Psychiatric Mental Health Nursing by Videbeck

(Nancy Kaufman) #1

➤ MULTIPLE-CHOICE QUESTIONS


Select the best answer for each of the following
questions.



  1. Which of the following statements would indicate
    that teaching about naltrexone (ReVia) has been
    effective?
    A. “I’ll get sick if I use heroin while taking this
    medication.”
    B. “This medication will block the effects of any
    opioid substance I take.”
    C. “If I use opioids while taking naltrexone, I’ll
    become extremely ill.”
    D. “Using naltrexone may make me dizzy.”

  2. Clonidine (Catapres) is prescribed for symptoms
    of opioid withdrawal. Which of the following
    nursing assessments is essential before giving a
    dose of this medication?
    A. Assess the client’s blood pressure.
    B. Determine when the client last used an opiate.
    C. Monitor the client for tremors.
    D. Complete a thorough physical assessment.

  3. Which of the following would the nurse recognize
    as signs of alcohol withdrawal?
    A. Coma, disorientation, and hypervigilance
    B. Tremulousness, sweating, and elevated blood
    pressure
    C. Increased temperature, lethargy, and
    hypothermia
    D. Talkativeness, hyperactivity, and blackouts

  4. Which of the following behaviors would indicate
    stimulant intoxication?
    A. Slurred speech, unsteady gait, impaired
    concentration
    B. Hyperactivity, talkativeness, euphoria
    C. Relaxed inhibitions, increased appetite,
    distorted perceptions
    D. Depersonalization, dilated pupils, visual
    hallucinations


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Chapter Study GuideChapter Review



  1. The Twelve Steps of AA teach that
    A. Acceptance of being an alcoholic will prevent
    urges to drink.
    B. A Higher Power will protect individuals if
    they feel like drinking.
    C. Once a person has learned to be sober, he or
    she can graduate and leave AA.
    D. Once a person is sober, he or she remains at
    risk to drink.

  2. The nurse has provided an in-service program on
    impaired professionals. She knows that teaching
    has been effective when staff identify the follow-
    ing as the greatest risk for substance abuse
    among professionals:
    A. Most nurses are codependent in their personal
    and professional relationships.
    B. Most nurses come from dysfunctional fami-
    lies and are at risk for developing addiction.
    C. Most nurses are exposed to various substances
    and believe they are not at risk to develop the
    disease.
    D. Most nurses have preconceived ideas about
    what kind of people become addicted.

  3. A client comes to day treatment intoxicated, but
    says he is not. The nurse identifies that the
    client is exhibiting symptoms of
    A. Denial
    B. Reaction formation
    C. Projection
    D. Transference

  4. The client tells the nurse that she takes a drink
    every morning to calm her nerves and stops her
    tremors. The nurse realizes the client is at risk for
    A. An anxiety disorder
    B. A neurological disorder
    C. Physical dependence
    D. Psychological addiction


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