Registered Practical Nurse (RPN) Practice Test

What is true about cognitive impairment in individuals early in recovery from substance use?

1. It is usually transitory and resolves within the first month of abstinence

2. It is chronic and requires extensive therapy

3. It worsens with time and makes recovery more difficult

4. It is permanent and affects daily functioning

The correct answer is: It is usually transitory and resolves within the first month of abstinence

Cognitive impairment in individuals early in recovery from substance use is typically transitory and often resolves within the first month of abstinence. This reflects the brain's remarkable ability to recover and adapt after the cessation of substance use. During active substance use, the neurochemistry of the brain is altered, which can lead to issues with attention, memory, and decision-making. However, with sustained abstinence, cognitive functions can improve significantly as the brain begins to heal. Research has shown that individuals frequently experience impaired cognitive abilities shortly after stopping substance use, but these impairments tend to show marked improvement as they maintain sobriety. This understanding underscores the importance of support and a structured recovery plan during the early stages of abstinence, as the brain's cognitive functions can often restore themselves to a considerable extent. The temporary nature of cognitive impairment in this context contrasts with situations involving chronic cognitive issues, which would not resolve quickly and generally require long-term interventions.