NCLEX Questions for Substance Abuse

ATI LPN · NCLEX Questions for Substance Abuse

Question 1 of 90

A client diagnosed with schizophrenia was released from a state mental hospital after 20 years of institutionalization. A nurse should recognize which characteristic that is likely to be exhibited by this client?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 2 of 90

While visiting a family in their home, a community health nurse hears a parent screaming who says, 'Everything you do is wrong. Can't you do anything right ever?' The nurse suspects which of the following?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 3 of 90

Convicted criminals are most likely to have which of the following diagnoses?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 4 of 90

The nurse often assists in the process of obtaining informed consent from the client for treatment and/or procedures. Who has the responsibility of providing information to the client so he can give informed consent?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 5 of 90

The term psychological dependence is used when:

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ATI LPN · NCLEX Questions for Substance Abuse

Question 6 of 90

Jose, who has been hospitalized with schizophrenia tells Nurse Ron, 'My heart has stopped and my veins have turned to glass!' Nurse Ron is aware that this is an example of:

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ATI LPN · NCLEX Questions for Substance Abuse

Question 7 of 90

Nurse Jorge use as part of his assessment?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 8 of 90

A nurse is caring for a child who lives in extreme poverty. Which of the following types of abuse is this child at greatest risk for?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 9 of 90

The client is a 38-year-old woman with a diagnosis of narcissistic personality disorder. Behaviors associated with this diagnosis are:

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ATI LPN · NCLEX Questions for Substance Abuse

Question 10 of 90

A nurse gives report on a patient who is using 1-2 g IV fentanyl daily and is interested in medication for opioid use disorder. Naltrexone has not worked for him in the past, but he is interested in methadone. Given the CARN-AP's knowledge of medications for opioid use disorder, what is the most appropriate treatment plan?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 11 of 90

A client has a history of daily bourbon drinking for the past 6 months. He is brought to an emergency department by family who report that his last drink was 1 hour ago. It is now 12 midnight. When should a nurse expect this client to exhibit withdrawal symptoms?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 12 of 90

The nurse must be alert to signs of suicidal thoughts with clients in whom major depressive disorders have been diagnosed because approximately die from suicide.

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ATI LPN · NCLEX Questions for Substance Abuse

Question 13 of 90

Ana suddenly stopped taking amphetamines after prolonged abuse of the drug. She became very ill and died. Her death is an example of severe

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ATI LPN · NCLEX Questions for Substance Abuse

Question 14 of 90

Nurse Tony was caring for a 41-year-old female client. Which behavior by the client indicates adult cognitive development?

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Question 15 of 90

Clients diagnosed with Type I-Positive Schizophrenia symptoms respond better to antipsychotic medications. Manifestations of Type I Schizophrenia include which of the following? (Select one that does not apply.)

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ATI LPN · NCLEX Questions for Substance Abuse

Question 16 of 90

In the emergency department, a client with facial lacerations states that her husband beat her with a shoe. After the health care team repairs her lacerations, she waits to be seen by the crisis intake nurse. Suddenly the client's husband arrives, shouting that he wants to 'finish the job.' What is the first priority of the health care worker who witnesses this scene?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 17 of 90

In people with schizophrenia, the amount of gray matter in the temporal and frontal cortexes is

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ATI LPN · NCLEX Questions for Substance Abuse

Question 18 of 90

A nurse is explaining recovery to the family of a client diagnosed with a mental disorder. Which statement would be most appropriate for the nurse to include about this process?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 19 of 90

A 68-year-old male patient with a history of anxiety reports memory impairments and episodes of confusion. The CARN-AP identifies the importance of prioritizing which screening tool during his assessment?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 20 of 90

Which of the following personality disorders is the best diagnosis for Claude? Claude goes to great lengths to be the centre of attention. He announces his views and feelings with great drama; however, one soon suspects it is only for effect, and he seems willing to say or do almost anything to get others to pay attention to and like him.

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ATI LPN · NCLEX Questions for Substance Abuse

Question 21 of 90

Which of the following are characteristics of the Assertive Community Treatment (ACT), as described by the National Alliance on Mental Illness (NAMI)?Select one that does not apply.

