NCLEX ?s Q&A
What information should the nurse plan to include when teaching the client and family
about a substance abuse problem? - (correct answer)the physical, physiologic, and
psychological effects of substances
For the client with a substance abuse problem, which intervention would be most helpful
to aid the client in dealing with feelings and concerns related to alcohol and drugs? -
(correct answer)group therapy
A nurse is teaching new staff members about groups considered at highest risk for
suicide. Which group should the nurse emphasize? - (correct answer)Adolescents, men
older than age 45, and persons who are unemployed
When developing appropriate assignments for the staff, which client should the nurse
manager judge to be at highest risk for suicide completion? - (correct answer)an 85-
year-old Caucasian man who lives alone after his wife's death
A high school student is referred to the school nurse for suspected substance abuse.
Following the nurse's assessment and interventions, what would be the most desirable
outcome? - (correct answer)The student accepts a referral to a substance abuse
counselor.
The nurse is assessing a 38-year-old client at risk for suicide. What assessment data
would determine whether a client will require hospitalization? - (correct answer)• Being
intoxicated with alcohol
• A description of command hallucinations
• Having an organized plan
The nurse is assessing a 38-year-old client at risk for suicide. Which of the following are
significant assessment data when determining whether a client will require
hospitalization? - (correct answer)"You told me you got fired from your last job for
missing too many days after taking drugs all night."
, Encouraging the client to elaborate about his experience while getting high may
reinforce his abusive behavior.
physiological symptom is suggestive of cocaine intoxication - (correct answer)•
Psychomotor agitation
• Cardiac arrhythmias
• Respiratory depression
• Dilated pupils
Common symptoms of PTSD - (correct answer)• PTSD is characterized by nightmares
and flashbacks.
• Hypervigilance is characteristic of clients with PTSD.
• Substance abuse is a common coping mechanism used by clients with PTSD.
• Psychotic episodes can occur in clients with PTSD.
• Clients with PTSD may complain of feeling empty inside.
Characteristics that predispose a client to alcohol abuse - (correct answer)• Low self-
esteem and depression
• Family history of alcoholism
antisocial and borderline personality also, due to the impulsive nature
The physician orders haloperidol, 5 mg I.M for a client experiencing hallucinations. The
nurse understands that this drug is used in this client to treat: - (correct
answer)psychosis
Schizophrenia is characterized by: - (correct answer)disturbances in affect, perception,
and thought content and form.
What information should the nurse plan to include when teaching the client and family
about a substance abuse problem? - (correct answer)the physical, physiologic, and
psychological effects of substances
For the client with a substance abuse problem, which intervention would be most helpful
to aid the client in dealing with feelings and concerns related to alcohol and drugs? -
(correct answer)group therapy
A nurse is teaching new staff members about groups considered at highest risk for
suicide. Which group should the nurse emphasize? - (correct answer)Adolescents, men
older than age 45, and persons who are unemployed
When developing appropriate assignments for the staff, which client should the nurse
manager judge to be at highest risk for suicide completion? - (correct answer)an 85-
year-old Caucasian man who lives alone after his wife's death
A high school student is referred to the school nurse for suspected substance abuse.
Following the nurse's assessment and interventions, what would be the most desirable
outcome? - (correct answer)The student accepts a referral to a substance abuse
counselor.
The nurse is assessing a 38-year-old client at risk for suicide. What assessment data
would determine whether a client will require hospitalization? - (correct answer)• Being
intoxicated with alcohol
• A description of command hallucinations
• Having an organized plan
The nurse is assessing a 38-year-old client at risk for suicide. Which of the following are
significant assessment data when determining whether a client will require
hospitalization? - (correct answer)"You told me you got fired from your last job for
missing too many days after taking drugs all night."
, Encouraging the client to elaborate about his experience while getting high may
reinforce his abusive behavior.
physiological symptom is suggestive of cocaine intoxication - (correct answer)•
Psychomotor agitation
• Cardiac arrhythmias
• Respiratory depression
• Dilated pupils
Common symptoms of PTSD - (correct answer)• PTSD is characterized by nightmares
and flashbacks.
• Hypervigilance is characteristic of clients with PTSD.
• Substance abuse is a common coping mechanism used by clients with PTSD.
• Psychotic episodes can occur in clients with PTSD.
• Clients with PTSD may complain of feeling empty inside.
Characteristics that predispose a client to alcohol abuse - (correct answer)• Low self-
esteem and depression
• Family history of alcoholism
antisocial and borderline personality also, due to the impulsive nature
The physician orders haloperidol, 5 mg I.M for a client experiencing hallucinations. The
nurse understands that this drug is used in this client to treat: - (correct
answer)psychosis
Schizophrenia is characterized by: - (correct answer)disturbances in affect, perception,
and thought content and form.
