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 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.
Question 2 of 5
A client with co-occurring disorders of schizophrenia and substance abuse is admitted for treatment. Which of the following would the nurse be least likely to identify as a priority for this client?
Correct Answer: B
Rationale: Group therapy (
B) is least likely to be a priority during acute admission, as assessment (
A), controlling psychiatric symptoms (
C), and treating withdrawal symptoms (
D) address immediate safety and stabilization needs.
Question 3 of 5
A client with major depression visits the mental health clinic and tells the nurse that he has recently started using marijuana quite frequently. The nurse determines that the manifestation of the client?s co-occurring disorder reflects which of the following?
Correct Answer: A
Rationale: The client?s major depression preceded the frequent marijuana use, suggesting primary mental illness with subsequent substance use (
A) as a coping mechanism. Option B implies substance abuse came first, which is not indicated. Option C suggests equal primacy of both disorders, and option D implies a shared cause, both less likely given the sequence described.
Question 4 of 5
The nurse is planning a presentation for a group of mental health care providers on the topic of co-occurring disorders. The nurse plans to include information about health care providers and their response to these clients. Which of the following would the nurse include as a major reason for these clients being often underserved and undertreated?
Correct Answer: C
Rationale: Providers often ignore concurrent mental health disorders (
C), focusing solely on substance abuse, which leads to undertreatment of co-occurring disorders. Option A is less accurate, as 12-step programs are not the primary focus of providers. Option B is specific to personality disorders, not the broader issue. Option D is a challenge but not the primary reason.
Question 5 of 5
The nurse is caring for a female adolescent client diagnosed with depression and substance abuse. Which of the following would be most appropriate for the nurse to do?
Correct Answer: B
Rationale: Asking about suicidal thoughts (
B) is most appropriate, as depression in adolescents with substance abuse significantly increases suicide risk, requiring immediate assessment. Hyperactivity (
A) is less relevant, Wernicke?s syndrome (
C) is specific to thiamine deficiency in alcoholism, and anxiety (
D) is secondary to suicide risk.