ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 40 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
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
A client with schizophrenia and substance abuse disorder is admitted to a detoxification program. The client has been prescribed neuroleptic medications for schizophrenia. When caring for this client, the nurse would implement interventions to reduce the client?s risk for relapse, integrating knowledge that relapse frequently is secondary to which of the following?
Correct Answer: C
Rationale: Medication non-adherence (
C) is a primary cause of relapse in schizophrenia, as neuroleptics control symptoms, and stopping them often leads to symptom recurrence and substance use. Poor social skills (
A), lack of vocational skills (
B), and dysfunctional family systems (
D) contribute but are less directly linked to relapse than non-adherence.
Question 4 of 5
A nurse is interviewing a client who has a co-occurring diagnosis. The client is trying to explain why it is so easy to start drinking again even though hospitalization and prescribed medications can eventually control his mental problems. Which statement by the client would the nurse interpret as reflecting the client?s beliefs?
Correct Answer: B
Rationale: The client?s statement in option B reflects a common belief in co-occurring disorders, where substance use provides an escape or euphoria that medications do not, driving relapse. Option A focuses on cost, option C on side effects, and option D on avoiding responsibility, all less central to the emotional pull of substance use.
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.