ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 30 : Addiction and Substance-Related Disorders Questions
Question 1 of 5
A client is brought into the emergency department because he was involved in an automobile accident. His blood alcohol level (BAL) is 0.10 mg %. Based on this finding, the nurse would expect to assess which of the following?
Correct Answer: A
Rationale: A BAL of 0.10 mg % (0.10 g/dL) typically causes difficulty with coordination (
A), such as impaired motor skills. Stupor (
B) occurs at higher levels (e.g., >0.30), emotional lability (
C) is less specific, and ataxia (
D) is more severe and less common at this level.
Question 2 of 5
A client with a history of opioid abuse is exhibiting manifestations of moderate withdrawal. Which of the following would the nurse expect to assess?
Correct Answer: A,B,C,D
Rationale: Moderate opioid withdrawal includes rhinorrhea (
A), lacrimation (
B), dilated pupils (
C), and dysphoria (
D) due to autonomic and psychological distress. All are characteristic symptoms.
Question 3 of 5
A nurse is implementing a brief intervention with a client who is abusing alcohol. The nurse most likely would be involved with which of the following?
Correct Answer: B
Rationale: Brief interventions for alcohol abuse involve negotiating a conversation to reduce use (
B), using motivational techniques to encourage change. Asking questions (
A) is part of assessment, pointing out inconsistencies (
C) is confrontational, and changing thinking (
D) is more cognitive therapy.
Question 4 of 5
A client with a history of substance abuse is involved in a skills training group. Which of the following would the client be involved with to enhance intrapersonal coping skills? Select all that apply.
Correct Answer: B,C
Rationale: Intrapersonal coping skills for substance abuse include problem solving (
B) and anger awareness (
C), which focus on internal emotional and cognitive management. Substance refusal (
A) and social support (E) are interpersonal, and emergency planning (
D) is situational.
Question 5 of 5
A client is brought to the emergency department after having overdosed on cocaine. When assessing the client, which of the following would the nurse expect to find? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Cocaine overdose can cause seizures (
B), cardiac arrhythmia (
C), paranoia (
D), and dilated pupils (E) due to excessive CNS and sympathetic stimulation. Euphoria (
A) is more typical of use, not overdose.