Psych NCLEX Exam for Substance Abuse

Practice Mode

Welcome to your Psych NCLEX Exam for Substance Abuse! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 40 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Look for a statement that reflects both an understanding of the challenges ahead and a realistic approach to maintaining sobriety.

1 / 40

1. Nurse Karen is evaluating a client's progress in substance abuse therapy sessions as the client prepares for discharge and participation in AA community groups. Which statement by the client indicates the most effective coping strategies and realistic processing for self-management?

💡 Hint

Think about the defense mechanism where a person refuses to accept the reality of a situation.

2 / 40

2. Emily is a patient receiving care in a chemical dependency unit. She tells Nurse Maria that she only uses drugs when feeling stressed and insists she does not have a substance abuse problem. Which defense mechanism is Emily displaying?

💡 Hint

Choose a response that encourages the spouse to explore and express their feelings in a non-judgmental manner.

3 / 40

3. Nurse Susan is speaking with the spouse of a client admitted for alcohol withdrawal, who states, “I should get out of this bad situation.” What would be the most helpful response by Nurse Susan?

💡 Hint

Think about a common initial psychological response to trauma or sudden, life-threatening events.

4 / 40

4. Nurse Heather is assessing a hospitalized client who is the sole survivor of a train accident. Which psychological symptom would she most likely expect to find?

💡 Hint

Think about which activity encourages self-reflection and minimizes social interaction, helping to reduce potential for aggression.

5 / 40

5. Nurse Kelly is organizing therapeutic activities for John, a patient with bipolar disorder who exhibits aggressive social behaviors. She needs to select an activity that is suitable and calming for John to help manage his behavior. Which activity should Nurse Kelly choose?

💡 Hint

Consider which intervention includes a multidisciplinary approach and encourages patient engagement with nutrition.

6 / 40

6. Nurse Amanda is caring for Sarah, a patient admitted with a diagnosis of major depression, severe, single episode. During her assessment, Nurse Amanda identifies imbalanced nutrition due to poor nutritional intake. What would be the most appropriate nursing intervention for this concern?

💡 Hint

Consider the medication that is an opioid agonist used to reduce withdrawal symptoms and cravings in heroin addiction.

7 / 40

7. Nurse Lisa is reviewing treatment options with a client enrolled in a program for heroin addiction. Which medication is frequently prescribed to create a stable, non-euphoric state and substitute for heroin use?

💡 Hint

Think about how opioids affect the central nervous system and what kind of overall effect they have on the body.

8 / 40

8. Student nurse Mia is reviewing her Pharmacology notes. She knows that drugs classified as opioids are generally used as analgesics and also as:

💡 Hint

Consider which action prioritizes safety for both the client and others in the environment.

9 / 40

9. Nurse Jack is working in the dayroom when a manic client loudly announces that a stripper will be performing tonight. After the nurse firmly states this is not true, the client becomes verbally abusive and threatens violence. What is the most appropriate action for Nurse Jack to take?

💡 Hint

Think about symptoms that involve the nervous system and cardiovascular changes due to sedative withdrawal.

10 / 40

10. The newly hired nurse at the Medical Center is assessing a client with a history of barbiturate and benzodiazepine abuse. Which withdrawal symptoms should the nurse expect to observe?

💡 Hint

Consider which neurotransmitter is significantly affected by amphetamine abuse and needs replenishment.

11 / 40

11. Nurse Carla administers bromocriptine (Parlodel) to Bryan, who is currently undergoing detoxification for amphetamine abuse. The reason for giving this medication is to:

💡 Hint

Think about a behavior pattern that enables or maintains another person’s substance abuse.

12 / 40

12. The patient, whose sister has a substance-related disorder, confides to the nurse that she sometimes calls in sick on her sister’s behalf when her sister is too intoxicated to go to work. This behavior is best described as:

💡 Hint

Consider which symptoms are related to nerve and muscle function affected by thiamine deficiency.

13 / 40

13. Nurse Alex is assessing a patient with a history of chronic alcohol abuse. Which problems are most likely associated with a deficiency in thiamine?

