NCLEX Substance Abuse Questions

ATI LPN · NCLEX Substance Abuse Questions

Question 1 of 88

Which of the following is a standard of practice?

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ATI LPN · NCLEX Substance Abuse Questions

Question 2 of 88

A client began taking lithium for the treatment of bipolar disorder approximately 1 month ago. The client asks if it is normal to have gained 12 pounds in this time frame. Which is the appropriate nursing reply?

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ATI LPN · NCLEX Substance Abuse Questions

Question 3 of 88

Effective disorders

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Question 4 of 88

A community health nurse is designated as a 'mandated reporter.' Which of the following best describes this designation?

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Question 5 of 88

A nurse begins the intake assessment of a client diagnosed with bipolar I disorder. The client shouts, You cant do this to me. Do you know who I am? Which is the priority nursing action in this situation?

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ATI LPN · NCLEX Substance Abuse Questions

Question 6 of 88

Infants who experience nurturing environments develop the ability to:

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Question 7 of 88

What is the social orientation among most middle-class American families?

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Question 8 of 88

A nurse working the night shift suspects that a colleague is abusing alcohol. Which action by the nurse is most important?

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ATI LPN · NCLEX Substance Abuse Questions

Question 9 of 88

Which is the most serious symptom experienced during alcohol withdrawal?

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ATI LPN · NCLEX Substance Abuse Questions

Question 10 of 88

Typical central nervous system responses when an individual has drunk five or more alcoholic beverages or has a blood alcohol content of 0.20 % within a 4-hour period include:

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ATI LPN · NCLEX Substance Abuse Questions

Question 11 of 88

Although all age groups can be affected, sleep disorders occur most frequently in:

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ATI LPN · NCLEX Substance Abuse Questions

Question 12 of 88

A male client is admitted to the substance abuse unit for alcohol detoxification. Which of the following medications is Nurse Alice most likely to administer to reduce the symptoms of alcohol withdrawal?

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Question 13 of 88

The primary nursing diagnosis for depression would be:

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Question 14 of 88

The 'stepping-stone' theory of drug use is also called the

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Question 15 of 88

A nurse is assessing a client to evaluate the client's mental health and wellness. Applying the eight dimensions of wellness, which of the following would the nurse identify as reflecting emotional wellness?

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ATI LPN · NCLEX Substance Abuse Questions

Question 16 of 88

A family adopts a 7-year-old boy from an international adoption agency with little information on the child's history. They bring the child to a therapist because the child is withdrawn, destroys things in the house, and hits his adoptive siblings without provocation. As the therapist develops a trusting relationship with the child, what type of intervention would be initially used to gain input from the child?

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Question 17 of 88

Freud's psychoanalytical theory states that an adult is more likely to be mentally healthy if there is a balance between which parts of the mind? Select one that does not apply.

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Question 18 of 88

What is an effective therapeutic modality to gather information and assess individual treatment goals from a patient with binge eating disorder?

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ATI LPN · NCLEX Substance Abuse Questions

Question 19 of 88

The alcohol intoxicated individual has less cognitive capacity available to process all on-going information, and so alcohol acts to narrow attention and means that the drinker processes fewer cues less well. This is known as:

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ATI LPN · NCLEX Substance Abuse Questions

Question 20 of 88

Following withdrawal after extended heavy drinking over a number of years, the drinker may experience:

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Question 21 of 88

Mental health is said to be influenced by which of the following factors? (Select one that does not apply.)

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ATI LPN · NCLEX Substance Abuse Questions

Question 22 of 88

Which therapy approach seeks to break down personality disorders into sets of separate, concrete problems?

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Question 23 of 88

An impaired nurse is admitted to an inpatient substance abuse treatment facility. Which applies to his situation?

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Question 24 of 88

Cannabis use in teenagers can increase risk for injury and engaging in risky sexual behaviors. Which of the following is an example of an effective primary prevention approach?

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Question 25 of 88

Sensory experiences in the absence of any relevant stimulation from the environment are called

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ATI LPN · NCLEX Substance Abuse Questions

Question 26 of 88

What diagnosis would be most appropriate for Tanya? She says she would like to meet people but is too afraid of saying something foolish to speak to them. She describes herself as the ultimate social klutz because she never knows what to say or do. As a result, she keeps to herself except for interacting with a few friends she has known since childhood.

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Question 27 of 88

Which of the following would lead a community health nurse to suspect possible child neglect?Select one that does not apply.

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Question 28 of 88

Upon admission for symptoms of alcohol withdrawal, a client states, I havent eaten in 3 days. Assessment reveals BP 170/100 mm Hg, P 110, R 28, and T 97F (36C) with dry skin, dry mucous membranes, and poor skin turgor. What should be the priority nursing diagnosis?

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ATI LPN · NCLEX Substance Abuse Questions

Question 29 of 88

While working in a community mental health treatment center, the nurse overhears one of the receptionists saying that one of the clients is 'really psycho.' Later in the day, the nurse talks with the receptionist about the comment. This action by the nurse demonstrates an attempt to address which issue?

