ETOH ATI MENTAL HEALTH QUESTIONS AND ANSWERS
1.A nurse in a drug and alcohol detoxification center is planning care for a client who has alcohol use
... [Show More] disorder. Which of the following interventions should the nurse identify as the priority?
A. Helping the client identify positive personality traits B. Providing for adequate hydration and rest
C. Confronting the use of denial and other defense mechanisms
D. Educating the client about the consequences of alcohol misuse
2.A nurse is caring for a client who has a history of alcohol use disorder and has been hospitalized for detoxification.
The nurse enters the room and finds the client shouting in a terrified voice, "Get these bugs off of me!" Which of the following responses by the nurse is appropriate?
A. "I'm sure that the bugs you see will not harm you."
B. "Tell me more about the bugs that you see in your room." C. "I don't see any bugs, but you seem very frightened."
D. "I do not see anything. This is part of the withdrawal process."
3.A nurse is caring for a client in the emergency department who, 2 hr. earlier, severed the tip of a finger in an accident. During the assessment, the nurse detects a strong smell of alcohol from the client’s breath. For which of the following findings should the nurse assess first?
A. Client’s history of previous accidents
B. Date of the client’s last tetanus immunization
C. Client’s blood alcohol level
D. Signs of wound infection
4.A nurse is discussing the manifestations of alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates understanding?
A. "I should expect tremors to start less than 24 hours after I stop drinking."
B. "Disulfiram will block my cravings for alcohol."
C. "My symptoms should last about 5 to 7 days once they begin."
D. "It is important that I take vitamin C to prevent cirrhosis or other liver damage."
5.A nurse in a rehabilitation center is planning care for a newly admitted client who has a history of alcohol use disorder. Which of the following client goals is the highest priority?
A. The client will acknowledge alcohol dependence and need for treatment.
B. The client will rebuild damaged interpersonal relationships.
C. The client will implement alternative strategies for managing anxiety.
D. The client's withdrawal from alcohol will be managed without complications.
6.A nurse is assessing a client who is withdrawing from alcohol. Which of the following findings should the nurse expect? (Select all that apply).
A. Severe hypotension B. Visual hallucinations
C. Hyperglycemia D. Insomnia
E. Tremors
7. A nurse is caring for a client whose partner asks to speak with the nurse. The partner relates her concerns about her spouse abusing alcohol and having difficulty maintaining employment. Which of the following responses should the nurse make?
A. "Could you try contacting a support group?"
B. "I'm so sorry to hear about this."
C. "I suggest you talk with a mental health counselor about your concerns." D. "What have you done in the past to cope with this issue?"
8. A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of the following findings should the nurse expect?
A. Hand tremors
B. Stuporous level of consciousness
C. Bradycardia
D. Hypotension
9.A nurse in the emergency department is creating a plan of care for a client experiencing alcohol intoxication. Which of the following interventions should the nurse plan to include? (Select all that apply).
A. Contact the laboratory to obtain a blood sample. B. Prepare the client for a CT scan.
C. Check the client’s pupil reactivity. D. Obtain a urine specimen.
E. Perform a developmental screening test.
10.A nurse is assessing a client who has a history of alcohol use disorder. Which of the following questions should the nurse include to determine how the use of alcohol affects the client’s psychosocial behaviors?
A. "Has alcohol use affected your performance at work?"
B. "Have you received prior treatment for substance use disorder?"
C. "Do you receive treatment for any mental health disorders?"
D. "At what age did you begin drinking alcohol?" [Show Less]