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NSG 3160 EXAM 2 PRACTICE EXAM
QUESTIONS WITH VERIFIED SOLUTIONS
AND RATIONALES GRADED A+ TESTED
AND APPROVED!!!
Which of the following best illustrates an abnormality of thought process?
a. Lability
b. Compulsion
c. Aphasia
d. Blocking -- ANSWER--d. Blocking
Thought process is defined as the way a person thinks or as the logical train of thought.
Blocking is a sudden interruption in train of thought. Lability is an abnormality of mood and
affect; the person has a rapid shift of emotions. A compulsion is an abnormality of thought
content; the person displays unwanted repetitive, purposeful acts. Aphasia is a speech
abnormality; the person is unable to comprehend language, produce language, or both.
The nurse would expect an older adult to have higher blood alcohol levels because older
adults have
a. decreased liver metabolism and kidney functioning.
b. an increased consumption of alcohol.
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c. more lean muscle mass.
d. increased gastrointestinal motility. -- ANSWER--a. decreased liver metabolism and kidney
functioning.
Older adults have numerous characteristics that can increase the risk for alcohol use. Liver
metabolism and kidney functioning are decreased, which increases the bioavailability of
alcohol in the blood for longer time periods. Aging adults lose muscle mass; less tissue for
the alcohol to be distributed means an increased alcohol concentration in the blood. The
prevalence of current alcohol use decreases with increasing age. Older adults have decreased
gastrointestinal motility.
For a patient to meet the criteria for a diagnosis of alcohol abuse, the patient must report that
alcohol has repeatedly caused or contributed to
a. needing more than three drinks to feel the effects.
b. relationship trouble with family or friends.
c. amnesia episodes while drinking.
d. one or more family members complaining about alcohol use. -- ANSWER--b. relationship
trouble with family or friends.
To meet the criteria for a diagnosis of alcohol abuse, the patient must admit that drinking
alcohol repeatedly causes or contributes to one or more of the following occurring in the past
12 months: (1) risk for bodily harm (drinking and driving, operating machinery, swimming);
(2) relationship trouble (family or friends); (3) role failure (interference with home, work, or
school obligations); or (4) run-ins with the law (arrests or other legal problems). Amnesia
indicates at-risk drinking. Taking three or more drinks to feel high is termed tolerance.
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Family members complaining about alcohol use is a sign of at-risk drinking.
A patient with chronic alcohol use is most at risk for developing which of the following
cardiovascular diseases?
a. Bradycardia
b. Hypertension
c. Acute myocardial infarction
d. Deep vein thrombosis -- ANSWER--b. Hypertension
Chronic alcohol use is associated with increased risk for alcoholic cardiomyopathy,
hypertension, and atrial fibrillation. Chronic alcohol use is associated with fast heart rates
(tachycardia). Chronic alcohol use does not increase the risk for deep vein thrombosis.
Chronic alcohol use is not associated with a higher incidence of acute myocardial infarctions.
One of the most frequently abused prescription opioid pain medications is
a. morphine.
b. propoxyphene.
c. meperidine.
d. oxycodone. -- ANSWER--d. oxycodone.
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The three most frequently abused prescription opioid pain relievers are products using
oxycodone, hydrocodone, and methadone. Meperidine is not a frequently abused prescription
pain medication. Morphine is not a frequently abused prescription pain medication.
Propoxyphene is not a frequently abused prescription pain medication.
A major characteristic of dementia is
a. hallucinations.
b. sudden onset of symptoms.
c. cognitive deficits that are substance-induced.
d. impaired short-term and long-term memory. -- ANSWER--d. impaired short-term and
long-term memory.
Dementia is the presence of cognitive deficits; the deficits include memory impairment
(impaired ability to learn new information or to recall previously learned information).
Hallucinations are a form of delirium. Delirium is a disturbance that develops over a short
period of time. Delirium may be substance-induced.
Mental status assessment documents
a. schizophrenia and other mental health disorders.
b. artistic or writing ability in the mentally ill person.
