Nokea
A client in treatment for drug abuse makes the statement, 'I am a winner. You all are the losers because you can't beat this on your own.' What common characteristic of persons addicted to drugs is revealed in this statement?
- A. Realistic understanding of successful recovery of drug addiction
- B. Indication of an underlying personality disorder
- C. Brain damages resulting from chronic drug use
- D. Defending against a negative self-concept
Correct Answer: D
Rationale: The grandiose statement masks low self-esteem, a common trait in addiction, used to defend against feelings of inadequacy, not personality disorder or brain damage.
You may also like to solve these questions
A client is readmitted to the substance abuse program for the second time in 6 months for alcohol abuse. On admission, he tells the nurse, 'I am so ashamed.' What should the nurse reply?
- A. I really thought you would make it.
- B. Tell me what has happened since your last admission.
- C. You have nothing to be ashamed of.
- D. Why did you start drinking again?
Correct Answer: B
Rationale: Asking about recent events encourages therapeutic discussion of the client's situation, unlike judgmental, dismissive, or confrontational responses.
A client is being discharged from treatment for addiction to cocaine. Which statement made by the client would cause the most concern for the nurse?
- A. I am going to take up a new hobby. It's time to start something new.
- B. I can still hang out with my old friends. I am just not going to use.
- C. I'm not very comfortable with being alone yet.
- D. Shooting baskets helps me not think about getting high.
Correct Answer: B
Rationale: Continuing to associate with substance-using friends risks relapse, unlike new hobbies or activities that support recovery, or expressing discomfort with being alone.
Which slogans would be used in a 12-step program?
- A. Pull yourself together
- B. Get control of your problem
- C. One day at a time
- D. Easy does it
- E. Let go and let God
Correct Answer: C,D,E
Rationale: 12-step slogans like 'One day at a time,' 'Easy does it,' and 'Let go and let God' support sobriety, unlike 'Pull yourself together' or 'Get control,' which reflect outdated views.
The client asks the nurse, 'What will happen if I drink while taking Antabuse?' What should be the nurse's reply?
- A. You will not want to drink while taking Antabuse, it reduces the cravings.
- B. You will not get any effect from the alcohol you drink.
- C. Antabuse will reverse the effects of alcohol.
- D. You will experience a severe reaction, including a throbbing headache and vomiting.
Correct Answer: D
Rationale: Drinking on Antabuse causes severe symptoms like headache and vomiting, not reduced cravings, no alcohol effect, or reversal of alcohol effects.
The nurse is coleading a family therapy group for clients and families of drug-addicted individuals. The family of a cocaine addict is angry and cannot understand why the client cannot just stop using. The nurse guides the group to discuss their understanding of the nature of addiction. Which statements would the nurse identify as an accurate understanding of the nature of addiction?
- A. It is a medical illness that is progressive.
- B. The client will eventually be cured.
- C. Relapses and remissions are part of the illness.
- D. Clients can learn to get control over the substance.
Correct Answer: A,C
Rationale: Addiction is a progressive medical illness with relapses and remissions, not curable or controllable through willpower alone.