation.iAiclientiisiconsideredit
oibeipsychologicallyidependentioniaisubstanceiwhenithereiisi
anioverwhelmingidesireitoiuseiaisubstanceiiniorderitoiprodu
ceipleasureioriavoididiscomfort.
Whichitermishouldiainurseiuseitoidescribeitheiadministratio
niofiaicentralinervousisystemi(CNS)idepressantiduringialcoh
oliwithdrawal?
A.iAntagonistitherapy
B.iDeterrentitherapy
C.iCodependencyitherapy
D.iSubstitutionitherapyi-iCORRECTiANSWERS-ANS:iD
AiCNSidepressantisuchiasiAtivaniisiusediduringialcoholiwith
drawaliasisubstitutionitherapyitoipreventilife-
threateningisymptomsithatioccuribecauseiofitheireboundirea
ctioniofitheicentralinervousisystem.
Aiclientidiagnosediwithichronicialcoholidependencyiisibeingi
dischargedifromianiinpatientitreatmentifacilityiafteridetoxifi
cation.iWhichiclientioutcomeirelateditoiAlcoholicsiAnonymo
usi(AA)iwouldibeimostiappropriateiforiainurseitoidiscussiwith
itheiclientiduringidischargeiteaching?
A.iAfteridischarge,itheiclientiwilliimmediatelyiattendi90iAAi
meetingsiini90idays.
vendarsol
And Addictive Disorders Nclex Exam
With 100% Correct And Verified
Answers 2025
Whatishouldibeitheipriorityinursingidiagnosisiforiaiclientiexp
eriencingialcoholiwithdrawal?
A.iRiskiforiinjuryiR/Ticentralinervousisystemistimulation
B.iDisturbedithoughtiprocessesiR/Titactileihallucinations
C.iIneffectiveicopingiR/Tipowerlessnessioverialcoholiuse
D.iIneffectiveidenialiR/
Ticontinuedialcoholiuseidespiteinegativeiconsequencesi-
iCORRECTiANSWERS-ANS:iA
Theipriorityinursingidiagnosisiforiaiclientiexperiencingialco
holiwithdrawalishouldibeiriskiforiinjuryiR/
Ticentralinervousisystemistimulation.iAlcoholiwithdrawalim
ayiincludeitheifollowingisymptoms:icourseitremorsiofihands,i
tongue,iorieyelids;iseizures;inauseaiorivomiting;imalaiseiori
weakness;itachycardia;isweating;ielevatedibloodipressure;ia
nxiety;idepressedimood;ihallucinations;iheadache;iandiinso
mnia.
Ainurseievaluatesiaiclient'sipatient-
controlledianalgesiai(PCA)ipumpiandinoticesi100iattemptsiw
ithiniai30-
minuteiperiod.iWhichiisitheibestirationaleiforiassessingithisi
clientiforisubstanceidependence?
A.iNarcoticipainimedicationiisicontraindicatediforialliclientsi
withiactiveisubstance-abuseiproblems.
B.iClientsiwhoiareidependentionialcoholioribenzodiazepinesi
mayihaveidevelopedicross-
toleranceitoianalgesicsiandirequireiincreasedidosesitoiachie
veieffectiveipainicontrol.
C.iThereiisinoineeditoiassessitheiclientiforisubstanceidepend
ence.iThereiisianiobviousiPCAimalfunction.
vendarsol
,D.iTheiclientiisiexperiencingisymptomsiofiwithdrawaliandine
edsitoibeiaccuratelyiassessediforilorazepami(Ativan)idosage.i
-iCORRECTiANSWERS-ANS:iB
Theinurseishouldiassessitheiclientiforisubstanceidependence
ibecauseiclientsiwhoiareidependentionialcoholioribenzodiaze
pinesimayihaveidevelopedicross-
toleranceitoianalgesics,iandirequireiincreasedidosesitoiachie
veieffectiveipainicontrol.iCross-
toleranceioccursiwhenioneidrugilesseneditheiclient'sirespon
seitoianotheridrug.
Onitheifirstidayiofiaiclient'sialcoholidetoxification,iwhichinur
singiinterventionishoulditakeipriority?
