1. The nurse reviews the laboratory findings for a client's urine drug screen that is

positive for cocaine. Which client behavior should be expected during cocaine

withdrawal?

A. Psychomotor agitation

B. Restlessness and hyperactivity

C. Detachment from reality and drowsiness

D. Distorted perceptions and hallucinations

Rationale:

During cocaine withdrawal, the nurse should expect option A and a pattern of

withdrawal symptoms similar to those of one who uses amphetamines. Options B,

C, and D are signs and symptoms of a person who is high on cocaine rather than

one who is experiencing withdrawal from cocaine.

2. A middle-aged adult was discharged from a treatment center 6 weeks ago

following treatment for suicide ideation and alcohol abuse. In a follow-up visit to

the mental health clinic, the client complains of lethargy, apathy, irritability, and

anxiety. Which question is most important for the nurse to ask?

A. "Are you taking prescribed antidepressants?"

B. "How much alcohol do you consume daily?"

C. "What seems to precipitate the anxious feelings?"

D. "How many hours do you sleep per day?"

Rationale:

First, and most importantly, the client's use of alcohol should be determined

because further treatment is dependent on the client's sobriety, and asking how

much alcohol is being consumed is a better question than asking if the client is

drinking, which is a "yes-no" answer that does not promote dialogue. Options A, C,

and D provide worthwhile assessment data, but first the nurse should determine if