ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 30 : Addiction and Substance-Related Disorders Questions
Question 1 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 2 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.
Question 3 of 5
A client is prescribed disulfiram as part of his alcohol treatment program to prevent relapse. The client asks the nurse, How will this drug help me? Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: Disulfiram (
B) prevents drinking by causing unpleasant reactions (e.g., nausea) if alcohol is consumed, acting as a deterrent. It does not cure alcoholism (
A), reduce withdrawal symptoms (
C), or clear alcohol from the body (
D).
Question 4 of 5
A client has been prescribed naltrexone (Trexan) for treatment of alcohol dependence. The nurse has explained the drug?s purpose to the client. The nurse determines that the client has understood the instructions when the client identifies which of the following about the drug?
Correct Answer: C
Rationale: Naltrexone (
C) reduces the appeal of alcohol by blocking opioid receptors, decreasing the rewarding effects of drinking. It does not cause itching (
A), produce euphoria (
B), or directly improve appetite/nutrition (
D).
Question 5 of 5
An adolescent client tells the nurse that he or she occasionally sniffs airplane glue. When discussing the effects of long-term use of inhalants, which of the following would the nurse most likely include?
Correct Answer: D
Rationale: Long-term inhalant use, such as sniffing glue, causes brain damage and cognitive abnormalities (
D) due to neurotoxicity. Tremors and CNS arousal (
A) are acute effects, heart rhythms (
B) are disrupted, and attention/memory (
C) are impaired, not enhanced.