Category Archives: 719

Substance Abuse and Abuse Q 61

Which statement by the client during the initial assessment in the emergency department is most indicative of suspected domestic violence?         A. “I am determined to leave my house in a week.”      B. “No one else in the family has been treated like this.”      C. “I have only been married for two (2) months.”   … Read More »

Substance Abuse and Abuse Q 62

Which of these statements by the nurse reflects the best use of therapeutic interaction techniques?         A. “You look upset. Would you like to talk about it?”      B. “I’d like to know more about your family. Tell me about them.”      C. “I understand that you lost your partner. I don’t think I could go on… Read More »

Substance Abuse and Abuse Q 63

When planning the therapeutic milieu, it is most important to select group activities which:         A. Match the clients’ preferences.      B. Are consistent with clients’ skills.      C. Achieve clients’ therapeutic goals.      D. Build skills of group participation.           Correct Answer: C. Achieve clients’ therapeutic goals. Activity groups are used to enhance… Read More »

Substance Abuse and Abuse Q 64

A client was admitted to the psychiatric unit for severe depression. After several days, the client continues to withdraw from other clients. Which of the following would be the most appropriate statement by the nurse to promote interaction with other clients?         A. “Your doctor thinks it’s good for you to spend time with others.”      B.… Read More »

Substance Abuse and Abuse Q 65

The nurse administers bromocriptine (Parlodel) to Bryan who is undergoing detoxification for amphetamine abuse. The rationale for this medication is to:         A. Aid in GABA inhibition      B. Prevent norepinephrine excess      C. Restore depleted dopamine levels      D. Treat psychotic symptoms           Correct Answer: C. Restore depleted dopamine levels Amphetamine… Read More »

Substance Abuse and Abuse Q 66

The nurse can best ensure the safety of a demented client who wanders from the room by:         A. Repeatedly reminding the client of time and place.      B. Explaining the risks of becoming lost.      C. Using soft restraints.      D. Attaching a wander guard sensor band to the client’s wrist.           Correct… Read More »

Substance Abuse and Abuse Q 67

A client with paranoid thoughts refuses to eat because he believes the food has poisoned. The most appropriate initial action is to         A. Taste the food in the client’s presence.      B. Suggest that food be brought from home.      C. Simply state the food is not poisoned.      D. Inform the client he will be… Read More »

Substance Abuse and Abuse Q 68

The nurse is caring for a severely depressed client who has just been admitted to the in-client psychiatric unit. Which of the following is a priority of care?         A. Nutrition      B. Elimination      C. Rest      D. Safety           Correct Answer: D. Safety Safety is a priority of care for… Read More »

Substance Abuse and Abuse Q 69

A nurse is teaching a stress-management program for a client. Which of the following beliefs will the nurse advocate as a method of coping with stressful life events?         A. Avoidance of stress is an important goal for living.      B. Control over one’s response to stress is possible.      C. Most people have no… Read More »

Substance Abuse and Abuse Q 70

A student nurse is caring for a 75-year-old client who is very confused. The student’s communication tools should include:         A. Written directions for bathing.      B. Speaking very loudly.      C. Gentle touch while guiding ADLs (activities of daily living).      D. Flat facial expression.           Correct Answer: C. Gentle touch… Read More »