MENTAL HEALTH FINAL EXAM
REVIEW UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
A nurse at a large, tertiary care hospital cares for numerous clients who are experiencing the
negative effects of substance use disorder (SUD). Which action best promotes early
identification of SUD.
a. Screening all newly admitted clients for substance use, regardless of individual characteristics.
b. Performing comprehensive SUD assessments on all clients between 14 and 49 years of age
c. Including detailed neurological and mental health assessments in the standard admission
assessment
D. Performing liver function testing on all clients who state they drink alcohol - CORRECT
ANSWER A
A client with a history of IV heroin use is reluctant to pursue treatment. Consequently, the
outreach team is adopting a harm reduction approach. Which statement best describes the
team's interaction with the client?
a. Treatment will focus primarily on the root cause of substance use, especially in the spiritual
and psychological domains
b. Treatment will be based on the knowledge that the client's heroin use will likely be lifelong
c. Harm reduction is equally beneficial to abstinence in promoting long-term health
d. Treatment will consist of efforts to minimize the unhealthy effects of heroin use - CORRECT
ANSWER D
1. The nurse is providing care for a long history of alcohol addiction who has been admitted for
the management of withdrawal. Which nursing action should be included in this client's plan of
care?
,a. Administer methadone as ordered and monitor the client closely for 15 minutes after
administration
b. Administer benzodiazepines as ordered to prevent cardiac dysrhythmias
c. Administer thiamine and other vitamin supplements as order to address deficiencies.
D.Keep a syringe of 0.8 mg naloxone at the bedside at all times - CORRECT ANSWER C
1. A client with a 35 pack-year history of cigarette smoking has expressed to the nurse his desire
to quit, stating, "I've had it with smoking. If I could turn back time I would have even started."
What is the nurses most appropriate response to the client?
a. Teach the client about physiological and psychological benefits of smoking cessation
b. Explore the reasons why the client first began smoking and address them
c. Encourage the client to seek support among his peers in the community
D. Facilitate nicotine replacement therapy and psychosocial supports - CORRECT ANSWER D
1. The nurse is providing care for a client who has been addicted to cocaine and heroin for
several years. Which statement is true of this client's treatment?
a. The client's addiction will be considered to be cured once he or she successfully completes
detoxification
b. The client will likely require pharmacologic as well as psychosocial interventions
c. Success will be maximized by addressing one of the clients' addictions before the other
d. Long-term goals should focus on reduction of drug use rater than absolute elimination of use
- CORRECT ANSWER B
Wernicke's encephalopathy is a degenerative brain disorder characterized by which type of
deficiency.
a. Vitamin D
b. Vitamin C
c. Thiamine
,D.Vitamin A - CORRECT ANSWER C
A nurse is caring for a client who uses phencyclidine (PCP). PCP is classified as which type of
substance?
a. Cannabis
b. Opioid
c. Inhalant
d. Hallucinogen - CORRECT ANSWER D
Which are effects of alcohol withdrawal syndrome? Select all that apply
a. Decreased blood pressure
b. Increased pulse
c. Delirium tremors
d. Hand tremors
e. Seizures - CORRECT ANSWER B,C,D,E
In a person who abuses alcohol or is a chronic drinker, alcohol withdrawal syndrome usually
begins within which time frame from abrupt discontinuation or an attempt to decrease
consumption?
a. 18 hours
b. 24 hours
c. 48 hours
D. 12 hours - CORRECT ANSWER D
The care team has had frequent contact with a client who has a long-standing diagnosis of
schizophrenia and who uses cocaine and heroin. What is the most likely relationship between
the client's mental health condition and the substance use disorder?
, a. The client likely uses cocaine and heroin to medicate the symptoms of schizophrenia
b. The client's schizophrenia is likely the physiological and psychological result of drug use
c. There is a clear relationship between the clients substance use and mental health condition,
but this relationship is not entirely understood
D. The risk factors for substance use and for schizophrenia are identical and the client possessed
many of these - CORRECT ANSWER C
An adult client who is being treated for depression admits to drinking up to a litre of vodka each
day. When planning the clients subsequent care, the nurse should identify which phenomena?
a. Impaired pharmacokinetics of the clients prescribed antidepressant
b. Risk of delirium and development of bipolar disorder
c. Hyperstimulation of the CNS resulting in worsened symptoms of depression
D. Increased risk for secondary schizophrenia - CORRECT ANSWER A
A client with a known history of bipolar disorder and opioid addiction has been admitted to the
ER and has been treated for a leg laceration that the client suffered in a fall. When planning the
care of this client with a concurrent disorder, the care team should prioritize what
consideration?
a. The client's current motivation to change lifestyle
b. The client's risk of experiencing withdrawal symptoms
c. Factors that caused the client to relapse during the last round of treatment
d. Risk factors that underlie the development of the client's schizophrenia - CORRECT ANSWER
B
A client with schizophrenia has been using various street drugs for several years and attempts to
treat his/her substance use and his/her mental disorder have been largely ineffective. How can
the care team best promote future success in treatment?