A.iStronglyiencourageitheiclientitoiattendi90iAlcoholicsiAno
nymousimeetingsiini90idays.
B.iEducateitheiclientiaboutitheibiopsychosocialiconsequence
siofialcoholiabuse.
C.iAdministeriorderedichlordiazepoxidei(Librium)iiniaidosag
eiaccordingitoiprotocol.
D.iAdministerivitaminiB1itoipreventiWernicke-
Korsakoffisyndrome.i-iCORRECTiANSWERS-ANS:iC
Theipriorityinursingiinterventioniforithisiclientishouldibeitoi
administeriorderedichlordiazepoxidei(Librium)iiniaidosageia
ccordingitoiprotocol.iChlordiazepoxidei(Librium)iisiaibenzod
iazepineiandiisiofteniusediforisubstitutionitherapyiinialcoholi
withdrawal.iSubstitutionitherapyimayibeirequireditoireduceil
ife-
threateningieffectsiofitheireboundistimulationiofitheicentrali
nervousisystemithatioccursiduringiwithdrawal.
Whichiclientistatementiindicatesiaiknowledgeideficitirelatedi
toisubstanceiabuse?
A.i"Althoughiit'silegal,ialcoholiisioneiofitheimostiwidelyiabus
edidrugsiiniourisociety."
B.i"Toleranceitoiheroinidevelopsiquickly."
C.i"FlashbacksifromiLSDiuseimayireoccurispontaneously."
D.i"Marijuanaiisilikeismokingicigarettes.iEveryoneidoesiit.iIt'
siessentiallyiharmless."i-iCORRECTiANSWERS-ANS:iD
vendarsol
, Theinurseishouldidetermineithatitheiclientihasiaiknowledgei
deficitirelateditoisubstanceiabuseiwhenitheiclienticomparesi
marijuanaitoismokingicigarettesiandiclaimsiititoibeiharmless
.iCannabisiisitheisecondimostiwidelyiabusedidrugiinitheiUnit
ediStates.
Ailonely,idepressedidivorcéeihasibeeniself-
medicatingiwithicocaineiforitheipastiyear.iWhichitermishoul
diainurseiuseitoibestidescribeithisiindividual'sisituation?
A.iTheiindividualiisiexperiencingipsychologicalidependency.
B.iTheiindividualiisiexperiencingiphysicalidependency.
C.iTheiindividualiisiexperiencingisubstanceidependency.
D.iTheiindividualiisiexperiencingisocialidependency.i-
iCORRECTiANSWERS-ANS:iA
Theinurseishouldiuseitheitermi"psychologicalidependency"it
oibestidescribeithisiclient'sisituation.iAiclientiisiconsideredit
oibeipsychologicallyidependentioniaisubstanceiwhenithereiisi
anioverwhelmingidesireitoiuseiaisubstanceiiniorderitoiprodu
ceipleasureioriavoididiscomfort.
Whichitermishouldiainurseiuseitoidescribeitheiadministratio
niofiaicentralinervousisystemi(CNS)idepressantiduringialcoh
oliwithdrawal?
A.iAntagonistitherapy
B.iDeterrentitherapy
C.iCodependencyitherapy
D.iSubstitutionitherapyi-iCORRECTiANSWERS-ANS:iD
AiCNSidepressantisuchiasiAtivaniisiusediduringialcoholiwith
drawaliasisubstitutionitherapyitoipreventilife-
threateningisymptomsithatioccuribecauseiofitheireboundirea
ctioniofitheicentralinervousisystem.
Aiclientidiagnosediwithichronicialcoholidependencyiisibeingi
dischargedifromianiinpatientitreatmentifacilityiafteridetoxifi
cation.iWhichiclientioutcomeirelateditoiAlcoholicsiAnonymo
usi(AA)iwouldibeimostiappropriateiforiainurseitoidiscussiwith
itheiclientiduringidischargeiteaching?
A.iAfteridischarge,itheiclientiwilliimmediatelyiattendi90iAAi
meetingsiini90idays.
vendarsol