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ATI LPN · NCLEX Questions for Substance Abuse

Question 22 of 90

A nurse is caring for a client with depression. Which statement by the client indicates a risk for suicide?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 23 of 90

In 1937, Congress passed the Hill-Burton Act, which was significant for the treatment of mental health because it funded:

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ATI LPN · NCLEX Questions for Substance Abuse

Question 24 of 90

A client who is unable to control binge drinking requires increased amounts of alcohol to achieve the same level of intoxication. The client is experiencing marital strife and legal problems. The client's behaviors meet the criteria for which DSM-5 diagnostic category?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 25 of 90

A patient presents to the emergency room following an opioid overdose, having received 12 mg of intranasal naloxone in the community. They have a history of more than five overdoses, one of which required intubation. The patient is pale and somnolent with hyperpnea and bradycardia. As vital signs improve, the patient becomes diaphoretic, tachycardic, and begins vomiting. Reports abdominal cramping, muscle aches, and is agitated. States, 'I want to get out of here. You people never help me.' The most important intervention to discuss with the provider is:

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ATI LPN · NCLEX Questions for Substance Abuse

Question 26 of 90

Nurse Elena is providing nutritional counseling to the family of John, a 35-year-old patient recently diagnosed with bipolar disorder and currently taking lithium. She wants to ensure the family understands how diet can affect John's lithium levels. What important information should Nurse Elena include?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 27 of 90

Interventions for assaultive clients that focus on protecting the client and others from potential harm are level interventions.

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ATI LPN · NCLEX Questions for Substance Abuse

Question 28 of 90

A patient has completed substance abuse treatment for alcoholism. What will assist in long-term goal attainment and promote abstinence?Select one that does not apply.

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ATI LPN · NCLEX Questions for Substance Abuse

Question 29 of 90

During group therapy, a client diagnosed with alcohol use disorder states, I would not have boozed it up if my wife hadnt been nagging me all the time to get a job. She never did think that I was good enough for her. How should a nurse interpret this statement?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 30 of 90

Which statement about rape is true?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 31 of 90

Providing nursing education on drug abuse to a high school class is an example of which level of preventive care?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 32 of 90

A client with a history of heavy alcohol use is brought to an emergency department (ED) by family members who state that the client has had nothing to drink in the last 24 hours. Which client symptom should the nurse immediately report to the ED physician?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 33 of 90

A nurse is describing the four dimensions of recovery to a group of new psychiatric-mental health nurses. Which dimension is the nurse describing when addressing relationships and social networks?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 34 of 90

Which signs and/or symptoms should alert the caregiver to a child who is suffering from neglect?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 35 of 90

Nurse David is assessing Carla, a patient admitted with bipolar affective disorder in a manic state. Which symptom should prompt Nurse David to intervene immediately?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 36 of 90

The legislation enacted in 1963 was largely responsible for which of the following shifts in care for the mentally ill?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 37 of 90

A female client begins to experience alcoholic hallucinosis. Nurse Joy is aware that the best nursing intervention at this time?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 38 of 90

Tim works at a law firm where he is expected to bring in a large number of cases each week. He has been working at this job for five years, typically putting in 70 hours a week. He has begun to experience irritability and has begun to drink alcohol in the evening in order to get to sleep. Based on this information, if he were taking any other drug, it would most likely be

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ATI LPN · NCLEX Questions for Substance Abuse

Question 39 of 90

A 68-year-old woman tells the nurse that since she retired a few months ago, she has been 'taking it easy' by sleeping later and staying around the house to rest. She has recently noticed that she is having a little trouble with remembering things. The nurse is aware that intellectual development is continuous and suggests to the client:

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ATI LPN · NCLEX Questions for Substance Abuse

Question 40 of 90

Without assessment of six specific aspects of an individual's being, the mental health nurse's scope of care is narrow and limited in effectiveness. These aspects include social, physical, cultural, intellectual, emotional, and spiritual areas of a person's life, known as a assessment.

