ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 40 : Caring for Persons With Co-occurring Mental Disorders Questions
Question 1 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 2 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 3 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 4 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 5 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.