UWorld Leadership Practice Test 2025 – All-in-One Guide to Master Your Leadership Skills!

The client who drank heavily two hours prior is at greater risk due to an intoxication state primarily because of the significant effects that alcohol can have on cognitive and motor functions. Alcohol is a central nervous system depressant, and when consumed in large quantities, it can lead to impairment in judgment, coordination, and reaction times. The timeframe of two hours post-consumption indicates that the alcohol may not yet be fully metabolized, continuing to affect the client's physiological and neurological status.

In contrast, while marijuana can induce intoxication, its effects can vary significantly based on the individual and the amount consumed, and one hour may not be long enough for significant impairment to be evident in all users. A client with a stable metabolic rate is less likely to be in an intoxicated state, as their body's processing of substances would be more efficient. Lastly, clients under the influence of caffeine typically experience increased alertness and energy, as caffeine is a stimulant rather than a depressant. Thus, the potential risks associated with alcohol intoxication, particularly in the context described, make the second option the most concerning.