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Question 1 of 50
1. Question
1 point(s)Nurse Rob has observed a co-worker arriving to work drunk at least three times in the past month. Which action by Nurse Rob would best ensure client safety and obtain necessary assistance for the co-worker?
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Question 2 of 50
2. Question
1 point(s)Elsa is being treated in a chemical dependency unit. She tells the nurse that she only uses drugs when under stress and therefore does not have a substance problem. Which defense mechanism is the client using?
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Question 3 of 50
3. Question
1 point(s)Nurse Tara is teaching a community group about substance abuse. She explains that a genetic component has been implicated in which of the following commonly abused substances?
CorrectIncorrect -
Question 4 of 50
4. Question
1 point(s)Nurse Julie recommends that the family of a client with substance-related disorder attend a support group, such as Al-Anon and Alateen. The purpose of these groups is to help family members understand the problem and to:
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Question 5 of 50
5. Question
1 point(s)Ryan who is a chronic alcohol abuser is being assessed by Nurse Gina. Which problems are related to thiamine deficiency?
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Question 6 of 50
6. Question
1 point(s)Nurse Wilma is teaching a client about disulfiram (Antabuse), which the client is taking to deter his use of alcohol. She explains that using alcohol when taking this medication can result in:
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Question 7 of 50
7. Question
1 point(s)The nurse administers bromocriptine (Parlodel) to Bryan who is undergoing detoxification for amphetamine abuse. The rationale for this medication is to:
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Question 8 of 50
8. Question
1 point(s)Which medication is commonly used in treatment programs for heroin abusers to produce a non-euphoric state and to replace heroin use?
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Question 9 of 50
9. Question
1 point(s)Nurse Christine is teaching an adolescent health class about the dangers of inhalant abuse; the nurse warns about the possibility of:
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Question 10 of 50
10. Question
1 point(s)The newly hired nurse at Nurseslabs Medical Center is assessing a client who abuses barbiturates and benzodiazepine. The nurse would observe for evidence of which withdrawal symptoms?
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Question 11 of 50
11. Question
1 point(s)The community nurse practicing primary prevention of alcohol abuse would target which groups for educational efforts?
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Question 12 of 50
12. Question
1 point(s)Johnette is reviewing her lessons in Pharmacology. She is aware that the general classification of drugs belonging to the opioid category is analgesic and:
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Question 13 of 50
13. Question
1 point(s)When a client abuses a CNS depressant, withdrawal symptoms will be caused by which of the following?
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Question 14 of 50
14. Question
1 point(s)Kendall, the sister of a client with a substance-related disorder, tells the nurse she calls out sick for her sister Kylie occasionally when the latter has too much to drink and cannot work. This behavior can be described as:
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Question 15 of 50
15. Question
1 point(s)During an initial assessment of a client admitted to a substance abuse unit for detoxification and treatment, the nurse asks questions to determine patterns of use of substances. Which of the following questions are most appropriate at this time? Select all that apply.
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Question 16 of 50
16. Question
1 point(s)The nurse is planning activities for a client who has bipolar disorder with aggressive social behavior. Which of the following activities would be most appropriate for this client?
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Question 17 of 50
17. Question
1 point(s)A client is admitted to the hospital with a diagnosis of major depression, severe, single episode. The nurse assesses the client and identifies a nursing diagnosis of imbalanced nutrition related to poor nutritional intake. The most appropriate nursing intervention related to this diagnosis is:
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Question 18 of 50
18. Question
1 point(s)In planning activities for the depressed client, especially during the early stages of hospitalization, which of the following plans is best?
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Question 19 of 50
19. Question
1 point(s)The depressed client verbalizes feelings of low self-esteem and self-worth typified by statements such as “I’m such a failure… I can’t do anything right!” The best nursing response would be:
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Question 20 of 50
20. Question
1 point(s)A client with a diagnosis of major depression, recurrent with psychotic features is admitted to the mental health unit. To create a safe environment for the client, the nurse most importantly devises a plan of care that deals specifically with the client’s:
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Question 21 of 50
21. Question
1 point(s)A depressed client is ready for discharge. The nurse feels comfortable that the client has a good understanding of the disease process when the client states:
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Question 22 of 50
22. Question
1 point(s)The nurse assesses a client with the admitting diagnosis of bipolar affective disorder, mania. The symptom presented by the client that requires the nurse’s immediate intervention is the client’s:
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Question 23 of 50
23. Question
1 point(s)The nurse reviews the activity schedule for the day and plans which activity for the manic client?
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Question 24 of 50
24. Question
1 point(s)A hospitalized client is being considered for ECT. The client appears calm, but the family is anxious. The client’s mother begins to cry and states “My son’s brain will be destroyed. How can the doctor do this to him?” The nurse’s best response is:
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Question 25 of 50
25. Question
1 point(s)The manic client announces to everyone in the dayroom that a stripper is coming to perform this evening. When the nurse firmly states that this will not happen, the manic client becomes verbally abusive and threatens physical violence to the nurse. Based on the analysis of this situation, the nurse determines that the most appropriate action would be to:
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Question 26 of 50
26. Question
1 point(s)Which of the following nursing interventions is applicable for a hospitalized client with mania who is exhibiting manipulative behavior. Select all that apply.
