NCLEX 3000 - Substance Abuse, Eating Disorders, Impulse Control Disorders 100 Study Questions With 100% Correct Answers
1. "Which assessment finding is
... [Show More] most consistent with early alcohol withdrawal? - ✔✔1. Heart rate of 120 to 140 beats/minute
2. "Which client is at highest risk for suicide? - ✔✔2. One who plans a violent death and has the means readily available
3. A 15-year-old client is brought to the clinic by her mother. Her mother expresses concern about her daughter's weight loss and constant dieting. The nurse conducts a health history interview. Which of the following comments indicates that the client may be suffering from anorexia nervosa? - ✔✔"3. ""I just can't seem to get down to the weight I want to be. I'm so fat compared to other girls.""
4. The nurse is caring for a client who has been abusing opiates. Data collection findings in a client abusing opiates such as morphine include: - ✔✔4. euphoria and constricted pupils.
5. The nurse is caring for an adolescent female who reports amenorrhea, weight loss, and depression. Which additional data collection finding would suggest that the woman has an eating disorder? - ✔✔4. Excessive and ritualized exercise"
6. A client is admitted to the psychiatric unit with a diagnosis of anorexia nervosa. Although she is 5' 8" (1.7 m) tall and weighs only 103 lb (46.7 kg), she talks incessantly about how fat she is. Which approach should the nurse take first when caring for this client? - ✔✔"2. Establish a trusting relationship with the client.
7. "Which task is most important when developing a plan of care for a client with anorexia nervosa? - ✔✔"4. Evaluating exercise activities
8. While collecting data on a client who was diagnosed with impulse control disorder (and who displays violent, aggressive, and assaultive behavior), the nurse can expect to find which of the following assessments? - ✔✔1. client functions well in other areas of his life 2. The degree of aggressiveness is out of proportion to the stressor. 4. The client has a history of parental alcoholism and a chaotic, abusive family life.
9. A client with a history of alcoholism returns to the hospital 3 hours later than the time specified on his day pass. His breath smells of alcohol and his gait is unsteady. What should the nurse say? - ✔✔"Please go to bed now. We'll talk in the morning."
10. A client voluntarily admits himself to the substance abuse unit. He confesses that he drinks 1 qt or more of vodka each day. Later that afternoon, he begins to show signs of alcohol withdrawal. What are some early signs of this condition? - ✔✔"4. Diaphoresis, tremors, and nervousness
11. One of the goals for a client with anorexia nervosa is that the client will demonstrate increased coping by responding to stress in constructive ways. Which of the following actions is a positive indicator that the client is working toward meeting the goal? - ✔✔"3. The client keeps a journal and discusses it with the nurse.
12. A local high school recently identified a problem with alcohol-related accidents among student drivers; two of these accidents resulted in death. School officials developed a plan to address the problem. The school nurse begins her part by addressing primary prevention. Which intervention by the school nurse is appropriate? - ✔✔"4. Arranging for a presentation by a local teenager who was involved in an alcohol-related traffic fatality
13. During postprandial monitoring, a client with bulimia nervosa tells the nurse, "You can sit with me, but you're just wasting your time. After you sat with me yesterday, I was still able to purge. Today, my goal is to do it twice." What is the nurse's best response? - ✔✔"4. ""I know it's important for you to feel in control, but I'll monitor you for 90 minutes after you eat.""
14. The nurse is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is to: - ✔✔3. identify anxiety-causing situations.
15. A client is being treated for alcoholism. After a family meeting, the client's spouse asks the nurse about ways to help the family deal with the effects of alcoholism. The nurse should suggest that the family join which organization? - ✔✔"1. Al-Anon
16. A client is admitted to the inpatient adolescent unit after being arrested for attempting to sell cocaine to an undercover police officer. The nurse assists in writing a behavioral contract. To best promote compliance, the contract should be written: - ✔✔"3. jointly by the client and nurse.
17. A client begins to experience alcoholic hallucinosis. What is the appropriate nursing intervention at this time? - ✔✔"3. Providing a quiet environment and administering medication as needed and prescribed
18. A nurse is caring for a client who just separated from her husband because of his alcohol abuse problem. Which statement by the nurse conveys empathy? - ✔✔"2. ""You made a very difficult decision. I'll be here if you want to talk.""
19. A client has approached the nurse asking for advice on how to deal with his alcohol addiction. The nurse should tell the client that the only completely effective treatment for alcoholism is: - ✔✔"2. total abstinence.
20. Which nursing interventions should be included in the treatment plan of a client diagnosed with bulimia nervosa? - ✔✔1. Establish a contract with the client that specifies the amounts and types of food she must eat at each meal. 4. Reward the client for satisfactory weight gain.
21. Which psychosocial influence has been causally related to the development of aggressive behavior and conduct disorder? - ✔✔"2. Rejection by peers
22. "When planning care for a client who has ingested phencyclidine (PCP), which of the following is the highest priority? - ✔✔"2. Client's safety needs
23. A client is being admitted to the substance abuse unit for alcohol detoxification. As part of the intake interview, the nurse asks him when he had his last alcoholic drink. He says that he had his last drink 6 hours before admission. Based on this response, the nurse should expect early withdrawal symptoms to: - ✔✔"2. begin anytime within the next 1 to 2 days.
24. Eighteen hours after undergoing an emergency appendectomy, a client with a reported history of social drinking displays these vital signs: temperature, 101.6° F (38.7° C); heart rate, 126 beats/minute; respiratory rate, 24 breaths/minute; and blood pressure, 140/96 mm Hg. The client exhibits gross hand tremors and is screaming for someone to kill the bugs in the bed. The nurse should suspect - ✔✔"2. alcohol withdrawal.
25. After completing chemical detoxification and a 12-step program to treat drug addiction, a client is being prepared for discharge. Which remark by the client indicates a realistic view of the future? - ✔✔"3. ""I'm going to take 1 day at a time. I'm not making any promises.""
26. "Which nursing diagnosis takes priority for a client diagnosed with anorexia nervosa? - ✔✔3. Imbalanced nutrition: Less than body requirements
27. A client is brought to the emergency department after being beaten by her husband, a prominent attorney. The nurse caring for this client understands that: - ✔✔"3. domestic violence and abuse span all socioeconomic classes.
28. The mother of a 3-year-old has been told that her child has a brain tumor. She initially begins to cry and accuses the physicians of lying. Which of the following stages is the mother most likely experiencing? - ✔✔"3. Anger
29. (SELECT ALL THAT APPLY) Which of the following interventions would be supportive for a client with a nursing diagnosis of Imbalanced nutrition: Consuming less than the body requires due to dysfunctional eating patterns? - ✔✔"1. Provide small, frequent feedings. 2. Monitor weight gain. 4. Encourage journaling to promote the expression of feelings. 5. Monitor the client at mealtimes and for 1 hour after meals."
30. "The nurse is assigned to care for a suicidal client. Initially, which is the nurse's highest care priority? - ✔✔"2. Exploring the nurse's own feelings about suicide [Show Less]