💡 Hint

Look for symptoms indicating severe withdrawal that can affect both mental status and vital signs.

14 / 40

14. Nurse Maria is closely observing John, a client with a history of alcohol abuse, for signs of alcohol withdrawal. Which symptoms should alert Nurse Maria to the potential onset of delirium tremens?

💡 Hint

Consider the most immediate safety concern related to the patient's symptoms that could pose a risk to themselves or others.

15 / 40

15. Nurse Laura is preparing a care plan for James, a patient admitted to the mental health unit with major depression, recurrent with psychotic features. To ensure a safe environment, which aspect should the nurse focus on most?

💡 Hint

Focus on fostering an open, supportive environment that encourages the patient to express their feelings and explore their thoughts further.

16 / 40

16. Nurse Mia is sitting with Tom, a patient who is expressing feelings of low self-esteem and worthlessness, saying, "I’m such a failure… I can’t do anything right!” What would be the most therapeutic response by Nurse Mia?

💡 Hint

Consider a goal that helps the client manage their anxiety by understanding and identifying the triggers.

17 / 40

17. Nurse Jane is planning the discharge goals for Robert, a client with chronic anxiety, to ensure a safe home environment. What should the most appropriate maintenance goal focus on?

💡 Hint

Consider the approach that helps maintain a structured and focused conversation while managing the client's manic symptoms.

18 / 40

18. Nurse Ellen is communicating with a client who is experiencing a manic episode. Which guideline should she follow to ensure effective communication?

💡 Hint

Think about interventions that ensure patient safety, provide supportive care, and address symptoms of alcohol withdrawal.

19 / 40

19. Nurse Lee is providing care for Mr. Thompson, a patient who is experiencing alcohol withdrawal. To ensure his safety and promote recovery, which interventions should Nurse Lee prioritize? (Select all that apply.)

💡 Hint

Prioritize the symptom that poses an immediate risk to the client’s physical health and safety.

20 / 40

20. Nurse David is assessing Carla, a patient admitted with bipolar affective disorder in a manic state. Which symptom should prompt Nurse David to intervene immediately?

💡 Hint

Consider the level of care required for someone experiencing persistent suicidal thoughts daily.

21 / 40

21. Nurse Lisa is discussing the care plan for Sarah, a 42-year-old client who confides that she has daily thoughts of suicide. In coordinating with the treatment team, which recommendation should Nurse Lisa prioritize for Sarah?

💡 Hint

Think about a non-pharmacological approach that promotes relaxation and prepares the body for sleep.

22 / 40

22. Nurse Rachel is creating a care plan for Mark, a 29-year-old client with bipolar disorder who is struggling with insomnia. Which short-term goal would be most appropriate to help Mark improve his sleep?

💡 Hint

Choose a response that acknowledges the family member's feelings and provides an opportunity for open communication.

23 / 40

23. Nurse Lisa is speaking with the mother of a patient who is being considered for ECT. The mother, appearing distressed, says, "My son’s brain will be destroyed. How can the doctor do this to him?” What is the best response from Nurse Lisa?

💡 Hint

Consider which action directly addresses both client safety and the colleague’s need for assistance.

24 / 40

24. Nurse Rob has noticed that a fellow nurse has come to work intoxicated on at least three occasions in the past month. What action should Nurse Rob take to prioritize patient safety and help the colleague receive the necessary support?

💡 Hint

Think about which option provides structure and support while gently encouraging engagement in the therapeutic environment.

25 / 40

25. Nurse Carol is creating an activity plan for Lisa, a patient recently admitted for depression, during the initial phase of her hospitalization. Which approach would be the most beneficial for Lisa?

💡 Hint

Consider how changes in sodium intake can impact the balance of lithium in the body.

26 / 40

26. Nurse Elena is providing nutritional counseling to the family of John, a 35-year-old patient recently diagnosed with bipolar disorder and currently taking lithium. She wants to ensure the family understands how diet can affect John's lithium levels. What important information should Nurse Elena include?

