ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH
NURSING EXAM 2 EXAM SCRIPT 2026
PRACTICE SOLUTION BUNDLED
◉ 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
NURSING EXAM 2 EXAM SCRIPT 2026
PRACTICE SOLUTION BUNDLED
◉ 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
