Davis Advantage for Townsend’s Essentials of Psychiatric Mental Health Nursing 9th Edition
A chronic alcoholic client has elevated levels of muscle enzymes and symptoms of decreased exercise
tolerance, dyspnea, edema, and palpitations. As directed by the primary health-care provider, the nurse
restrains the client from alcohol use and initiates therapy with digitalis and diuretics. What outcome will
the nurse expect in the client? - ANSWER-The chest x-ray of the client will show a proper functioning of
the heart.
The nurse is caring for a client who started drinking alcohol often following the death of his wife. Which
indicates an effective outcome of therapy? - ANSWER-Verbalizes and demonstrates adaptive coping
strategies
The clinical findings of a client who is an alcoholic indicate the replacement of liver cells with fibrous
tissue. Which complications could the nurse expect in this client? Select all that apply. - ANSWER-Ascites
Esophageal varices
The client is unable to meet his or her role expectations due to alcohol abuse. Which nursing
intervention would help the client? - ANSWER-Encouraging the client to express feelings of fear and
anxiety
Which therapy protects the client from the risk of death due to Wernicke's encephalopathy? - ANSWER-
Thiamine replacement therapy
Which factor results in delayed absorption of alcohol? - ANSWER-Presence of food in the stomach
A client with substance intoxication and mental illness is scheduled for cognitive therapy. Which client
outcome would indicate effective therapy? - ANSWER-The client learns to monitor moods and thought
processes that lead to substance abuse.
Which drugs produce anterograde amnesia in a client with sedative intoxication? Select all that apply. -
ANSWER-Flunitrazepam
Gamma hydroxybutyric acid
Which medication would be beneficial for a client with cocaine addiction and who is having status
epilepticus? - ANSWER-Diazepam
After assessing a client using the Michigan Alcoholism Screening Test (MAST), the nurse identifies a
possible problem with alcohol. Which MAST score is consistent with the nurse's conclusion? - ANSWER-
Four
Which medication is initially used to treat stimulant intoxication? - ANSWER-Chlordiazepoxide
, Which medication could be used in the management of weight and hyperkinesia? - ANSWER-
Amphetamine
A client diagnosed with hepatic encephalopathy completely abstains from alcohol, eats a low-protein
diet, and is on neomycin therapy. Which laboratory findings indicate a successful treatment modality? -
ANSWER-Decrease in serum ammonia levels
A client who uses drugs says, "I am not a drug addict. I can stop any time I want." Which nursing
intervention would the nurse most likely apply in this client? - ANSWER-Correcting misconceptions about
substance abuse
A client who is a smoker says, "Smoking relaxes me. It is not harmful." What would be the priority
nursing intervention for this client? - ANSWER-Assessing the client's level of knowledge
A client is admitted to the emergency department with methanol poisoning. Which antidote would the
nurse arrange for this client? - ANSWER-Alcohol
The clinical history of a client who is an alcoholic shows excessive amount of serous fluid accumulation in
the abdominal cavity. What is the condition of the client? - ANSWER-Ascites
A client after the withdrawal from a hallucinogen says, "I feel I am still on the drug." What is the
condition of the client? - ANSWER-Flashback
Which action would neomycin produce when a client with alcoholic use disorder is treated for hepatic
encephalopathy? - ANSWER-Reduces intestinal ammonia
A client with a punitive superego turned to alcohol to diminish unconscious anxiety. Which risk factors
would predispose this client to a substance abuse disorder? - ANSWER-Developmental influences
Which medication can the nurse expect for the treatment of a client with a gambling disorder? Select all
that apply. - ANSWER-Clomipramine
Carbamazepine
A client who is a chronic alcoholic says, "My fingers are aching. I can feel a burning and prickling
sensation." Which disorder will the nurse suspect in the client? - ANSWER-Peripheral neuropathy
Which statement from an alcoholic client indicates the chronic phase of alcoholism? - ANSWER-"I feel
sorry for myself because I cannot get rid of this addiction."