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Question 27 of 50
27. Question
1 point(s)A woman comes into the ER in a severe state of anxiety following a car accident. The most appropriate nursing intervention is to:
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Question 28 of 50
28. Question
1 point(s)When planning the discharge of a client with chronic anxiety, the nurse directs the goals at promoting a safe environment at home. The most appropriate maintenance goal should focus on which of the following?
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Question 29 of 50
29. Question
1 point(s)The nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal. Which of the following would alert the nurse to the potential for delirium tremens?
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Question 30 of 50
30. Question
1 point(s)The spouse of a client admitted to the mental health unit for alcohol withdrawal says to the nurse “I should get out of this bad situation.” The most helpful response by the nurse would be:
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Question 31 of 50
31. Question
1 point(s)The nurse determines that the wife of an alcoholic client is benefiting from attending Al-Anon group when she hears the wife say:
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Question 32 of 50
32. Question
1 point(s)The client has been hospitalized and is participating in a substance abuse therapy group sessions. On discharge, the client has consented to participate in AA community groups. The nurse is monitoring the client’s response to the substance abuse sessions. Which statement by the client best indicates that the client has developed effective coping response styles and has processed information effectively for self use?
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Question 33 of 50
33. Question
1 point(s)A hospitalized client with a history of alcohol abuse tells the nurse, “I am leaving now. I have to go. I don’t want any more treatment. I have things that I have to do right away.” The client has not been discharged. In fact, the client is scheduled for an important diagnostic test to be performed in 1 hour. After the nurse discusses the client’s concerns with the client, the client dresses and begins to walk out of the hospital room. The most important nursing action is to:
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Question 34 of 50
34. Question
1 point(s)What are the appropriate interventions for caring for the client in alcohol withdrawal. Select all that apply.
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Question 35 of 50
35. Question
1 point(s)Which of the following nursing actions would be included in a care plan for a client with PTSD who states the experience was “bad luck”?
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Question 36 of 50
36. Question
1 point(s)Which of the following psychological symptoms would the nurse expect to find in a hospitalized client who is the only survivor of a train accident?
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Question 37 of 50
37. Question
1 point(s)Which of the following communication guidelines should the nurse use when talking with a client experiencing mania?
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Question 38 of 50
38. Question
1 point(s)What information is important to include in the nutritional counseling of a family with a member who has bipolar disorder?
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Question 39 of 50
39. Question
1 point(s)In conferring with the treatment team, the nurse should make which of the following recommendations for a client who tells the nurse that everyday thoughts of suicide are present?
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Question 40 of 50
40. Question
1 point(s)Which of the following short-term goals is most appropriate for a client with bipolar disorder who is having difficulty sleeping?
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Question 41 of 50
41. Question
1 point(s)Nurse Sharie is assessing a parent who abused her child. Which of the following risk factors would the nurse expect to find in this case?
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Question 42 of 50
42. Question
1 point(s)A group of nursing students at Nurseslabs University is currently learning about family violence. Which of the following is true about the topic mentioned?
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Question 43 of 50
43. Question
1 point(s)During a well-child checkup, a mother tells Nurse Rio about a recent situation in which her child needed to be disciplined by her husband. The child was slapped in the face for not getting her husband breakfast on Saturday, despite being told on Thursday never to prepare food for him. Nurse Rio analyzes the family system and concludes it is dysfunctional. All of the following factors contribute to this dysfunction except:
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Question 44 of 50
44. Question
1 point(s)During a home visit to a family of three: a mother, father, and their child, The mother tells the community nurse that the father (who is not present) had hit the child on several occasions when he was drinking. The mother further explains that she has talked her husband into going to Alcoholics Anonymous and asks the nurse not to interfere, so her husband won’t get angry and refuse treatment. Which of the following is the best response of the nurse?
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Question 45 of 50
45. Question
1 point(s)Joseph, a 12-year-old child, complains to the school nurse about nausea and dizziness. While assessing the child, the nurse notices a black eye that looks like an injury. This is the third time in 1 month that the child has visited the nurse. Each time, the child provides vague explanations for various injuries. Which of the following is the school nurse’s priority intervention?
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Question 46 of 50
46. Question
1 point(s)Nurse Meredith is observing 8-year-old Anna during a community visit. Which of the following findings would lead the nurse to suspect that Anna is a victim of sexual abuse?
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Question 47 of 50
47. Question
1 point(s)Nurse Angela is working in the emergency department of Nurseslabs Medical Center. She is conducting an interview with a victim of spousal abuse. Which step should the nurse take first?
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Question 48 of 50
48. Question
1 point(s)Mariefer is studying about abuse for the upcoming exam. For her to fully instill the topic, she should know that the priority nursing intervention for a child or elder victim of abuse is:
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Question 49 of 50
49. Question
1 point(s)A community nurse conducts a primary prevention, home-visit assessment for a newborn and mother. Mrs. Smith has three other children, the oldest of whom is age 12. She tells the nurse that her 12-year-old daughter is expected to prepare family meals, to look after the young children, and to clean the house once a week. Which of the following is the most appropriate nursing diagnosis for this family situation?
CorrectIncorrect -
Question 50 of 50
50. Question
1 point(s)Mrs. Smith was admitted to the emergency department of Nurseslabs Medical Center with a fractured arm. She explains to the nurse that her injury resulted when she provoked her drunken husband, Mr. Smith, who then pushed her. Which of the following best describes the nurse’s understanding of the wife’s explanation?
CorrectIncorrect