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ATI LPN · NCLEX Questions for Substance Abuse

Question 41 of 90

A client is questioning the nurse about a newly prescribed medication, acamprosate calcium (Campral). Which is the most appropriate reply by the nurse?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 42 of 90

A client diagnosed with chronic alcohol use disorder is being discharged from an inpatient treatment facility after detoxification. Which client outcome related to Alcoholics Anonymous (AA) would be most appropriate for a nurse to discuss with the client during discharge teaching?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 43 of 90

Joy's stream of consciousness is occupied exclusively with thoughts of her father's death. Nurse Ronald should plan to help Joy through this stage of grieving, which is known as:

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ATI LPN · NCLEX Questions for Substance Abuse

Question 44 of 90

Antisocial personality disorder has previously been referred to as

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ATI LPN · NCLEX Questions for Substance Abuse

Question 45 of 90

A clients spouse asks, What evidence supports the possibility of genetic transmission of bipolar disorder? Which is the best nursing reply?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 46 of 90

In a large study, persecutory delusions were found among percent of people with schizophrenia.

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ATI LPN · NCLEX Questions for Substance Abuse

Question 47 of 90

Which statements are important reasons for why the problem of substance abuse must be addressed?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 48 of 90

An adolescent female patient presents for follow-up after a sports-related injury, and her mother expresses concerns related to eating disordered behavior stating, 'Something changed after her injury, and she won't talk to me about it.' The nurse recognizes the patient is at increased risk for developing which co-occurring disorders:

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ATI LPN · NCLEX Questions for Substance Abuse

Question 49 of 90

The nurse believes that a client being admitted for a surgical procedure may have a drinking problem. How should the nurse further evaluate this possibility?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 50 of 90

After teaching a class about family and domestic violence directed toward children as a community health problem, which of the following if stated by the class indicates to the instructor that the teaching was effective?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 51 of 90

A female client is being discharged from an inpatient mental health unit after receiving treatment for bipolar disorder. She has responded well to treatment but voices concern about going home and maintaining balance in her life. The client would benefit most by a response from the nurse that conveyed the therapeutic communication principle of:

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ATI LPN · NCLEX Questions for Substance Abuse

Question 52 of 90

A female client with anorexia nervosa describes herself as 'a whale.' However, the nurse's assessment reveals that the client is 5'8' (1.7 m) tall and weighs only 90 lb (40.8 kg). Considering the client's unrealistic body image, which intervention should nurse Angel include in the plan of care?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 53 of 90

Crisis stabilization provides care to clients in treatment settings with the purpose of reestablishing homeostasis; it usually lasts for:

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ATI LPN · NCLEX Questions for Substance Abuse

Question 54 of 90

Amotivational syndrome in cannabis users suggests that those who use cannabis regularly are more likely to:

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ATI LPN · NCLEX Questions for Substance Abuse

Question 55 of 90

When teaching a client diagnosed with alcoholism about nutritional needs, which nutritional concept should the nurse emphasize?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 56 of 90

A community/public health nurse has contacted her legislator to discuss a bill that would enact the provisions of Timothy's Law in the state where she lives. Which of the following statements would the nurse most likely make during this conversation?

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Question 57 of 90

A newly admitted client is experiencing a manic episode of bipolar I disorder and presents as very agitated. The nurse should assign which priority nursing diagnosis to this client?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 58 of 90

Given that people with borderline personality disorder are impulsive, we would expect them to do poorly on tests that measure functioning of the

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Question 59 of 90

Synthetic cannabinoid toxicity can result in serious adverse effects, including all of the following, except:

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Question 60 of 90

A learned response to an anticipated event, such as when a person who does not like to fly experiences nausea and sweaty palms before boarding an airplane, is best described as:

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ATI LPN · NCLEX Questions for Substance Abuse

Question 61 of 90

A male client is visiting his family in the United States and experiences what his family describes as a 'breakdown.' His family takes him to a stress treatment center at a local mental health clinic. The client is a follower of traditional folk medicine practices and is agitated when he learns that he must see a licensed psychiatrist. Which care providers is this client most likely accustomed to?Select one that does not apply.

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ATI LPN · NCLEX Questions for Substance Abuse

Question 62 of 90

A nurse is caring for a woman who has been battered for several years. Which of the following has the client most likely seen an increase in over the years?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 63 of 90

The DSM-5 refers to the pathological use of substances as

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Question 64 of 90

Which of the following persons is said to have a dual diagnosis?

