NUR 384 EXAM 4 QUESTIONS AND ANSWERS 2026
A nurse has been confronted about stealing and taking drugs from the narcotics cart in
the medication room. Which of the following is the most serious consequence of the
nurse being impaired while caring for clients?
-coworkers will notice the nurses impairment and not want to work with them
-the nurse may fall asleep on their shift
-clients could be harmed or die
-clients may notice the nurses impairment and sue the hospital - Answers - clients could
be harmed or die
Which of the following factors is identified as a risk factor for developing addictions?
-high school performance
-peer pressure
-high socio-economic status
-independent nature - Answers - peer pressure
A nurse is meeting with a new client at a substance use disorder clinic. The nurse
should take which of the following actions during the assessment phase of the nursing
process?
-formulate a diagnosis based on the information gathered
-plan interventions based on the information gathered and the diagnosis
-ask the client for information regarding their current problem, identify signs and
symptoms, and use screening tools as appropriate
-evaluate whether the plan of care has been effective - Answers - ask the client for
information regarding their current problem, identify signs and symptoms, and use
screening tools as appropriate
A nurse if providing education to a group of clients about neurotransmitters. Which of
the following neurotransmitters should the nurse include that is implicated in the reward
pathway of the brain and addiction?
-serotonin
-dopamine
-norepinephrine
-y-aminobutyric. acid - Answers - dopamine
A nurse is meeting with a new client at a substance use disorder clinic. During the
meeting, the nurse learns from the client that they were treated for both asthma and
anxiety as a child. The nurse is collecting which of the following types of data from the
clients account?
-historical
-secondary
-subjective
-objective - Answers - historical
, A nurse is meeting with a new client at a substance use disorder clinic. The nurse and
the client are discussing the clients care plan, including medications, follow-up
appointment scheduling, and referral to support groups. The nurse is completing which
of the following phases of the nursing process?
-planning
-implementation
-evaluation
-analysis/diagnosis - Answers - planning
A nurse is caring for a client who is hospitalized for gallbladder removal surgery. On
their first postoperative day, the client has agitation, a high temperature, increased
respirations, irritability, and confusion. The nurse should recognize that the client may
be experiencing withdrawal from which of the following substances?
-hallucinogens
-alcohol
-heroin
-stimulants - Answers - alcohol
A nurse should identify that which of the following factors is a protective factor that
prevents younger people form developing addictions?
-positive relationships
-married patients
-living in the midwest portion of the U.S.
-participating in team sports - Answers - positive relationships
A nurse is developing a discharge plan for a client who is in substance use
rehabilitation. The nurse should include which of the following treatments modalities to
decrease the likelihood of relapse?
-physical therapy, occupational therapy, pet therapy
-12-step programs, cognitive behavioral therapy, support groups
-intensive long-term residential treatment
-art therapy, music therapy, yoga - Answers - 12-step programs, cognitive behavioral
therapy, support groups
A nurse is caring for a client whose alcohol use is determined to be heavy. The nurse
should identify that the client is at risk of developing which of the following conditions?
-bipolar disorder, schizophrenia, PTSD
-hepatitis, pancreatitis, cirrhosis of the liver
-parkinsons disease, tardive dyskinesia, brain swelling
-lupus and other autoimmune disorders - Answers - hepatitis, pancreatitis, cirrhosis of
the liver
Which of the following are specific risk factors for health care professionals to become
addicted to alcohol or drugs?
-mandatory continuing education, license renewal, financial issues
-higher divorce rate, legal problems, disciplinary actions at work
A nurse has been confronted about stealing and taking drugs from the narcotics cart in
the medication room. Which of the following is the most serious consequence of the
nurse being impaired while caring for clients?
-coworkers will notice the nurses impairment and not want to work with them
-the nurse may fall asleep on their shift
-clients could be harmed or die
-clients may notice the nurses impairment and sue the hospital - Answers - clients could
be harmed or die
Which of the following factors is identified as a risk factor for developing addictions?
-high school performance
-peer pressure
-high socio-economic status
-independent nature - Answers - peer pressure
A nurse is meeting with a new client at a substance use disorder clinic. The nurse
should take which of the following actions during the assessment phase of the nursing
process?
-formulate a diagnosis based on the information gathered
-plan interventions based on the information gathered and the diagnosis
-ask the client for information regarding their current problem, identify signs and
symptoms, and use screening tools as appropriate
-evaluate whether the plan of care has been effective - Answers - ask the client for
information regarding their current problem, identify signs and symptoms, and use
screening tools as appropriate
A nurse if providing education to a group of clients about neurotransmitters. Which of
the following neurotransmitters should the nurse include that is implicated in the reward
pathway of the brain and addiction?
-serotonin
-dopamine
-norepinephrine
-y-aminobutyric. acid - Answers - dopamine
A nurse is meeting with a new client at a substance use disorder clinic. During the
meeting, the nurse learns from the client that they were treated for both asthma and
anxiety as a child. The nurse is collecting which of the following types of data from the
clients account?
-historical
-secondary
-subjective
-objective - Answers - historical
, A nurse is meeting with a new client at a substance use disorder clinic. The nurse and
the client are discussing the clients care plan, including medications, follow-up
appointment scheduling, and referral to support groups. The nurse is completing which
of the following phases of the nursing process?
-planning
-implementation
-evaluation
-analysis/diagnosis - Answers - planning
A nurse is caring for a client who is hospitalized for gallbladder removal surgery. On
their first postoperative day, the client has agitation, a high temperature, increased
respirations, irritability, and confusion. The nurse should recognize that the client may
be experiencing withdrawal from which of the following substances?
-hallucinogens
-alcohol
-heroin
-stimulants - Answers - alcohol
A nurse should identify that which of the following factors is a protective factor that
prevents younger people form developing addictions?
-positive relationships
-married patients
-living in the midwest portion of the U.S.
-participating in team sports - Answers - positive relationships
A nurse is developing a discharge plan for a client who is in substance use
rehabilitation. The nurse should include which of the following treatments modalities to
decrease the likelihood of relapse?
-physical therapy, occupational therapy, pet therapy
-12-step programs, cognitive behavioral therapy, support groups
-intensive long-term residential treatment
-art therapy, music therapy, yoga - Answers - 12-step programs, cognitive behavioral
therapy, support groups
A nurse is caring for a client whose alcohol use is determined to be heavy. The nurse
should identify that the client is at risk of developing which of the following conditions?
-bipolar disorder, schizophrenia, PTSD
-hepatitis, pancreatitis, cirrhosis of the liver
-parkinsons disease, tardive dyskinesia, brain swelling
-lupus and other autoimmune disorders - Answers - hepatitis, pancreatitis, cirrhosis of
the liver
Which of the following are specific risk factors for health care professionals to become
addicted to alcohol or drugs?
-mandatory continuing education, license renewal, financial issues
-higher divorce rate, legal problems, disciplinary actions at work
