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Tuesday, February 10, 2009

Substance Abuse & Eating Disorders Nclex Sata Questions

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1. A client is receiving chlordiazepoxide (Librium) to control the symptoms of alcohol withdrawal. The chlordiazepoxide has been ordered as needed. Which symptom may indicate the need for an additional dose of this medication?

Select all that apply:

1. Tachycardia
2. Mood swings
3. Elevated blood pressure and temperature
4. Piloerection
5. Tremors
6. Increasing anxiety

2. The nurse is assisting in the discharge planning for a client with alcoholism. Which of the following should be included in the discharge plan?

Select all that apply:

1. Strongly encourage participation in Alcoholics Anonymous (AA).
2. Provide nutritional information and counseling.
3. Establish an exercise program.
4. Discuss relapse prevention.
5. Have the client introduce himself slowly to people from his former lifestyle.

3. The nurse is caring for a client with anorexia nervosa who has a nursing diagnosis of Imbalanced nutrition: Less than body requirements related to dysfunctional eating patterns. Which of the following interventions would be supportive for this client?

Select all that apply:

1. Provide small, frequent meals.
2. Monitor weight gain.
3. Allow the client to skip meals until the antidepressant levels are therapeutic.
4. Encourage the client to keep a journal.
5. Monitor the client during meals and for 1 hour after meals.
6. Encourage the client to eat three substantial meals per day.

4. When assessing a client diagnosed with impulse control disorder, the nurse observes violent, aggressive, and assaultive behavior. Which assessment is the nurse also likely to find?

Select all that apply:

1. The client functions well in other areas of his life.
2. The degree of aggressiveness is out of proportion to the stressor.
3. The violent behavior is most often justified by a stressor.
4. The client has a history of parental alcoholism and chaotic abusive family life.
5. The client has no remorse about the inability to control his behavior.

Substance Abuse & Eating Disorders Nclex Sata Questions Answer Key:

1. 1, 3, 5, 6
2. 1, 2, 3, 4
3. 1, 2, 4, 5
4. 1, 2, 4

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