Nokea
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.
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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 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.
A nurse is exploring treatment options with a client addicted to heroin. Which information regarding the use of methadone is important for the nurse to include?
- A. Unlike heroin, methadone is nonaddicting.
- B. Methadone will meet the physical need for opiates without producing cravings for more.
- C. Methadone will produce a high similar to heroin.
- D. People taking methadone run the same risks associated with IV drug use as those taking heroin.
Correct Answer: B
Rationale: Methadone satisfies opiate needs without increasing cravings, unlike heroin, but is still addictive, does not produce a high, and avoids IV drug risks.
When interviewing the family members of a client being treated for substance abuse problems, which behavior would alert the nurse to the possibility of codependency?
- A. Being flexible but angry
- B. Blaming themselves for the family's problems
- C. Expressing thoughts and feelings openly
- D. Taking pleasure in self-accomplishments
Correct Answer: B
Rationale: Self-blame is a hallmark of codependency, reflecting maladaptive coping, unlike flexibility, open expression, or self-accomplishment.
A client will be taking disulfiram (Antabuse) after discharge from an alcohol treatment program. Which statement would indicate that teaching has been effective?
- A. Antabuse is safe to take with any over-the-counter cold medication.
- B. Antabuse will block my cravings for alcohol, so I'll have less desire to drink.
- C. Drinking alcohol while taking Antabuse can cause dangerous symptoms.
- D. If I drink while taking Antabuse, it will make me vomit before the alcohol affects me.
Correct Answer: C
Rationale: Understanding that Antabuse causes dangerous symptoms with alcohol indicates effective teaching, unlike misconceptions about cravings, vomiting timing, or OTC safety.