Registered Practical Nurse (RPN) Practice Test

What is a psychological effect that may occur during opiate withdrawal?

1. Suicidal ideation

2. Enhanced mood stability

3. Increased sociability

4. Improved focus

The correct answer is: Suicidal ideation

During opiate withdrawal, individuals often experience a range of psychological effects, one of which can be suicidal ideation. This phenomenon arises from the combination of physical discomfort, emotional distress, and a sense of hopelessness that can occur when the body is adjusting to the absence of opiates. The brain's chemistry is significantly altered during opiate use, and withdrawal can lead to severe mood swings, anxiety, and depression, contributing to thoughts of self-harm or suicide. The other options do not accurately reflect the common psychological effects seen during withdrawal. Enhanced mood stability and increased sociability typically do not occur, as withdrawal often leads to irritability and withdrawal from social interactions rather than improvement in mood or social behavior. Similarly, improved focus is not a characteristic of opiate withdrawal; cognitive function can be impaired during this time due to the psychological and physical symptoms experienced. Therefore, suicidal ideation stands out as a significant concern that healthcare providers must monitor during opiate withdrawal.