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ATI LPN · NCLEX Substance Abuse Questions

Question 30 of 88

The nurse performs a functional assessment of a client upon admission to a home health service. The purpose of this assessment is to determine the client's:

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ATI LPN · NCLEX Substance Abuse Questions

Question 31 of 88

One of the unforeseen effects of the movement toward community mental health services is

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Question 32 of 88

A 55-year-old man is extremely fearful of the effects of growing old. He is experiencing:

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Question 33 of 88

A male client with schizophrenia has lost his job and home and has been living in a homeless shelter. He voluntarily admits himself into a mental health treatment facility. The client's current living situation and lack of a job at this time likely will contribute to his having difficulty with which dimension of hope?

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ATI LPN · NCLEX Substance Abuse Questions

Question 34 of 88

Nurse Rob has noticed that a fellow nurse has come to work intoxicated on at least three occasions in the past month. What action should Nurse Rob take to prioritize patient safety and help the colleague receive the necessary support?

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ATI LPN · NCLEX Substance Abuse Questions

Question 35 of 88

A nurse helps the community to take a stand against violence and advocates for elected officials and local media to make non-violence a priority. Which of the following levels of prevention is being implemented?

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ATI LPN · NCLEX Substance Abuse Questions

Question 36 of 88

Nurse Taylor is aware that the victims of domestic violence should be assessed for what important information?

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Question 37 of 88

Nicotine is the addictive agent in

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Question 38 of 88

A 6-year-old is preparing to have a dental procedure. His anxious mother is in the room with him. When the child asks if everything will be okay, she assures him it will but continues to pace and wring her hands. What is the most appropriate action for the dentist to take?

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ATI LPN · NCLEX Substance Abuse Questions

Question 39 of 88

A mother who has a history of chronic heroin use has lost custody of her children due to abuse and neglect. She has been admitted to an inpatient substance-abuse program. Which client statement should a nurse associate with a positive prognosis for this client?

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ATI LPN · NCLEX Substance Abuse Questions

Question 40 of 88

A nurse is developing a community program to prevent violence. Which of the following should be the first action taken by the nurse?

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ATI LPN · NCLEX Substance Abuse Questions

Question 41 of 88

Nurse Lee is providing care for Mr. Thompson, a patient who is experiencing alcohol withdrawal. To ensure his safety and promote recovery, which interventions should Nurse Lee prioritize? (Select one that does not apply.)

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Question 42 of 88

Nurse Lisa is reviewing treatment options with a client enrolled in a program for heroin addiction. Which medication is frequently prescribed to create a stable, non-euphoric state and substitute for heroin use?

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ATI LPN · NCLEX Substance Abuse Questions

Question 43 of 88

A 32-year-old male graduate student, who has become increasingly withdrawn and neglectful of his work and personal hygiene, is brought to the psychiatric hospital by his parents. After detailed assessment, a diagnosis of schizophrenia is made. It is unlikely that the client will demonstrate:

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Question 44 of 88

A patient in a nurse-led addiction group reports recent alcohol use and gambling causing financial struggles due to spending savings on scratch tickets. The patient reports increased depression since her son passed away and finds herself socially isolated unless at the corner store with her neighbors. She denies that gambling is a problem for her. What is the most appropriate response by the nurse?

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ATI LPN · NCLEX Substance Abuse Questions

Question 45 of 88

A community health nurse is reviewing the medical records of several families in the community who have experienced varying crises. The nurse identifies which of the following as developmental crises? Select one that does not apply.

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Question 46 of 88

A client on an inpatient unit is diagnosed with bipolar disorder: manic episode. During a discussion in the dayroom about weekend activities, the client raises his voice, becomes irritable, and insists that plans change. What should be the nurses initial intervention?

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Question 47 of 88

A recovering alcoholic relapses and drinks a glass of wine. The client presents in the emergency department (ED) experiencing severe throbbing headache, tachycardia, flushed face, dyspnea, and continuous vomiting. What may these symptoms indicate to the ED nurse?

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Question 48 of 88

Schizophrenia affects approximately \% of the world's population.

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Question 49 of 88

The major problems with large state institutions are:

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Question 50 of 88

A client diagnosed with schizophrenia is hospitalized because of an exacerbation of psychosis related to antipsychotic medication nonadherence. Which level of care does the client's hospitalization reflect?

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ATI LPN · NCLEX Substance Abuse Questions

Question 51 of 88

Individuals that use anabolic steroids long term have increased risk for permanent health problems, including all of the following, except:

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Question 52 of 88

When an individual with schizophrenia shows blunted affect, that individual

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Question 53 of 88

If a drug is used largely because it decreases negative mood, then the psychological effect of that drug is considered

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Question 54 of 88

Long-term marijuana use may result in , even long after one stops using.

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Question 55 of 88

The nurse should monitor the temperature of the environment of a client who becomes easily agitated, with awareness that increased temperatures sometimes may cause the client to become:

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Question 56 of 88

In assessing a client with polysubstance abuse, the nurse should recognize that withdrawal from which substance may require a life-saving emergency intervention?

