The female client tells the nurse I usually have a

Extract:

Question 1 of 5

The female client tells the nurse “I usually have a few drinks after work but I always limit it to three. I’m not risking becoming addicted am I?” What is the nurse’s best response?

A. “There is no harm in social drinking as long as you know your limits and you are not driving while intoxicated.” B. “As long as you don’t have any social problems associated with your use of alcohol you do not need to be concerned.” C. “If you are concerned about the frequency and the number of drinks consumed then you might be developing a dependency.” D. “Three drinks a day or seven drinks in a week is high-risk drinking for women. You seem concerned that you might have an alcohol dependency.”

Correct Answer: D

Rationale: Three drinks daily or seven weekly is high-risk for women (
D). Social drinking (
A) or social problems (
B) don’t address risk and concern alone (
C) misses education.

Question 2 of 5

The spouse of the client who is currently in inpatient treatment for substance abuse tells the nurse “We’ve done this so many times. I don’t think my spouse is ever going to change. Do you think it’s time for me to get a divorce?” Which response by the nurse is most helpful?

A. “You don’t think your spouse is ever going to change?” B. “Sounds like you’re feeling discouraged in your marriage.” C. “Your spouse will likely continue to use and need treatment again.” D. “That’s your decision; I can’t tell you whether you should get a divorce.”

Correct Answer: B

Rationale: Validating discouragement (
B) encourages exploration. Restatement (
A) is less effective predicting relapse (
C) is opinionated and dismissing (
D) closes communication.

Question 3 of 5

The nurse completed an admission interview and assessment of the client who is under the influence of cocaine. Which finding should the nurse attribute to the client being under the influence of cocaine?

A. Decreased blood pressure and heart rate B. Lack of attention to the interview process C. Hypersensitivity in response to personal questions D. Underreporting the amount of cocaine used on a regular basis.

Correct Answer: C

Rationale: Cocaine causes hypersensitivity (
C). It increases BP/HR (
A) causes hypervigilance (not inattention
B) and underreporting (
D) is general not specific.

Question 4 of 5

The nurse is educating the client on the methadone prescribed for replacement therapy while in an outpatient treatment program for heroin addicts. The client asks how taking a pill is going to help the client stay substance-free. Which statement is the nurse’s best reply?

A. “The methadone will give you the same high so you won’t want heroin anymore.” B. “The methadone will cause you to become very sick if you take heroin at the same time” C. “The methadone ‘replaces’ heroin in your body so you will have fewer cravings for heroin.” D. “The methadone causes sedation; you’ll sleep better so you can participate in your treatment.”

Correct Answer: C

Rationale: Methadone displaces heroin reducing cravings (
C). It doesn’t produce a high (
A) cause sickness (
B) or sedate (
D).

Question 5 of 5

The nurse is preparing to administer chlordiazepoxide 75 mg orally for the client experiencing severe withdrawal symptoms due to alprazolam dependency. The medication is supplied in 25-mg capsules. How many capsules should the nurse prepare to administer?_ capsule(s) (Record your answer as a whole number.)

Your Answer:

Correct Answer: 3

Rationale: Proportion: 25 mg/1 capsule = 75 mg/X capsules; 25X = 75; X = 3 capsules.

Nurselytic

NCLEX-PN

NCLEX-PN

Mental Health NCLEX PN Questions Questions

Extract:

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

Access More Questions!

NCLEX PN Basic

NCLEX PN Premium

Similar Questions