ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 40 : Caring for Persons With Co-occurring Mental Disorders Questions
Question 1 of 5
A group of nursing students are reviewing information about co-occurring disorders and risks for substance abuse. The students demonstrate understanding of the information when they identify which psychiatric disorder as being associated with the highest risk for substance abuse?
Correct Answer: C
Rationale: Antisocial personality disorder (
C) has the highest risk for substance abuse due to impulsivity and disregard for consequences. Mania (
A) and panic disorder (
B) carry risks but are less associated, and phobias (
D) have minimal direct correlation.
Question 2 of 5
When describing the relapse cycle to a group of families of clients experiencing co-occurring disorders, which of the following would the nurse identify as occurring first?
Correct Answer: B
Rationale: Decompensation (
B) occurs first in the relapse cycle, as psychiatric symptoms worsen, leading to substance use, hospitalization (
A), stabilization (
C), and discharge (
D).
Question 3 of 5
The nurse is reviewing a client?s medical record and finds that he has received treatment for his co-occurring disorders in the primary health care setting. The nurse interprets this as which quadrant of care?
Correct Answer: A
Rationale: Category I (
A) refers to low-severity mental health and substance use disorders treated in primary care settings. Categories II?IV involve higher severity or specialized care settings.
Question 4 of 5
A nurse is working with a client with co-occurring disorders who is in the early stages of recovery. The client has been abstained from using alcohol for the past 3 weeks. During a follow-up visit, the nurse is working on teaching the client about the effects of alcohol on his body. Which of the following would be most important for the nurse to keep in mind about the client?
Correct Answer: C
Rationale: Some cognitive impairment (
C) may persist in early recovery from alcohol abuse, affecting learning ability, so teaching should be simplified. Options A, B, and D overestimate or mischaracterize the extent of cognitive impact.
Question 5 of 5
A nurse is working with a client with depression and substance abuse on ways to promote recovery. Which of the following would be most important for the nurse to include? Select all that apply.
Correct Answer: A,B,D,E
Rationale: A positive social network (
A), treatment compliance (
B), supportive housing (
D), and vocational rehabilitation (E) promote recovery by addressing social, medical, and practical needs. Avoiding hospitalization (
C) is not a goal, as it may be necessary for stabilization.