a. Establish continuity of care and integration between different interventions
REVIEW UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
A nurse at a large, tertiary care hospital cares for numerous clients who are experiencing the
negative effects of substance use disorder (SUD). Which action best promotes early
identification of SUD.
a. Screening all newly admitted clients for substance use, regardless of individual characteristics.
b. Performing comprehensive SUD assessments on all clients between 14 and 49 years of age
c. Including detailed neurological and mental health assessments in the standard admission
assessment
D. Performing liver function testing on all clients who state they drink alcohol - CORRECT
ANSWER A
A client with a history of IV heroin use is reluctant to pursue treatment. Consequently, the
outreach team is adopting a harm reduction approach. Which statement best describes the
team's interaction with the client?
a. Treatment will focus primarily on the root cause of substance use, especially in the spiritual
and psychological domains
b. Treatment will be based on the knowledge that the client's heroin use will likely be lifelong
c. Harm reduction is equally beneficial to abstinence in promoting long-term health
d. Treatment will consist of efforts to minimize the unhealthy effects of heroin use - CORRECT
ANSWER D
1. The nurse is providing care for a long history of alcohol addiction who has been admitted for
the management of withdrawal. Which nursing action should be included in this client's plan of
care?
,a. Administer methadone as ordered and monitor the client closely for 15 minutes after
administration
b. Administer benzodiazepines as ordered to prevent cardiac dysrhythmias
c. Administer thiamine and other vitamin supplements as order to address deficiencies.
D.Keep a syringe of 0.8 mg naloxone at the bedside at all times - CORRECT ANSWER C
1. A client with a 35 pack-year history of cigarette smoking has expressed to the nurse his desire
to quit, stating, "I've had it with smoking. If I could turn back time I would have even started."
What is the nurses most appropriate response to the client?
a. Teach the client about physiological and psychological benefits of smoking cessation
b. Explore the reasons why the client first began smoking and address them
c. Encourage the client to seek support among his peers in the community
D. Facilitate nicotine replacement therapy and psychosocial supports - CORRECT ANSWER D
1. The nurse is providing care for a client who has been addicted to cocaine and heroin for
several years. Which statement is true of this client's treatment?
a. The client's addiction will be considered to be cured once he or she successfully completes
detoxification
b. The client will likely require pharmacologic as well as psychosocial interventions
c. Success will be maximized by addressing one of the clients' addictions before the other
d. Long-term goals should focus on reduction of drug use rater than absolute elimination of use
- CORRECT ANSWER B
Wernicke's encephalopathy is a degenerative brain disorder characterized by which type of
deficiency.
a. Vitamin D
b. Vitamin C
c. Thiamine
,D.Vitamin A - CORRECT ANSWER C
A nurse is caring for a client who uses phencyclidine (PCP). PCP is classified as which type of
substance?
a. Cannabis
b. Opioid
c. Inhalant
d. Hallucinogen - CORRECT ANSWER D
Which are effects of alcohol withdrawal syndrome? Select all that apply
a. Decreased blood pressure
b. Increased pulse
c. Delirium tremors
d. Hand tremors
e. Seizures - CORRECT ANSWER B,C,D,E
In a person who abuses alcohol or is a chronic drinker, alcohol withdrawal syndrome usually
begins within which time frame from abrupt discontinuation or an attempt to decrease
consumption?
a. 18 hours
b. 24 hours
c. 48 hours
D. 12 hours - CORRECT ANSWER D
The care team has had frequent contact with a client who has a long-standing diagnosis of
schizophrenia and who uses cocaine and heroin. What is the most likely relationship between
the client's mental health condition and the substance use disorder?
, a. The client likely uses cocaine and heroin to medicate the symptoms of schizophrenia
b. The client's schizophrenia is likely the physiological and psychological result of drug use
c. There is a clear relationship between the clients substance use and mental health condition,
but this relationship is not entirely understood
D. The risk factors for substance use and for schizophrenia are identical and the client possessed
many of these - CORRECT ANSWER C
An adult client who is being treated for depression admits to drinking up to a litre of vodka each
day. When planning the clients subsequent care, the nurse should identify which phenomena?
a. Impaired pharmacokinetics of the clients prescribed antidepressant
b. Risk of delirium and development of bipolar disorder
c. Hyperstimulation of the CNS resulting in worsened symptoms of depression
D. Increased risk for secondary schizophrenia - CORRECT ANSWER A
A client with a known history of bipolar disorder and opioid addiction has been admitted to the
ER and has been treated for a leg laceration that the client suffered in a fall. When planning the
care of this client with a concurrent disorder, the care team should prioritize what
consideration?
a. The client's current motivation to change lifestyle
b. The client's risk of experiencing withdrawal symptoms
c. Factors that caused the client to relapse during the last round of treatment
d. Risk factors that underlie the development of the client's schizophrenia - CORRECT ANSWER
B
A client with schizophrenia has been using various street drugs for several years and attempts to
treat his/her substance use and his/her mental disorder have been largely ineffective. How can
the care team best promote future success in treatment?
a. Establish continuity of care and integration between different interventions
