ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH
NURSING FOURTH EDITION VARCAROLIS TEST
BANK COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS
◉ 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
NURSING FOURTH EDITION VARCAROLIS TEST
BANK COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS
◉ 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
