essentials of psychiatric mental health nursing 4t
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Essentials of Psychiatric Mental Health Nursing 4th Edition Varcarolis | 9780323625111 | All Chapters with Answers and Rationals
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Test Bank For Essentials of Psychiatric Mental Health Nursing
4th Edition Varcarolis | 9780323625111 | All Chapters with
Answers and Rationals
A chronic alcoholic client has elevated levels of muscle enzymes and symptoms of decreased exercise
tolerance, dyspnea, edema, and palpitations. As directed by the primary health-care provider, the
nurse restrains the client from alcohol use and initiates therapy with digitalis and diuretics. What
outcome will the nurse expect in the client? - ANSWER: The chest x-ray of the client will show a
proper functioning of the heart.
The nurse is caring for a client who started drinking alcohol often following the death of his wife.
Which indicates an effective outcome of therapy? - ANSWER: Verbalizes and demonstrates adaptive
coping strategies
The clinical findings of a client who is an alcoholic indicate the replacement of liver cells with fibrous
tissue. Which complications could the nurse expect in this client? Select all that apply. - ANSWER:
Ascites
Esophageal varices
The client is unable to meet his or her role expectations due to alcohol abuse. Which nursing
intervention would help the client? - ANSWER: Encouraging the client to express feelings of fear and
anxiety
Which therapy protects the client from the risk of death due to Wernicke's encephalopathy? -
ANSWER: Thiamine replacement therapy
Which factor results in delayed absorption of alcohol? - ANSWER: Presence of food in the stomach
A client with substance intoxication and mental illness is scheduled for cognitive therapy. Which client
outcome would indicate effective therapy? - ANSWER: The client learns to monitor moods and
thought processes that lead to substance abuse.
Which drugs produce anterograde amnesia in a client with sedative intoxication? Select all that apply.
- ANSWER: Flunitrazepam
Gamma hydroxybutyric acid
Which medication would be beneficial for a client with cocaine addiction and who is having status
epilepticus? - ANSWER: Diazepam
After assessing a client using the Michigan Alcoholism Screening Test (MAST), the nurse identifies a
possible problem with alcohol. Which MAST score is consistent with the nurse's conclusion? -
ANSWER: Four
Which medication is initially used to treat stimulant intoxication? - ANSWER: Chlordiazepoxide
Which medication could be used in the management of weight and hyperkinesia? - ANSWER:
Amphetamine
A client diagnosed with hepatic encephalopathy completely abstains from alcohol, eats a low-protein
diet, and is on neomycin therapy. Which laboratory findings indicate a successful treatment modality?
- ANSWER: Decrease in serum ammonia levels
, A client who uses drugs says, "I am not a drug addict. I can stop any time I want." Which nursing
intervention would the nurse most likely apply in this client? - ANSWER: Correcting misconceptions
about substance abuse
A client who is a smoker says, "Smoking relaxes me. It is not harmful." What would be the priority
nursing intervention for this client? - ANSWER: Assessing the client's level of knowledge
A client is admitted to the emergency department with methanol poisoning. Which antidote would
the nurse arrange for this client? - ANSWER: Alcohol
The clinical history of a client who is an alcoholic shows excessive amount of serous fluid
accumulation in the abdominal cavity. What is the condition of the client? - ANSWER: Ascites
A client after the withdrawal from a hallucinogen says, "I feel I am still on the drug." What is the
condition of the client? - ANSWER: Flashback
Which action would neomycin produce when a client with alcoholic use disorder is treated for hepatic
encephalopathy? - ANSWER: Reduces intestinal ammonia
A client with a punitive superego turned to alcohol to diminish unconscious anxiety. Which risk factors
would predispose this client to a substance abuse disorder? - ANSWER: Developmental influences
Which medication can the nurse expect for the treatment of a client with a gambling disorder? Select
all that apply. - ANSWER: Clomipramine
Carbamazepine
A client who is a chronic alcoholic says, "My fingers are aching. I can feel a burning and prickling
sensation." Which disorder will the nurse suspect in the client? - ANSWER: Peripheral neuropathy
Which statement from an alcoholic client indicates the chronic phase of alcoholism? - ANSWER: "I feel
sorry for myself because I cannot get rid of this addiction."
The urine analysis of a client with alcohol addiction shows a reddish tinge in the urine. What would
the nurse suspect in the client? - ANSWER: Alcoholic myopathy
A client with alcohol addiction says, "My spouse and children think that I am an alcoholic. I do not
have a drinking problem. I can quit drinking any time." What is the first step in decreasing the use of
denial in the client? - ANSWER: Explaining the relationship between substance abuse and personal
problems
Which outcome is desired for the client undergoing the second stage of treatment for codependency?
- ANSWER: The client should take responsibility for his dysfunctional behavior.
The medical history of a client with alcoholic intoxication shows congestive heart failure. Which
medication is contraindicated for this client? - ANSWER: Disulfiram
What perceptual changes occur in a client with hallucinogen intoxication? Select all that apply. -
ANSWER: Synesthesia
Derealization
Depersonalization
Which drug directly causes pupillary constriction? - ANSWER: Opium
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