💡 Hint

Think about the symptoms caused by the body's reaction to alcohol when on disulfiram.

27 / 40

27. Nurse Megan is educating a client about disulfiram (Antabuse), which the client is using to help prevent alcohol consumption. She explains that consuming alcohol while on this medication may cause:

💡 Hint

Think about which activity would promote calmness and minimize excessive stimulation or competition, which can worsen manic symptoms.

28 / 40

28. Nurse Elena is planning the day's activities for Karen, a client experiencing a manic episode. Which activity should Nurse Elena choose to help manage Karen's symptoms?

💡 Hint

Think about the neurotransmitter that becomes more active as the body's response to the sudden absence of CNS depressants.

29 / 40

29. When a client is withdrawing from a CNS depressant, the symptoms will most likely result from which of the following?

💡 Hint

Think about the immediate life-threatening effects that inhalant abuse can have on the heart and lungs.

30 / 40

30. Nurse Jenna is educating an adolescent health class about the dangers of inhalant abuse. She cautions the students about the risk of:

💡 Hint

Focus on an action that helps the client process their trauma and challenge irrational beliefs or distorted thinking patterns.

31 / 40

31. Nurse Jamie is developing a care plan for a client with PTSD who describes their traumatic experience as "bad luck." Which nursing action should be included in the care plan?

💡 Hint

Look for a statement that reflects an understanding of self-worth and rejects self-blame for the spouse's abusive behavior.

32 / 40

32. Nurse Clara is evaluating whether the wife of an alcoholic client is benefiting from attending Al-Anon meetings. Which statement by the wife would indicate that she is gaining insight from the group?

💡 Hint

Look for a response that shows awareness of self-care strategies, early warning signs, and the importance of medical follow-up.

33 / 40

33. Nurse Grace is preparing to discharge Mark, a client recovering from depression. She wants to ensure that Mark understands his condition and how to manage it after leaving the hospital. Which statement by Mark would indicate that he has a good understanding of his disease process?

💡 Hint

Consider the age group most at risk for initiating alcohol use and developing risky drinking patterns.

34 / 40

34. The community nurse focusing on primary prevention of alcohol abuse should direct educational efforts toward which groups?

💡 Hint

Consider the action that ensures safety while following hospital policy and legal guidelines.

35 / 40

35. Nurse Elena is caring for a hospitalized client with a history of alcohol abuse who states, "I am leaving now. I have to go. I don’t want any more treatment." The client begins to leave despite being scheduled for an important diagnostic test in an hour. What is the most important nursing action?

💡 Hint

Consider which intervention provides immediate support and reassurance to a client in a state of high anxiety.

36 / 40

36. Nurse Alex is caring for a woman who arrives at the ER in a severe state of anxiety after a car accident. What is the most appropriate nursing intervention?

💡 Hint

Consider the substance for which family history is often a significant risk factor.

37 / 40

37. Nurse Jenna is educating a community group about substance abuse. She mentions that there is a genetic factor associated with the abuse of which of the following substances?

💡 Hint

Think about the purpose of support groups in promoting personal growth and self-care for family members.

38 / 40

38. Nurse Kelly suggests that the family of a client with a substance-related disorder participate in a support group. The goal of these groups is to help family members understand the issue and to:

💡 Hint

Focus on interventions that establish clear expectations and support the patient in managing their behavior.

39 / 40

39. Nurse Jordan is caring for a patient with mania who is demonstrating manipulative behaviors in the psychiatric unit. To promote a therapeutic environment and ensure the patient's safety, which nursing interventions should Nurse Jordan implement? (Select all that apply.)

💡 Hint

The priority in a detoxification assessment is understanding the history and frequency of substance use to gauge the severity and risks.

40 / 40

40. Nurse Kelly is conducting an initial assessment for Mr. Harris, a new admission to the substance abuse unit undergoing detoxification. To accurately understand Mr. Harris's patterns of substance use, which questions should Nurse Kelly prioritize asking at this time?

