ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 30 Questions
Question 1 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 2 of 5
A nurse is obtaining a history from a client who drinks about 6 cups of coffee and several diet cola drinks per day. The client states, I just cut down my coffee and soda intake to one per day. Which of the following would the nurse most likely expect to assess? Select all that apply.
Correct Answer: A,B,C
Rationale: Abrupt reduction in caffeine intake can cause withdrawal symptoms like headache (
A), fatigue (
B), and yawning (
C) due to CNS and adenosine receptor changes. Flushing (
D) and diuresis (E) are not typical caffeine withdrawal symptoms.
Question 3 of 5
A group of nursing students is reviewing information about substances that are abused. The students demonstrate understanding of the information when they identify which of the following as stimulants? Select all that apply.
Correct Answer: B,D
Rationale: Cocaine (
B) and nicotine (
D) are stimulants, increasing CNS activity. Alcohol (
A) is a depressant, heroin (
C) is an opioid, and phencyclidine (E) is a dissociative anesthetic.
Question 4 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 5 of 5
A client with a history of opioid abuse is exhibiting manifestations of moderate withdrawal. Which of the following would the nurse expect to assess?
Correct Answer: A,B,C,D
Rationale: Moderate opioid withdrawal includes rhinorrhea (
A), lacrimation (
B), dilated pupils (
C), and dysphoria (
D) due to autonomic and psychological distress. All are characteristic symptoms.