exam #3 mental health
Study online at https://quizlet.com/_8kx2a1
1. A nurse tells the family member of an alcoholic client, "This condition occurs
in individuals who have developed physiologic dependence on alcohol and
then quit drinking abruptly." To which condition is the nurse referring?
1. Korsakoff psychosis
2. Fetal alcohol syndrome
3. Wernicke encephalopathy
4. Alcohol withdrawal syndrome: 4
2. A nurse is caring for a client who has been hospitalized for alcohol withdrawal.
The client decides to attend an Alcoholics Anonymous meeting. What is a basic
principle of this group?
1 Spouses should attend Al-Anon meetings
2 A commitment to permanent abstinence must be made
3 Amends must be made to each person who has been harmed
4 People have the power to overcome alcoholism if they truly want to stop
drinking: 3
3. A nurse knows individuals who are alcoholics use alcohol for what reason
1 To blunt reality
2 To precipitate euphoria
3 To promote social interaction
4 To stimulate the CNS: 1
4. A client who has been admitted to the hospital for an elective prostatectomy
is extremely anxious and has hand tremors. The client's partner informs the
nurse that the client has been drinking heavily for the last 5 years. While the
client is unpacking the nurse sees him hiding a bottle of whiskey in the rear of
a drawer. How should the nurse respond initially to this behavior?
1 Try to catch the client drinking the alcohol
2 Confiscate the alcohol when the client is not looking
3 Wait for the client to bring up the subject of drinking
4 Ask the client how much alcohol he consumes in a week: 4
5. A licensed practical nurse (LPN) is learning about delirium tremens (DTs), an
alcoholism-associated disorder that occurs as a complication of alcohol with-
drawal. Which statement made by the LPN indicates effective understanding?
, exam #3 mental health
Study online at https://quizlet.com/_8kx2a1
1 It causes damage in the temporal lobes of the brain
2 It occurs 5 or 6 days after the cessation of alcohol intake and lasts 1 or 2 days
3 It is a chronic psychotic reaction that results from excessive alcohol consump-
tion over a long period
4 It is characterized by shaking, an increase in activity, disorientation, halluci-
nations, and increased temperature: 4
6. which alcoholism-associated disorder causes damage to the client's temporal
lobes of the brain?
1 Delirium tremens
2 Fetal alcohol syndrome
3 Wernicke encephalopathy
4 Alcohol withdrawal syndrome: 3
7. A nurse uses the CAGE screening test for alcoholism to determine an indi-
vidual's potential for a drinking problem. What is one of the four questions
included on this test?
1 "Do you feel that you are a normal drinker?"
2 "Have you ever felt bad or guilty about your drinking?"
3 "Are you always able to stop drinking when you want to?"
4 "How often did you have a drink containing alcohol in the past year?": 2
8. which medication may be used to encourage abstinence in a client with
alcoholism?
1 Disulfiram
2 Lorazepam
3 Methadone
4 Chlordiazepoxide: 1
9. A pregnant woman continues consuming alcohol during pregnancy. Which
teratogenic effects might be seen in the fetus or neonate? Select all that apply.
1 - Stillbirth
2 - Ebstein anomaly
3 - Neural tube defects
4 - Spontaneous abortion
5 - Intellectual disabilities: 145
, exam #3 mental health
Study online at https://quizlet.com/_8kx2a1
10. A nurse is caring for a client with a diagnosis of acute pancreatitis and
alcoholism, the client asks what does my drinking have to do with my diagnosis,
what effect of alcohol should the nurse include when responding?
1 Promotes the formation of calculi in the cystic duct
2 Stimulates the pancreas to secrete more insulin than it can immediately
produce
3 Alters the composition of enzymes so they are capable of damaging the
pancreas
4 Increases enzyme secretion and pancreatic duct pressure that causes back-
flow enzymes: 4
11. A nurse is caring for an older adult who is taking acetaminophen (Tylenol) for
the relief of chronic pain. Which substance is most important for the nurse to
determine if the client is taking because it intensifies the most serious adverse
effect of acetaminophen?
1 Alcohol
2 Caffeine
3 Saw palmetto
4 St. John's wort: 1
12. What is the purpose of administering intravenous (IV) fluids as prescribed
while performing detoxification of an alcoholic client?
1 To raise the seizure threshold
2 To encourage better air exchange
3 To correct the client's fluid and electrolyte imbalance
4 To manage the client's tremors, nervousness, and restlessness: 3
13. A nurse is discussing plans with a client who has decided to withdraw from
alcohol. What should the nurse recommend as one of the most effective treat-
ments for alcoholism?
