ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 30 : Addiction and Substance-Related Disorders Questions
Question 1 of 5
A client with a history of alcohol abuse is participating in a 12-step Alcoholics Anonymous (AA) program. The nurse determines that the client is at step two when he states which of the following?
Correct Answer: B
Rationale:
Step two of the AA 12-step program involves recognizing a higher power that can aid recovery (
B).
Step one is admitting powerlessness (
C), step four involves admitting wrongdoings (
A), and step eight involves making amends (
D).
Question 2 of 5
A nurse is preparing an inservice program about substance abuse and its etiology. Which of the following would the nurse most likely include in the presentation when discussing possible psychologic etiologies?
Correct Answer: A
Rationale: Low self-esteem (
A) is a psychological etiology for substance abuse, contributing to vulnerability. Genetic predisposition (
B) is biological, and dysfunctional family (
C) and peer influence (
D) are social, not primarily psychological.
Question 3 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 4 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 5 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.