NSG 3160 EXAM 2 PRACTICE EXAM
QUESTIONS WITH VERIFIED SOLUTIONS
AND RATIONALES GRADED A+ TESTED
AND APPROVED!!!
Which of the following best illustrates an abnormality of thought process?
a. Lability
b. Compulsion
c. Aphasia
d. Blocking -- ANSWER--d. Blocking
Thought process is defined as the way a person thinks or as the logical train of thought.
Blocking is a sudden interruption in train of thought. Lability is an abnormality of mood and
affect; the person has a rapid shift of emotions. A compulsion is an abnormality of thought
content; the person displays unwanted repetitive, purposeful acts. Aphasia is a speech
abnormality; the person is unable to comprehend language, produce language, or both.
The nurse would expect an older adult to have higher blood alcohol levels because older
adults have
a. decreased liver metabolism and kidney functioning.
b. an increased consumption of alcohol.
,Page 2 of 98
c. more lean muscle mass.
d. increased gastrointestinal motility. -- ANSWER--a. decreased liver metabolism and kidney
functioning.
Older adults have numerous characteristics that can increase the risk for alcohol use. Liver
metabolism and kidney functioning are decreased, which increases the bioavailability of
alcohol in the blood for longer time periods. Aging adults lose muscle mass; less tissue for
the alcohol to be distributed means an increased alcohol concentration in the blood. The
prevalence of current alcohol use decreases with increasing age. Older adults have decreased
gastrointestinal motility.
For a patient to meet the criteria for a diagnosis of alcohol abuse, the patient must report that
alcohol has repeatedly caused or contributed to
a. needing more than three drinks to feel the effects.
b. relationship trouble with family or friends.
c. amnesia episodes while drinking.
d. one or more family members complaining about alcohol use. -- ANSWER--b. relationship
trouble with family or friends.
To meet the criteria for a diagnosis of alcohol abuse, the patient must admit that drinking
alcohol repeatedly causes or contributes to one or more of the following occurring in the past
12 months: (1) risk for bodily harm (drinking and driving, operating machinery, swimming);
(2) relationship trouble (family or friends); (3) role failure (interference with home, work, or
school obligations); or (4) run-ins with the law (arrests or other legal problems). Amnesia
indicates at-risk drinking. Taking three or more drinks to feel high is termed tolerance.
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Family members complaining about alcohol use is a sign of at-risk drinking.
A patient with chronic alcohol use is most at risk for developing which of the following
cardiovascular diseases?
a. Bradycardia
b. Hypertension
c. Acute myocardial infarction
d. Deep vein thrombosis -- ANSWER--b. Hypertension
Chronic alcohol use is associated with increased risk for alcoholic cardiomyopathy,
hypertension, and atrial fibrillation. Chronic alcohol use is associated with fast heart rates
(tachycardia). Chronic alcohol use does not increase the risk for deep vein thrombosis.
Chronic alcohol use is not associated with a higher incidence of acute myocardial infarctions.
One of the most frequently abused prescription opioid pain medications is
a. morphine.
b. propoxyphene.
c. meperidine.
d. oxycodone. -- ANSWER--d. oxycodone.
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The three most frequently abused prescription opioid pain relievers are products using
oxycodone, hydrocodone, and methadone. Meperidine is not a frequently abused prescription
pain medication. Morphine is not a frequently abused prescription pain medication.
Propoxyphene is not a frequently abused prescription pain medication.
A major characteristic of dementia is
a. hallucinations.
b. sudden onset of symptoms.
c. cognitive deficits that are substance-induced.
d. impaired short-term and long-term memory. -- ANSWER--d. impaired short-term and
long-term memory.
Dementia is the presence of cognitive deficits; the deficits include memory impairment
(impaired ability to learn new information or to recall previously learned information).
Hallucinations are a form of delirium. Delirium is a disturbance that develops over a short
period of time. Delirium may be substance-induced.
Mental status assessment documents
a. schizophrenia and other mental health disorders.
b. artistic or writing ability in the mentally ill person.