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Question 65 of 90

A possible side-effect of antipsychotic medication used to treat schizophrenia is akathisia, which is

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ATI LPN · NCLEX Questions for Substance Abuse

Question 66 of 90

Mr Walton aged 47 years is newly admitted in psychiatry ward and immediately isolate him from others. The medical team should approach the patient with understanding that:

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ATI LPN · NCLEX Questions for Substance Abuse

Question 67 of 90

In aversion therapy clients are given their drug followed immediately by another drug that causes unpleasant physiological reactions such as nausea and sickness. Rather than physically administering these drugs in order to form an aversive conditioned response the client to imagine taking their drug followed by imagining some upsetting or repulsive consequence. The variant on aversion therapy is known as:

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ATI LPN · NCLEX Questions for Substance Abuse

Question 68 of 90

An adult client diagnosed with bipolar I disorder is prescribed lamotrigine (Lamictal), 400 mg three times a day, for mood stabilization. Which is a true statement about this medication order?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 69 of 90

Match the form in column A with correct description from column B: Concrete thinking

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ATI LPN · NCLEX Questions for Substance Abuse

Question 70 of 90

When intervening with a married couple experiencing relationship discord, which nursing action reflects an intervention at the secondary level of prevention?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 71 of 90

Vascular dementia is more common in individuals living in:

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Question 72 of 90

Which factors in a 14-year-old's history are risks for developing an impulse control disorder? (Select one that does not apply.)

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ATI LPN · NCLEX Questions for Substance Abuse

Question 73 of 90

Data on expressed emotion indicates that those with schizophrenia are more likely to relapse (that is, return to the hospital) if their families

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ATI LPN · NCLEX Questions for Substance Abuse

Question 74 of 90

Nurse Maria is closely observing John, a client with a history of alcohol abuse, for signs of alcohol withdrawal. Which symptoms should alert Nurse Maria to the potential onset of delirium tremens?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 75 of 90

A 45-year-old married man comes to the community mental health center after he is suspended from his job for fighting. Upon talking to him, the nurse discovers he and his wife recently moved to the United States and his wife needs to work to pay bills. He is angry and embarrassed that he cannot be the sole provider for his family. His behavior may be the result of:

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ATI LPN · NCLEX Questions for Substance Abuse

Question 76 of 90

A female client with a psychotic disorder is experiencing olfactory hallucinations. Most likely, she would be complaining of:

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ATI LPN · NCLEX Questions for Substance Abuse

Question 77 of 90

Nurse Carol is creating an activity plan for Lisa, a patient recently admitted for depression, during the initial phase of her hospitalization. Which approach would be the most beneficial for Lisa?

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Question 78 of 90

Nurse Monette is aware that extremely depressed clients seem to do best in settings where they have:

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Question 79 of 90

What is meant by the term 'revolving door effect' in mental health care?

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Question 80 of 90

Which of the following statements is true about child abuse?

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Question 81 of 90

A patient is admitted into a substance abuse treatment center and is withdrawing from alcohol. Which statement made by the patient's family member shows a need for further education?

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ATI LPN · NCLEX Questions for Substance Abuse

Question 82 of 90

Why did many psychiatric patients have impaired social interaction, decision-making skills, and life skills when they were discharged from the large state mental hospitals?

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Question 83 of 90

A nurse is planning care for a client diagnosed with bipolar disorder: manic episode. In which order should the nurse prioritize the listed client outcomes? Client Outcomes: 1. Maintains nutritional status. 2. Interacts appropriately with peers. 3. Remains free from injury. 4. Sleeps 6 to 8 hours a night.

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Question 84 of 90

The nurse who works in a sleep clinic knows that approximately \% of adults suffer from insomnia.

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Question 85 of 90

The vast majority of smokers who quit do so

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Question 86 of 90

Cely is experiencing alcohol withdrawal exhibits tremors, diaphoresis, and hyperactivity. Blood pressure is 190/87 mmHg and pulse is 92 bpm. Which of the medications would the nurse expect to administer?

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Question 87 of 90

Psychiatric nursing became a requirement in nursing education in which year?

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Question 88 of 90

As part of a class activity, nursing students are engaged in a small group discussion about the epidemiology of mental illness. Which statement best explains the importance of epidemiology in understanding the impact of mental disorders? Epidemiology:

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Question 89 of 90

A community health nurse is developing a plan of care for families in crisis. Which of the following would be most appropriate for the nurse to include?

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Question 90 of 90

The American College of Obstetricians and Gynecologists supports methadone and buprenorphine as first-line treatment for opioid use disorder during pregnancy due to improved outcomes. Which of the following is not considered a benefit of treatment during pregnancy?

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