Relapse Prevention and Substance Use
10. A patient who has been sober for 20 years is anticipating some major life
changes in the next 3 months and is very worried about relapse. ,Which
of the following actions should the PMHNP do first?
A. Refer the patient to Alcoholics Anonymous
B. Asses his coping strategies
C. Offer the patient naltrexone to be used in the Sinclair method
D. Refer the patient to inpatient rehab
11. A 34-year-old man is inattentive, dysphoric, disinhibited, with impaired
memory and psychomotor retardation. All of the following drugs of
abuse may cause these symptoms except:
A. Alcohol
B. Opioids
C. Cannabis
D. Stimulants
Key Considerations in Relapse Prevention
12. Which of the following agents could cause a patient to behave restlessly,
agitated, grandiose, aggressive, and emotionally labile?
A. Amphetamines
B. Opioids
C. Marijuana
D. Ketamine
13. A 43-year-old man was involved in a motor vehicle collision in which he
was found to have a blood alcohol concentration of 0.200. He was
observed wandering around the crash site, slurring his words, and
unable to provide a clear history. Emergency Medical Services brought
him to the emergency department. The nurse triaged him to psychiatry
for acute alcohol intoxication. What is the first priority for the
PMHNP? Relapse Prevention and Substance Use
A. C-spine stabilization and head imaging
B. IV hydration
C. Explore the client’s willingness to enter rehab
D. Ask the patient when he had his last drink
14. In assessing a patient’s withdrawal symptoms from opioids, which
evidence-based tool would be most appropriate?
A. Clinical Institute Withdrawal Assessment of Alcohol Scale Revised
(CIWA-Ar)
B. Minnesota Multiphasic Personality Inventory (MMPI)
C. Clinical Opioid Withdrawal Scale (COWS)
D. Hamilton Rating Scale for Depression (HAM-D) Relapse Prevention and Substance Use
15. Which of the following immediate determinants related to relapse
prevention is the biggest predictor of relapse?
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A. Outcome expectancy
B. Negative emotional state
C. Ineffective coping skills
D. Previous history of lapse APA
