Nokea
The nurse is assessing a client's risk factors for developing a substance abuse disorder. Which family characteristics would the nurse identify as a significant risk factor?
- A. One parent who is an alcoholic
- B. Parents who practiced strict discipline
- C. Overprotective parents
- D. Being raised in an urban area
Correct Answer: A
Rationale: Children of alcoholics are four times more likely to develop alcoholism, a stronger risk factor than strict discipline, overprotection, or urban environments.
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Which characteristic of the 12-step program distinguishes it from other programs?
- A. The philosophy that it is possible to reduce the use of substances without abstaining.
- B. It is a self-help group that does not necessarily use health professionals as leaders.
- C. Persons who use this program are independent in their sobriety.
- D. Infrequent attendance is usually successful.
Correct Answer: B
Rationale: The 12-step program is distinguished by its self-help model, led by peers rather than professionals, emphasizing abstinence and regular attendance.
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.
The nurse is coleading a family therapy group with a client addicted to alcohol. Which statement made by the wife indicates the need for additional education regarding alcoholism as a family illness?
- A. I have to call in sick for my husband when he is too hung over to go to work.
- B. Last time he got arrested, I just let him sit in jail.
- C. We have separated our finances so that I will not go broke.
- D. I take my kids with me to Al-anon meetings every week.
Correct Answer: A
Rationale: Calling in sick enables the addiction, indicating a need for education on avoiding codependent behaviors, unlike jail time, financial separation, or Al-anon attendance.
Which of the following groups could benefit most from prevention programs?
- A. Children, prior to first use
- B. Adults who have already engaged in substance abuse
- C. Older adults
- D. Infants
Correct Answer: A
Rationale: Children before first use benefit most from prevention due to their impressionability and lack of addiction, unlike adults, older adults, or infants.
Which reasons make it necessary for the nurse to examine his or her beliefs and attitudes about substance abuse?
- A. The nurse may be overly harsh and critical of the client.
- B. The nurse may unknowingly act out old family roles and engage in enabling behavior.
- C. The nurse or close friends and family of the nurse may abuse substances.
- D. The nurse may have different attitudes about various substances of abuse.
- E. The nurse is not likely to have had any experience with substance abuse.
Correct Answer: A,B,C,D
Rationale: Examining beliefs prevents harshness, enabling, or bias from personal or familial substance abuse experiences, as nurses are likely affected given its prevalence.