ATI RN Mental Health Nursing Proctored (B) Latest Updates 2023 (+110 Q&A ) A nurse is planning a staff education program on substance use in older adults. Which of the following is appropriate for the nurse to include in the presentation? A.) Older adults require higher doses of a substance to achieve a desired effect. B.) Older adults commonly use rationalization to cope with a substance use disorder C.) Older adults are at a higher risk for substance use following retirement. D.) Older adults develop substance use to mask signs of dementia {{Correct Ans - C.) Older adults are at a higher risk for substance use following retirement. A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following is an expected f inding? SATA A.) Bradycardia B.) Fine tremors of both hands C.) Hypotension D.) Vomiting E.) restlessness {{Correct Ans - b.) Fine tremors of both hands D.) Vomiting E.) restlessness A nurse is planning care for a client who is experiencing benzodia zepine withdrawal. Which of the following is the priority nursing intervention? A.) Orient the client frequently to time, place and person B.) Offer fluids and nourishing diet as tolerated C.) Implement seizure precautions D.) encourage participation i n group therapy sessions {{Correct Ans - C.) Implement seizure precautions A nurse is caring for client who has alcohol use disorder. The client is no longer experiencing withdrawal manifestations. Which of the following medications should the nurse antic ipate administering to assist the client with maintaining abstinence from alcohol? A.) Chlordiasepoxide (Librium) B.) Bupropion (Zyban) C.) Disulfiram (Antabuse) D.) Carbamazepine ( Tegretol) {{Correct Ans - C.) Disulfiram (Antabuse) **Remember that t his med makes them violently ill and has the potential for death if drinking occurs A nurse is providing teaching to the family of a client who has a substance use disorder. Which of the following statements by a family member indicates a need for further teaching? A.) "We need to understand that she is not responsible for her disorder." B.) "eliminating any codependent behavior will promote her recovery." C.) "She should participate in an Al -Anon group to help her recover" D.) "The primary goal of he r treatment is abstinence from substance abuse." {{Correct Ans - C.) She should participate in an Al -Anon group to help her recover (AL -
Anon is meant for the family, not client) A nurse is providing teaching to a client who has a new prescription for carbamazepine (tegretol). Which of the following should the nurse include in the teaching? A.) This medication will help prevent seizures during alcohol withdrawal. B.) Taking this medication will decrease your cravings for alcohol C.) This medication maint ains your blood pressure at a normal level during alcohol withdrawal D.) Taking this medication will improve your ability to maintain abstinence from alcohol {{Correct Ans - A. This medication will help prevent seizures during alcohol withdrawal. A nurs e is assisting in the discharge planning for a client following alcohol detoxification. The nurse should anticipate prescriptions for which of the following medications to promote long -term abstinence from alcohol. SATA A.) Larazepam (Ativan) B.) Diazep am (Valium) C.) Disulfiram (Antabuse) D.) Naltrexone (Vivitrol) E.) Acamprosate (Campral) {{Correct Ans - C. Disulfiram (Antabuse) **Through aversion therapy D. Naltrexone (Vivitrol) ** Through abstinence by suppressing cravings and pleasurable effects of alcohol E. Acamprosate (Campral) ** Decreases unpleasant effects resulting from abstinence A nurse is evaluating a client's understanding of a new prescription for clonidine (Cat après ). Which of the following statements by the client indicates an understanding of the teaching? A.) Taking this medication will help reduce my craving for heroin B.) While taking this medication, I should keep a pack of sugarless gum C.) I can expect some diarrhea because of taking this medication D.) Each does o f this medication should be placed under my tongue to dissolve {{Correct Ans - B.) While taking this medication, I should keep a pack of sugarless gum A nurse is teaching a client who has tobacco use disorder about the use of nicotine gum ( Nicorette ). Which of the following is appropriate to include in the teaching? A.) Chew the gum for no more than 10 min B.) Rinse the mouth out immediately before chewing the gum C.) Avoid eating 15 min prior to chewing the gum D.) Use of the gum is limited to 90 days {{Correct Ans - C. Avoid eating 15 min prior to chewing the gum A nurse is discussing the use of methadone (dolophine) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching/ A.) Me thadone is a replacement for the clients opioid addiction B.) Methadone reduces the unpleasant effects associated with abstinence syndrome C.) Methadone can be used during opioid withdrawal and to maintain abstinence D.) Methadone increases the client s risk for acetaldehyde syndrome {{Correct Ans - D. Methadone increases the clients risk for acetaldehyde syndrome A nurse is reviewing a newly admitted client’s medical record. Which of the following documents is a directive for medical treatment based o n the clients wishes? A.) Advance directives B.) Living will C.) Informed consent D.) Durable power of attorney for health care {{Correct Ans - B.) living will A charge nurse is reviewing Kubler -Ross. Five stages of grief with a group of newly license d nurses. Which of the following should the charge nurse include in the teaching? SATA A.) Endurance b.) Denial C.) Bargaining
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