NUR 214 (Mental Health - Test 1) NCLEX Style Practice Questions and Solutions
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Course
NUR 214
Institution
NUR 214
A public health nurse is presenting a teaching session about alcohol use to a group of college seniors. During the session, one of the students admits to frequent alcohol use. What is the nurse's priority action?
A) Initiate a community assessment of the campus B) Contact the campus nurse and refe...
NUR 214 (Mental Health - Test 1) NCLEX
Style Practice Questions and Solutions
A public health nurse is presenting a teaching session about alcohol use to a group of
college seniors. During the session, one of the students admits to frequent alcohol use.
What is the nurse's priority action?
A) Initiate a community assessment of the campus
B) Contact the campus nurse and refer the student for services
C) Notify campus security that the student may be driving while intoxicated
D) Complete a crisis assessment with the student
**P-22** ✅D
(Complete a crisis assessment with the student)
A nurse educator is teaching a group of students about the comprehensive theory of
addiction proposed by George Engel. Which of the following student statements indicate
proper understanding of this theory? (Select all that apply)
A) "Addiction occurs because of a lack of emotional attachment."
B) "There is a biological factor involved in the development of addiction."
C) "There are social factors that contribute to the development of addiction."
D) "There is a moral factor involved in the development of addiction."
E) "There are psychologic elements involved in the development of addiction."
**P-22** ✅B, C, & E
( "There is a biological factor involved in the development of addiction.")
("There are social factors that contribute to the development of addiction.")
("There are psychologic elements involved in the development of addiction.")
During visitation on the unit, a nurse is observing the family dynamics of an adolescent
client who has an addiction problem. In doing so, the nurse concludes that the family is
exhibiting codependence. Which of the following behaviors on the part of the family
supports the nurse's conclusion?
A) The family is intolerant of any frustration on the part of the client
B) The family engages in actions that enable the client's self-destructive behavior
C) The family is argumentative about seemingly insignificant issues
D) The family exhibits high levels of impatience
,**P-22** ✅B
(The family engages in actions that enable the client's self-destructive behavior)
The nurse is conducting a crisis assessment for a client who admits to cocaine use.
Which questions are appropriate for the nurse to ask the client during this process?
(Select all that apply)
A) "Do you have access to any recreational centers?"
B) "What is the most significant problem affecting your life right now?"
C) "How long has this been a problem?"
D) "What are the living conditions in your neighborhood?"
E) "What other stresses are you dealing with?"
**P-22** ✅B, C, & E
("What is the most significant problem affecting your life right now?")
("How long has this been a problem?")
("What other stresses are you dealing with?")
A client is admitted to the emergency department with signs of drug use. The client
reports ingesting Percocet and is currently experiencing respiratory depression. Based
on this information, which prescription should the nurse anticipate for this client?
A) Diazepam
B) Haldol
C) Vitamin B12
D) Naloxone
**P-22** ✅D
(Naloxone (Narcan))
A nurse who runs an addiction treatment group at an inner-city clinic has noticed that
many of the group's participants struggle with the stigma attached to their condition.
Which of the following statements on the part of the nurse would best help participants
overcome this stigma?
A) "Relapse is a common feature of substance abuse."
B) "Heredity and complex environmental influences predispose some people to
substance dependence."
C) "People who have an addiction problem cannot be held accountable for their
actions."
,D) "Alcoholics Anonymous and Narcotics Anonymous are both accepted treatment
approaches."
**P-22** ✅B
("Heredity and complex environmental influences predispose some people to substance
dependence.")
An employee health nurse is providing care to a worker who was injured on the job. The
client has a history of drug addiction and is currently enrolled in a 12-step recovery
program. In order to determine whether the employee was impaired at the time of the
accident, which diagnostic tool should the nurse use?
A) Liver enzymes
B) Stool guaiac
C) Urine toxicology testing
D) Hair testing
**P-22** ✅C
(Urine toxicology testing)
The nurse is providing care for a client who admits to alcohol addiction. The client states
she is able to hide the addiction from family and friends. Based on this information,
which independent nursing intervention is appropriate for this client?
A) Assertiveness training
B) Milieu therapy
C) Family therapy
D) Communication training
**P-22** ✅D
(Communication training)
A client with a history of alcohol abuse is being discharged to a treatment facility. Which
prescription does the nurse anticipate for this client?
A) Disulfiram
B) Naloxone
C) Bupropion hydrochloride
D) Varenicline
**P-22** ✅A
(Disulfiram (Antabuse))
, A community health nurse is providing teaching to the faculty of a local high school
about preventing, recognizing, and treating substance use and addiction in teenagers.
Which of the following statements on the part of the faculty members suggests that
further teaching is necessary?
A) "The earlier a teenager begins using substances, the more likely it is that the
teenager will develop an addiction problem."
B) "Teenagers whose parents suffer from addiction are at greater risk of addiction
themselves."
C) "The brain stops developing during the teenage years, so any substance-related
brain changes that occur during this period will likely affect a person for the rest of his or
her life."
D) "Group therapy can be beneficial for teenagers with addiction, but it comes with a
risk of unintended adverse effects."
**P-22** ✅C
("The brain stops developing during the teenage years, so any substance-related brain
changes that occur during this period will likely affect a person for the rest of his or her
life.")
A nurse is talking with the adult daughter of an 80-year-old client who was recently
discovered to be abusing prescription narcotics. The daughter expresses frustration that
this substance abuse wasn't discovered sooner, and she asks the nurse how her
father's previous healthcare providers could have overlooked this problem. Which of the
following statements would not be appropriate for the nurse to include in her reply?
A) "Substance abuse and addiction are almost unheard of among older adults, so few
providers would consider the possibility of these diagnoses when working with clients
like your father."
B) "Older adults often choose not to tell their providers about substance use because
they either don't recognize they have a problem or don't feel they need treatment."
C) "Diagnosis of substance abuse can be difficult in older clients because their
symptoms sometimes mimic those of other disorders."
D) "There is ✅A
("Substance abuse and addiction are almost unheard of among older adults, so few
providers would consider the possibility of these diagnoses when working with clients
like your father.")
Which of the following terms refers to a physiologic need for a substance that the client
cannot control and that results in withdrawal symptoms if the substance is withheld?
A) Tolerance
B) Dependence
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