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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.
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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.
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.
A nurse suspects a coworker is signing out narcotics for clients and is using them herself. Which action should be taken by the nurse who has these suspicions?
- A. Ignore suspicions and leave it to the supervisor to intervene.
- B. Report the observations to the supervisor.
- C. Follow behind the coworker to ensure client comfort and safety.
- D. Confront the coworker about suspicions.
Correct Answer: B
Rationale: Reporting to a supervisor fulfills ethical and legal responsibilities, ensuring client safety, unlike ignoring, following, or confronting directly.
The nurse is discussing the principles of 12-step program for recovery with a client. Which statement is consistent with the principles of 12-step programs?
- A. The client will need to abstain from all substances for successful recovery.
- B. Once sober, the person can safely return to life as it was before becoming addicted.
- C. The prognosis for recovery is enhanced with the aid of maintenance medications.
- D. Recovery requires adherence to a plan of achieving long-term goals.
Correct Answer: A
Rationale: The 12-step program emphasizes total abstinence and support from others, unlike returning to pre-addiction life, relying on medications, or focusing solely on long-term goals.
A community health nurse is planning a substance abuse prevention program. Which group would be the best target audience for the nurse to plan a program?
- A. Teenagers in a high school health class
- B. School-age children in an after-school program
- C. Parents attending a parent-teacher association meeting
- D. Elementary school teachers and counselors
Correct Answer: B
Rationale: School-age children are ideal for prevention programs as they are at risk but not yet likely addicted, unlike teenagers, parents, or teachers who may need different interventions.