1 Daily administration of disulfiram
2 Individual or group psychotherapy
3 Admission to an alcoholic unit in a hospital
4 Active membership in Alcoholics Anonymous: 4
Study online at https://quizlet.com/_8kx2a1
1. A nurse tells the family member of an alcoholic client, "This condition occurs
in individuals who have developed physiologic dependence on alcohol and
then quit drinking abruptly." To which condition is the nurse referring?
1. Korsakoff psychosis
2. Fetal alcohol syndrome
3. Wernicke encephalopathy
4. Alcohol withdrawal syndrome: 4
2. A nurse is caring for a client who has been hospitalized for alcohol withdrawal.
The client decides to attend an Alcoholics Anonymous meeting. What is a basic
principle of this group?
1 Spouses should attend Al-Anon meetings
2 A commitment to permanent abstinence must be made
3 Amends must be made to each person who has been harmed
4 People have the power to overcome alcoholism if they truly want to stop
drinking: 3
3. A nurse knows individuals who are alcoholics use alcohol for what reason
1 To blunt reality
2 To precipitate euphoria
3 To promote social interaction
4 To stimulate the CNS: 1
4. A client who has been admitted to the hospital for an elective prostatectomy
is extremely anxious and has hand tremors. The client's partner informs the
nurse that the client has been drinking heavily for the last 5 years. While the
client is unpacking the nurse sees him hiding a bottle of whiskey in the rear of
a drawer. How should the nurse respond initially to this behavior?
1 Try to catch the client drinking the alcohol
2 Confiscate the alcohol when the client is not looking
3 Wait for the client to bring up the subject of drinking
4 Ask the client how much alcohol he consumes in a week: 4
5. A licensed practical nurse (LPN) is learning about delirium tremens (DTs), an
alcoholism-associated disorder that occurs as a complication of alcohol with-
drawal. Which statement made by the LPN indicates effective understanding?
, exam #3 mental health
Study online at https://quizlet.com/_8kx2a1
1 It causes damage in the temporal lobes of the brain
2 It occurs 5 or 6 days after the cessation of alcohol intake and lasts 1 or 2 days
3 It is a chronic psychotic reaction that results from excessive alcohol consump-
tion over a long period
4 It is characterized by shaking, an increase in activity, disorientation, halluci-
nations, and increased temperature: 4
6. which alcoholism-associated disorder causes damage to the client's temporal
lobes of the brain?
1 Delirium tremens
2 Fetal alcohol syndrome
3 Wernicke encephalopathy
4 Alcohol withdrawal syndrome: 3
7. A nurse uses the CAGE screening test for alcoholism to determine an indi-
vidual's potential for a drinking problem. What is one of the four questions
included on this test?
1 "Do you feel that you are a normal drinker?"
2 "Have you ever felt bad or guilty about your drinking?"
3 "Are you always able to stop drinking when you want to?"
4 "How often did you have a drink containing alcohol in the past year?": 2
8. which medication may be used to encourage abstinence in a client with
alcoholism?
1 Disulfiram
2 Lorazepam
3 Methadone
4 Chlordiazepoxide: 1
9. A pregnant woman continues consuming alcohol during pregnancy. Which
teratogenic effects might be seen in the fetus or neonate? Select all that apply.
1 - Stillbirth
2 - Ebstein anomaly
3 - Neural tube defects
4 - Spontaneous abortion
5 - Intellectual disabilities: 145
, exam #3 mental health
Study online at https://quizlet.com/_8kx2a1
10. A nurse is caring for a client with a diagnosis of acute pancreatitis and
alcoholism, the client asks what does my drinking have to do with my diagnosis,
what effect of alcohol should the nurse include when responding?
1 Promotes the formation of calculi in the cystic duct
2 Stimulates the pancreas to secrete more insulin than it can immediately
produce
3 Alters the composition of enzymes so they are capable of damaging the
pancreas
4 Increases enzyme secretion and pancreatic duct pressure that causes back-
flow enzymes: 4
11. A nurse is caring for an older adult who is taking acetaminophen (Tylenol) for
the relief of chronic pain. Which substance is most important for the nurse to
determine if the client is taking because it intensifies the most serious adverse
effect of acetaminophen?
1 Alcohol
2 Caffeine
3 Saw palmetto
4 St. John's wort: 1
12. What is the purpose of administering intravenous (IV) fluids as prescribed
while performing detoxification of an alcoholic client?
1 To raise the seizure threshold
2 To encourage better air exchange
3 To correct the client's fluid and electrolyte imbalance
4 To manage the client's tremors, nervousness, and restlessness: 3
13. A nurse is discussing plans with a client who has decided to withdraw from
alcohol. What should the nurse recommend as one of the most effective treat-
ments for alcoholism?
1 Daily administration of disulfiram
2 Individual or group psychotherapy
3 Admission to an alcoholic unit in a hospital
4 Active membership in Alcoholics Anonymous: 4
