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1 Like us on Facebook (JU Nursing Leaders) & check our website nurseslabs.com/nclex- Questions Substance and eating disorders test bank

2 The nurse is assessing a 19 year-old female client with bulimia. Which of the following laboratory reports would the nurse anticipate? Decreased albumin Increased serum glucose Increased sodium retention Decreased potassium A client on an in-patient psychiatric unit has been diagnosed with bulimia nervosa. The client states, I m going to the bathroom and will be back in a few minutes. Which nursing response is most appropriate? I ll stand outside your door to give you privacy. I will accompany you to the bathroom. Thanks for checking in. Let me know when you get back to the day room. During an admission interview, a client with anorexia nervosa complains of feeling cold all the time and asks the nurse why. Which of the following is the most appropriate response by the nurse? You probably aren t dressing warmly enough. Let me take your temperature. You might be getting a cold. There is a loss of subcutaneous fat. Which structure of the brain contains the appetite regulation center? Hypothalamus. Medulla. Amygdala. Thalamus. Anorexia nervosa is a Psychiatric disorder Genetic disorder Neurobiological disorder

3 How does an anorexic control his/her body weight? Voluntary starvation Excessive exercise Purging (Induced vomiting; misusing diuretics, laxatives and syrup of ipecac) All of the above Medical diagnosis of anorexia nervosa does not include which of the following features? Missing three consecutive menstrual periods in women who have reached menarche but are not post-menopause Refusal to maintain weight at what is considered near-normal weight for corresponding age and height 'Binge-eating and purging' behavior pattern Arrested development if onset of anorexia is before puberty What is the leading cause of death among patients suffering from anorexia nervosa? Lack of nutrition and Excessive starving Alcoholism Suicide Failure of major organs like the heart How can you spot a bulimic? Visiting the bathroom frequently during and after a meal. Unreasonable mood swings and alcoholism Unexplained dental problems All of the above Can girls with anorexia become mothers? No - it is very difficult for anorexics to conceive Yes - anorexia doesn't pose a problem to pregnancy and motherhood Can't say

4 What are the physiological dangers in bulimia? Heart attack Stomach ulcers Depression Any of the above Nurse Rob has observed a co worker arriving to work drunk at least three times in the past month. Which action by Nurse Rob would best ensure client safety and obtain necessary assistance for the co worker? Ignore the co worker s behavior, and frequently assess the clients assigned to the co A worker. B Make general statements about safety issues at the next staff meeting. C Report the coworker s behavior to the appropriate supervisor. D Warn the co worker that this practice is unsafe Elsa is being treated in a chemical dependency unit. She tells the nurse that she only uses drugs when under stress and therefore does not have a substance problem. Which defense mechanism is the client using? A Compensation B Denial C Suppression D Undoing Nurse Tara is teaching a community group about substance abuse. She explains that a genetic component has been implicated with which of the following commonly abused substances? A Alcohol B Barbiturates C Heroin D Marijuana Nurse Julie recommends that the family of a client with substance-related disorder attend a support group, such as Al Anon and Alateen. The purpose of these groups is to help family members understand the problem and to: A change the problem behaviors of the abuser. B learn how to assist the abuser in getting help. maintain focus on changing their own behaviors. prevent substance problems in vulnerable family members.

5 Ryan who is a chronic alcohol abuser is being assessed by Nurse Gina. Which problems are related to thiamin deficiency? A Cardiovascular symptoms, such as decreased hemoglobin and hematocrit levels B CNS symptoms, such as ataxia and peripheral neuropathy C Gastrointestinal symptoms, such as nausea and vomiting D Respiratory symptoms, such as cough and sore throat Nurse Wilma is teaching a client about disulfiram (Antabuse), which the client is taking to deter his use of alcohol. She explains that using alcohol when taking this medication can result in: A abdominal cramps and diarrhea. B drowsiness and decreased respiration. C flushing, vomiting, and dizziness. D increased pulse and blood pressure The nurse administers bromocriptine (Parlodel) to Bryan who is undergoing detoxification for amphetamine abuse. The rationale for this medication is to: A aid in GABA inhibition. B prevent norepinephrine excess. C restore depleted dopamine levels. D treat psychotic symptoms Which medication is commonly used in treatment programs for heroin abusers to produce a non euphoric state and to replace heroin use? A diazepam B carbamazepine C clonidine D methadone Nurse Christine is teaching an adolescent health class about the dangers of inhalant abuse; the nurse warns about the possibility of: A contracting an infectious disease, such as hepatitis or AIDS B recurrent flashback events C psychological dependence after initial use D sudden death from cardiac or respiratory depression

6 The newly hired nurse at Nurseslabs Medical Center is assessing a client who abuses barbiturates and benzodiazepine. The nurse would observe for evidence of which withdrawal symptoms? A Anxiety, tremors, and tachycardia B Respiratory depression, stupor, and bradycardia C Muscle aches, cramps, and lacrimation D Paranoia, depression, and agitation The community nurse practicing primary prevention of alcohol abuse would target which groups for educational efforts? Adolescents in their late teens and young adults in their early A twenties B Elderly men who live in retirement communities C Women working in careers outside the home D Women working in the home Johnette is reviewing her lessons in Pharmacology. She is aware that the general classification of drugs belonging to the opioid category is analgesic and: A depressant. B hallucinogenic. C stimulant. D tranquilizing When a client abuses a CNS depressant, withdrawal symptoms will be caused by which of the following? A Acetylcholine excess B Dopamine depletion C Serotonin inhibition D Norepinephrine rebound Kendall, the sister of a client with a substance-related disorder, tells the nurse she calls out sick for her sister Kylie occasionally when the latter has too much to drink and cannot work. this behavior can be described as: A caretaking. B codependent. C helpful. D supportive.

7 References: Eating Disorders Practice Tests." N.p., n.d. Web. < "Quiz on Anorexia / Bulimia." N.p., n.d. Web. < Wayne, Gil. "Substance-Related Disorders Practice." N.p., 24 Aug Web. < items/>.

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