ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 40 : Caring for Persons With Co-occurring Mental Disorders Questions
Question 1 of 5
A nurse is working as part of an interdisciplinary treatment team for a client diagnosed with a mental illness and substance abuse disorder. As part of the recovery process, which of the following would be most important for the team to do initially?
Correct Answer: D
Rationale: Providing immediate help with a situational crisis (
D) builds trust, a critical first step for engaging clients with co-occurring disorders in treatment. Short-term hospitalizations (
A) and establishing authority (
B) are less effective initially, and heavy confrontation (
C) is counterproductive and inappropriate.
Question 2 of 5
A client has a co-occurring diagnosis of alcoholism and bipolar disorder. He was brought to the emergency department by two policemen who had broken up a fight that the client had gotten into in a neighborhood bar. The client is intrusive and verbose about having diplomatic immunity and his pressing need to tour the bistate area to promote his bid for the presidency. The client has had multiple admissions to the hospital?s psychiatric unit, and he has almost always experienced alcohol withdrawal syndrome immediately after his previous admissions. Which of the following would be a priority for this client?
Correct Answer: B
Rationale: Monitoring for alcohol withdrawal syndrome (
B) is the priority due to its potential for life-threatening complications, given the client?s history. Administering mood stabilizers (
A) is important but secondary to immediate safety. Suggesting behavioral changes (
C) is ineffective during acute mania, and outpatient referral (
D) is premature during an acute crisis.
Question 3 of 5
The parents of a client with schizophrenia who also abuses alcohol asks the nurse, 'What can we do to help our son from relapsing after he is discharged from the hospital?' Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: Reporting side effects (
D) helps ensure medication adherence, a key factor in preventing relapse in schizophrenia and alcohol abuse, as side effects often lead to discontinuation. Option A dismisses family involvement, option B is overly restrictive, and option C is specific to AA but less critical than medication management.
Question 4 of 5
A nurse is readmitting a client with a co-occurring diagnoses of schizophrenia and alcohol abuse who has relapsed. The client says, 'I?m just a failure. I?ll never be anything but just a drunk.' Which response by the nurse would be most appropriate?
Correct Answer: A
Rationale: Stating that relapse is a normal part of recovery (
A) is therapeutic, offering hope and framing the relapse as a learning opportunity. Option B is defeatist, option C oversimplifies the relationship between disorders, and option D avoids addressing the client?s feelings directly.
Question 5 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.