Exam Mode

Welcome to your Psych NCLEX Exam for Substance Abuse! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 40 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 60 minutes.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career.

 

Click 'Start Exam' when you're ready to begin. Good luck!

1 / 40

1. Nurse Jenna is educating a community group about substance abuse. She mentions that there is a genetic factor associated with the abuse of which of the following substances?

2 / 40

2. Nurse Mia is sitting with Tom, a patient who is expressing feelings of low self-esteem and worthlessness, saying, "I’m such a failure… I can’t do anything right!” What would be the most therapeutic response by Nurse Mia?

3 / 40

3. Nurse Lee is providing care for Mr. Thompson, a patient who is experiencing alcohol withdrawal. To ensure his safety and promote recovery, which interventions should Nurse Lee prioritize? (Select all that apply.)

4 / 40

4. The community nurse focusing on primary prevention of alcohol abuse should direct educational efforts toward which groups?

5 / 40

5. Nurse Elena is caring for a hospitalized client with a history of alcohol abuse who states, "I am leaving now. I have to go. I don’t want any more treatment." The client begins to leave despite being scheduled for an important diagnostic test in an hour. What is the most important nursing action?

6 / 40

6. Nurse David is assessing Carla, a patient admitted with bipolar affective disorder in a manic state. Which symptom should prompt Nurse David to intervene immediately?

7 / 40

7. Nurse Carol is creating an activity plan for Lisa, a patient recently admitted for depression, during the initial phase of her hospitalization. Which approach would be the most beneficial for Lisa?

8 / 40

8. Nurse Amanda is caring for Sarah, a patient admitted with a diagnosis of major depression, severe, single episode. During her assessment, Nurse Amanda identifies imbalanced nutrition due to poor nutritional intake. What would be the most appropriate nursing intervention for this concern?

9 / 40

9. Nurse Megan is educating a client about disulfiram (Antabuse), which the client is using to help prevent alcohol consumption. She explains that consuming alcohol while on this medication may cause:

10 / 40

10. Nurse Elena is providing nutritional counseling to the family of John, a 35-year-old patient recently diagnosed with bipolar disorder and currently taking lithium. She wants to ensure the family understands how diet can affect John's lithium levels. What important information should Nurse Elena include?

11 / 40

11. Nurse Kelly is organizing therapeutic activities for John, a patient with bipolar disorder who exhibits aggressive social behaviors. She needs to select an activity that is suitable and calming for John to help manage his behavior. Which activity should Nurse Kelly choose?

12 / 40

12. Nurse Susan is speaking with the spouse of a client admitted for alcohol withdrawal, who states, “I should get out of this bad situation.” What would be the most helpful response by Nurse Susan?

13 / 40

13. Nurse Jenna is educating an adolescent health class about the dangers of inhalant abuse. She cautions the students about the risk of:

14 / 40

14. When a client is withdrawing from a CNS depressant, the symptoms will most likely result from which of the following?

15 / 40

15. Nurse Rachel is creating a care plan for Mark, a 29-year-old client with bipolar disorder who is struggling with insomnia. Which short-term goal would be most appropriate to help Mark improve his sleep?

16 / 40

16. Nurse Elena is planning the day's activities for Karen, a client experiencing a manic episode. Which activity should Nurse Elena choose to help manage Karen's symptoms?

17 / 40

17. Nurse Ellen is communicating with a client who is experiencing a manic episode. Which guideline should she follow to ensure effective communication?

18 / 40

18. Nurse Alex is assessing a patient with a history of chronic alcohol abuse. Which problems are most likely associated with a deficiency in thiamine?

19 / 40

19. Nurse Lisa is discussing the care plan for Sarah, a 42-year-old client who confides that she has daily thoughts of suicide. In coordinating with the treatment team, which recommendation should Nurse Lisa prioritize for Sarah?

20 / 40

20. Nurse Jordan is caring for a patient with mania who is demonstrating manipulative behaviors in the psychiatric unit. To promote a therapeutic environment and ensure the patient's safety, which nursing interventions should Nurse Jordan implement? (Select all that apply.)