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Question 57 of 88

A nurse evaluates a client's patient-controlled analgesia (PCA) pump and notices 100 attempts within a 30-minute period. Which is the best rationale for assessing this client for substance dependence?

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Question 58 of 88

Social anxiety disorder is most similar to which personality disorder?

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Question 59 of 88

Nurse Monette recognizes that the focus of environmental (MILIEU) therapy is to:

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Question 60 of 88

Which was a deterring factor to the proper implementation of the Community Health Centers Act of 1963?

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Question 61 of 88

Nurse Patricia is aware that the major health complication associated with intractable anorexia nervosa would be?

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Question 62 of 88

A nurse is implementing care within the parameters of tertiary prevention. Which nursing action is an example of this type of care?

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Question 63 of 88

A male adult client voluntarily admits himself to the substance abuse unit. He confesses that he drinks one (1) qt or more of vodka each day and uses cocaine occasionally. Later that afternoon, he begins to show signs of alcohol withdrawal. What are some early signs of this condition?

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Question 64 of 88

A client diagnosed with depression and substance use disorder has an altered sleep pattern and demands that a psychiatrist prescribe a sedative. Which rationale explains why a nurse should encourage the client to first try nonpharmacological interventions?

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Question 65 of 88

The nursing student is assigned a client to interview and is asked to practice the therapeutic communication technique of sharing perceptions. Which statement made by the student nurse best describes this technique?

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Question 66 of 88

What is the rationale for administering acamprosate (Campral)?

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Question 67 of 88

A client is being discharged from an alcohol treatment program. The client's wife states, 'I'm so afraid that when my husband leaves here, he'll relapse. How can I deal with this?' Which nursing statement would be most appropriate?

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Question 68 of 88

A community/public health nurse would like to implement a secondary prevention strategy within the community to meet the needs of the families caring for members with mental illness. Which of the following interventions would the nurse be most likely to complete?

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Question 69 of 88

The best intervention for strengthening the elderly person experiencing in solving mental health related problem is.

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Question 70 of 88

A primary care provider's office is seeing more and more clients come to appointments with symptoms that could be attributed to substance use disorder. In order to use evidence-based practice, the office decides to institute a new practice of assessing all clients at each visit. For this to be effective, what is the first step that needs to be put into place?

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Question 71 of 88

This disorder is different from paranoid schizophrenia because other symptoms of schizophrenia, such as hallucinations, are not present and there is less impairment in social and occupational functioning.

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Question 72 of 88

The psychiatrist asks the nurse to perform a procedure that she is not familiar with, and the nurse is unsure whether this is something within the scope of practice. Where can the nurse find the answer to her question?

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Question 73 of 88

What major event related to the mental health care system occurred in the late 1980s?

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Question 74 of 88

Which statement best describes the concept of learned helplessness as it relates to victims of abuse?

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Question 75 of 88

Nurse Ryan is caring for a client who was admitted with sedative intoxication. Which assessment findings should he expect?

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Question 76 of 88

Nurse Maureen is developing a plan of care for a female client with anorexia nervosa. Which action should the nurse include in the plan?

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Question 77 of 88

Which of the following are true regarding mental health and mental illness?

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Question 78 of 88

Which of the following clients should a nurse recommend for a structured day program?

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Question 79 of 88

A client has been admitted to the inpatient unit after using inhalants recently. Which is an antidote to treat inhalant toxicity?

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Question 80 of 88

On the first day of a clients alcohol detoxification, which nursing intervention should take priority?

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Question 81 of 88

A client diagnosed with schizophrenia is hospitalized for an exacerbation of psychosis related to nonadherence to antipsychotic medications. Which level of care does the client's hospitalization reflect?

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Question 82 of 88

Which screening tool provides the most accurate assessment of tobacco use in adolescent patients?

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Question 83 of 88

A nurse is assisting with community planning. Which of the following facilities should the nurse encourage be developed to reduce the potential for crime and violence in the community? Select one that does not apply.

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Question 84 of 88

When someone with schizophrenia has trouble performing daily living tasks or dressing normally, or acts in a silly manner, it is referred to as

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Question 85 of 88

Detoxification is a process of systematic and supervised withdrawal from substance use that is either managed in a residential setting or on an outpatient basis. Drug use during detoxification can take which of the following forms?

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Question 86 of 88

While completing the history portion of an admission assessment of a client with schizophrenia, the nurse notices that the client is continually moving in the chair and frequently stands and then sits back down. The nurse knows that this client most likely is experiencing the side effect of:

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Question 87 of 88

A patient is hospitalized due to injuries sustained during a motor vehicle collision. Three days following admission, the patient begins to present with symptoms of self-talk, accusing staff of knocking on his door and complaining of auditory hallucinations. Vital signs show elevated blood pressure and heart rate. What is the most likely diagnosis?

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Question 88 of 88

What concept do feminist theories use to explain violence against women?

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