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Ati lpn mental health exam
Ati lpn mental health exam
Total Questions : 50
Showing 10 questions Sign up for moreAlcohol does not require digestion, is not converted to glycogen, and does provide energy but no nutritional value. The absorption of alcohol is increased by:
Explanation
A. drinking it cold: Temperature does not significantly influence alcohol absorption. The rate is not increased by consuming cold beverages.
B. an empty stomach: Without food, alcohol passes quickly into the small intestine where it is rapidly absorbed into the bloodstream, increasing its effects.
C. drinking it warm: Warm temperature may slightly increase vasodilation but does not significantly affect absorption rate compared to stomach contents.
D. drinking large amounts: Drinking more increases alcohol concentration but does not increase absorption rate per unit; rather, it may saturate metabolic pathways.
The disease of dependence has three stages. In which stage does the user demonstrate signs of withdrawal when the drug is stopped, and experience severe physical problems and disabling psychological difficulties?
Explanation
A. early stage: Characterized by increasing tolerance, occasional overuse, and secretive behavior-not withdrawal symptoms.
B. middle stage: The user begins to lose control, experience guilt, and may show signs of dependence, but withdrawal is not yet severe.
C. prodromal stage: This term is not typically used in addiction staging; may be a distractor.
D. late stage: This stage involves severe physical deterioration, psychological dependence, and clear withdrawal symptoms if use is stopped.
Intake of a substance in a large enough quantity to interfere with normal functioning is:
Explanation
A. overdose: Refers to consuming a toxic amount that may be life-threatening, often requiring emergency intervention.
B. intoxication: Intoxication is the physiological and psychological disruption caused by a substance, impairing functioning.
C. tolerance: Tolerance refers to needing more of a substance to achieve the same effect, not acute interference with function.
D. dependency: Dependency is a chronic condition characterized by compulsion and inability to stop use, not a single event of impairment.
As there is no cure for addiction, abstinence is considered to be the control of the disease. The goal of treatment is to assist the patient to abstain from substance use for the remainder of his/her life. This phase of the program is called:
Explanation
A. recovery: Recovery is the ongoing process of abstaining from substance use and managing one’s life without addiction.
B. prolonged abstinence: While a component of recovery, it is not the name of the phase or program goal.
C. addiction prevention: This focuses on preventing addiction in at-risk populations, not treating individuals with addiction.
D. rehabilitation: Rehabilitation includes early treatment and education but does not imply lifelong abstinence or control.
Nurses know that alcohol functions as a
Explanation
A. Major tranquilizer: These are antipsychotic medications used to treat serious psychiatric disorders, not alcohol.
B. CNS stimulant: Alcohol slows brain activity; it is not a stimulant.
C. CNS depressant: Alcohol reduces central nervous system activity, resulting in drowsiness, slowed reaction times, and impaired coordination.
D. Minor tranquilizer: These include benzodiazepines like diazepam, not alcohol.
Basic practices for professional conduct in mental health care include:
Explanation
A. all of the other answers are correct: Professionalism in mental health includes ethical behavior, staying current with developments, and dressing appropriately. This choice encompasses all necessary components.
B. abiding by the codes of ethics: Ethical practice is essential, but this is only one component of professional conduct.
C. keeping up with current ideas, concepts, and techniques: Lifelong learning is vital to effective practice but is not the only requirement.
D. dressing appropriately for the work situation: Appropriate dress shows respect and helps establish therapeutic rapport, but it must be combined with other practices for overall professionalism.
Your patient admits to using an illegal substance daily, thinking about it when not actually using it, and spending a lot of time figuring out where to get it. This patient could have:
Explanation
A. Dementia: Dementia is a cognitive decline due to neurodegeneration, not compulsive drug use.
B. A delusion: Delusions are false fixed beliefs not based in reality, unrelated to habitual substance use behavior.
C. An addiction: Addiction involves compulsive substance use, preoccupation with the substance, and behavioral disruption due to its use.
D. DTs: Delirium tremens is an acute withdrawal condition seen in alcohol dependence, not a description of ongoing drug-seeking behavior.
When the nurse tries to explain alcoholism, she admits there is no one theory. The nurse is able to state that there may be a genetic tendency, because sons of alcoholic fathers have this risk of developing alcoholism:
Explanation
A. 20% to 25%: While a moderate estimate, studies show higher genetic risk among children of alcoholics, particularly sons.
B. 30% to 50%: Research indicates that sons of alcoholic fathers have a significantly higher risk of developing alcoholism due to both genetic and environmental factors.
C. 0% to 5%: This underestimates the risk and does not reflect established genetic research findings.
D. 10% to 15%: Still underestimates the actual genetic risk observed in studies of familial alcoholism.
A nurse is caring for a client who has a history of alcohol use disorder and has been hospitalized for alcohol intoxication. The nurse enters the room and finds the client shouting "Get those bugs off of me." Which of the following responses should the nurse make?
Explanation
A. "I'm sure that the bugs you see will not harm you.": This response validates the hallucination and may increase the client's anxiety.
B. "I don't see any bugs, but you seem very frightened.": This response maintains reality orientation while acknowledging the client’s emotional state, a therapeutic and non-confrontational approach.
C. "Let's get out of your room so that the bugs will not bother you": This reinforces the hallucination and may worsen disorientation.
D. “There are no bugs in here. This is part of your illness.": This is too blunt and dismissive, potentially increasing defensiveness or agitation.
Hallucinogens alter perception and thinking and are natural or synthetically made. They affect several areas of the brain, and the effects can last:
Explanation
A. 5 to 10 hours: A close approximation but less accurate than the typical 6 to 12 hours reported for many hallucinogens like LSD.
B. 6 to 12 hours: The effects of common hallucinogens such as LSD and psilocybin can last 6 to 12 hours, depending on dosage and substance.
C. 2 to 4 hours: This duration aligns more with some stimulants or shorter-acting drugs, not most hallucinogens.
D. 1 to 2 hours: Too short for hallucinogenic effects; may be confused with fast-acting inhalants or some sedatives.
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