21 / 40

21. Nurse Alex is caring for a woman who arrives at the ER in a severe state of anxiety after a car accident. What is the most appropriate nursing intervention?

22 / 40

22. Nurse Lisa is speaking with the mother of a patient who is being considered for ECT. The mother, appearing distressed, says, "My son’s brain will be destroyed. How can the doctor do this to him?” What is the best response from Nurse Lisa?

23 / 40

23. Nurse Jane is planning the discharge goals for Robert, a client with chronic anxiety, to ensure a safe home environment. What should the most appropriate maintenance goal focus on?

24 / 40

24. Nurse Grace is preparing to discharge Mark, a client recovering from depression. She wants to ensure that Mark understands his condition and how to manage it after leaving the hospital. Which statement by Mark would indicate that he has a good understanding of his disease process?

25 / 40

25. Nurse Rob has noticed that a fellow nurse has come to work intoxicated on at least three occasions in the past month. What action should Nurse Rob take to prioritize patient safety and help the colleague receive the necessary support?

26 / 40

26. The patient, whose sister has a substance-related disorder, confides to the nurse that she sometimes calls in sick on her sister’s behalf when her sister is too intoxicated to go to work. This behavior is best described as:

27 / 40

27. Nurse Jamie is developing a care plan for a client with PTSD who describes their traumatic experience as "bad luck." Which nursing action should be included in the care plan?

28 / 40

28. Nurse Kelly suggests that the family of a client with a substance-related disorder participate in a support group. The goal of these groups is to help family members understand the issue and to:

29 / 40

29. Nurse Clara is evaluating whether the wife of an alcoholic client is benefiting from attending Al-Anon meetings. Which statement by the wife would indicate that she is gaining insight from the group?

30 / 40

30. Nurse Heather is assessing a hospitalized client who is the sole survivor of a train accident. Which psychological symptom would she most likely expect to find?

31 / 40

31. Student nurse Mia is reviewing her Pharmacology notes. She knows that drugs classified as opioids are generally used as analgesics and also as:

32 / 40

32. Nurse Carla administers bromocriptine (Parlodel) to Bryan, who is currently undergoing detoxification for amphetamine abuse. The reason for giving this medication is to:

33 / 40

33. Nurse Jack is working in the dayroom when a manic client loudly announces that a stripper will be performing tonight. After the nurse firmly states this is not true, the client becomes verbally abusive and threatens violence. What is the most appropriate action for Nurse Jack to take?

34 / 40

34. Emily is a patient receiving care in a chemical dependency unit. She tells Nurse Maria that she only uses drugs when feeling stressed and insists she does not have a substance abuse problem. Which defense mechanism is Emily displaying?

35 / 40

35. Nurse Kelly is conducting an initial assessment for Mr. Harris, a new admission to the substance abuse unit undergoing detoxification. To accurately understand Mr. Harris's patterns of substance use, which questions should Nurse Kelly prioritize asking at this time?

36 / 40

36. Nurse Lisa is reviewing treatment options with a client enrolled in a program for heroin addiction. Which medication is frequently prescribed to create a stable, non-euphoric state and substitute for heroin use?

37 / 40

37. The newly hired nurse at the Medical Center is assessing a client with a history of barbiturate and benzodiazepine abuse. Which withdrawal symptoms should the nurse expect to observe?

38 / 40

38. Nurse Karen is evaluating a client's progress in substance abuse therapy sessions as the client prepares for discharge and participation in AA community groups. Which statement by the client indicates the most effective coping strategies and realistic processing for self-management?

39 / 40

39. Nurse Maria is closely observing John, a client with a history of alcohol abuse, for signs of alcohol withdrawal. Which symptoms should alert Nurse Maria to the potential onset of delirium tremens?

40 / 40

40. Nurse Laura is preparing a care plan for James, a patient admitted to the mental health unit with major depression, recurrent with psychotic features. To ensure a safe environment, which aspect should the nurse focus on most?