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ATI LPN · Mental Health Nursing · NCLEX Substance Abuse Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which of the following is a standard of practice?

A. Quality of care

B. Outcome identification

C. Collegiality

D. Performance appraisal

Expert Explanatory Rationale

Correct Answer: Outcome identification

Question 2 of 5

A client began taking lithium for the treatment of bipolar disorder approximately 1 month ago. The client asks if it is normal to have gained 12 pounds in this time frame. Which is the appropriate nursing reply?

A. Thats strange. Weight loss is the typical pattern.

B. What have you been eating? Weight gain is not usually associated with lithium.

C. Weight gain is a common but troubling side effect.

D. Weight gain occurs only during the first month of treatment with this drug.

Expert Explanatory Rationale

Correct Answer: Weight gain is a common but troubling side effect.

Question 3 of 5

Effective disorders

A. Include schizophrenia

B. Have specific causes

C. Present with signs of mood disturbances

D. Are mostly due to genetic effects

Expert Explanatory Rationale

Correct Answer: Present with signs of mood disturbances

Question 4 of 5

A community health nurse is designated as a 'mandated reporter.' Which of the following best describes this designation?

A. The nurse must witness abuse and neglect before being mandated to report.

B. The nurse commands that battered women report the abuse.

C. The supervising community health nurse is responsible for reporting only known cases of elder abuse.

D. The nurse must report any case of known or suspected abuse and neglect in children or elders.

Expert Explanatory Rationale

Correct Answer: The nurse must report any case of known or suspected abuse and neglect in children or elders.

Question 5 of 5

A nurse begins the intake assessment of a client diagnosed with bipolar I disorder. The client shouts, You cant do this to me. Do you know who I am? Which is the priority nursing action in this situation?

A. To provide self and client with a safe environment

B. To redirect the client to the needed assessment information

C. To provide high-calorie finger foods to meet nutritional needs

D. To reorient the client to person, place, time, and situation

Expert Explanatory Rationale

Correct Answer: To provide self and client with a safe environment

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