ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 30 : Addiction and Substance-Related Disorders Questions
Question 1 of 5
A 20-year-old man arrives at the emergency department by ambulance. He is unconscious, with slow respirations and pinpoint pupils. There are tracks visible on his arms. The friend who came with him reports that the client had just shot up heroin when he became unconscious. Which medication would the nurse most likely expect to administer?
Correct Answer: A
Rationale: Naloxone (
A) is an opioid antagonist used to reverse heroin overdose, counteracting respiratory depression and unconsciousness. Naltrexone (
B) is for maintenance, bupropion (
C) is for depression/smoking cessation, and varenicline (
D) is for smoking cessation.
Question 2 of 5
A nurse is obtaining a history from a client who drinks about 6 cups of coffee and several diet cola drinks per day. The client states, I just cut down my coffee and soda intake to one per day. Which of the following would the nurse most likely expect to assess? Select all that apply.
Correct Answer: A,B,C
Rationale: Abrupt reduction in caffeine intake can cause withdrawal symptoms like headache (
A), fatigue (
B), and yawning (
C) due to CNS and adenosine receptor changes. Flushing (
D) and diuresis (E) are not typical caffeine withdrawal symptoms.
Question 3 of 5
A group of nursing students is reviewing information about substances that are abused. The students demonstrate understanding of the information when they identify which of the following as stimulants? Select all that apply.
Correct Answer: B,D
Rationale: Cocaine (
B) and nicotine (
D) are stimulants, increasing CNS activity. Alcohol (
A) is a depressant, heroin (
C) is an opioid, and phencyclidine (E) is a dissociative anesthetic.
Question 4 of 5
A client is receiving methadone maintenance therapy. After teaching the client about this treatment, the nurse determines that the teaching was successful when the client states which of the following?
Correct Answer: B
Rationale: Methadone can cause nausea, and eating small, frequent meals (
B) helps manage this side effect. Alcohol (
A) should be avoided, methadone is taken without regard to food (
C), and constipation, not diarrhea (
D), is a common side effect.
Question 5 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).