The urine analysis of a client with alcohol addiction shows a reddish tinge in the urine. What would the
nurse suspect in the client? - ANSWER-Alcoholic myopathy
A chronic alcoholic client has elevated levels of muscle enzymes and symptoms of decreased exercise
tolerance, dyspnea, edema, and palpitations. As directed by the primary health-care provider, the nurse
restrains the client from alcohol use and initiates therapy with digitalis and diuretics. What outcome will
the nurse expect in the client? - ANSWER-The chest x-ray of the client will show a proper functioning of
the heart.
The nurse is caring for a client who started drinking alcohol often following the death of his wife. Which
indicates an effective outcome of therapy? - ANSWER-Verbalizes and demonstrates adaptive coping
strategies
The clinical findings of a client who is an alcoholic indicate the replacement of liver cells with fibrous
tissue. Which complications could the nurse expect in this client? Select all that apply. - ANSWER-Ascites
Esophageal varices
The client is unable to meet his or her role expectations due to alcohol abuse. Which nursing
intervention would help the client? - ANSWER-Encouraging the client to express feelings of fear and
anxiety
Which therapy protects the client from the risk of death due to Wernicke's encephalopathy? - ANSWER-
Thiamine replacement therapy
Which factor results in delayed absorption of alcohol? - ANSWER-Presence of food in the stomach
A client with substance intoxication and mental illness is scheduled for cognitive therapy. Which client
outcome would indicate effective therapy? - ANSWER-The client learns to monitor moods and thought
processes that lead to substance abuse.
Which drugs produce anterograde amnesia in a client with sedative intoxication? Select all that apply. -
ANSWER-Flunitrazepam
Gamma hydroxybutyric acid
Which medication would be beneficial for a client with cocaine addiction and who is having status
epilepticus? - ANSWER-Diazepam
After assessing a client using the Michigan Alcoholism Screening Test (MAST), the nurse identifies a
possible problem with alcohol. Which MAST score is consistent with the nurse's conclusion? - ANSWER-
Four
Which medication is initially used to treat stimulant intoxication? - ANSWER-Chlordiazepoxide
, Which medication could be used in the management of weight and hyperkinesia? - ANSWER-
Amphetamine
A client diagnosed with hepatic encephalopathy completely abstains from alcohol, eats a low-protein
diet, and is on neomycin therapy. Which laboratory findings indicate a successful treatment modality? -
ANSWER-Decrease in serum ammonia levels
A client who uses drugs says, "I am not a drug addict. I can stop any time I want." Which nursing
intervention would the nurse most likely apply in this client? - ANSWER-Correcting misconceptions about
substance abuse
A client who is a smoker says, "Smoking relaxes me. It is not harmful." What would be the priority
nursing intervention for this client? - ANSWER-Assessing the client's level of knowledge
A client is admitted to the emergency department with methanol poisoning. Which antidote would the
nurse arrange for this client? - ANSWER-Alcohol
The clinical history of a client who is an alcoholic shows excessive amount of serous fluid accumulation in
the abdominal cavity. What is the condition of the client? - ANSWER-Ascites
A client after the withdrawal from a hallucinogen says, "I feel I am still on the drug." What is the
condition of the client? - ANSWER-Flashback
Which action would neomycin produce when a client with alcoholic use disorder is treated for hepatic
encephalopathy? - ANSWER-Reduces intestinal ammonia
A client with a punitive superego turned to alcohol to diminish unconscious anxiety. Which risk factors
would predispose this client to a substance abuse disorder? - ANSWER-Developmental influences
Which medication can the nurse expect for the treatment of a client with a gambling disorder? Select all
that apply. - ANSWER-Clomipramine
Carbamazepine
A client who is a chronic alcoholic says, "My fingers are aching. I can feel a burning and prickling
sensation." Which disorder will the nurse suspect in the client? - ANSWER-Peripheral neuropathy
Which statement from an alcoholic client indicates the chronic phase of alcoholism? - ANSWER-"I feel
sorry for myself because I cannot get rid of this addiction."
The urine analysis of a client with alcohol addiction shows a reddish tinge in the urine. What would the
nurse suspect in the client? - ANSWER-Alcoholic myopathy
