Nokea
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.
You may also like to solve these questions
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.
Which statements are important reasons for why the problem of substance abuse must be addressed?
- A. Increasing numbers of infants are suffering the physiologic and emotional consequences of prenatal exposure to alcohol or drugs.
- B. Chemical abuse results in increased violence.
- C. Drug abuse costs business and industry an estimated $102 billion annually.
- D. Alcohol abuse is a too frequent cause of or contributor to death.
- E. Substance abuse is decreasing.
Correct Answer: A,B,C,D
Rationale: Substance abuse causes prenatal harm, violence, economic losses, and death, but it is increasing, not decreasing, making it a critical issue to address.
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 client has been admitted to the inpatient unit after using inhalants recently. Which is an antidote to treat inhalant toxicity?
- A. Ativan
- B. Narcan
- C. Antabuse
- D. There is no antidote
Correct Answer: D
Rationale: No specific antidote exists for inhalant toxicity, unlike Ativan, Narcan, or Antabuse, which treat other conditions.
The nurse is talking with the friend of a client with alcoholism. The friend tells the nurse that his relationship with the client was codependent and enabling. Which is an example of codependent behavior?
- A. The friend called Alcoholics Anonymous when the client expressed a need to stop drinking.
- B. The friend called the client every night to make sure he got home safely and went looking for him if he was not at home.
- C. The friend confronted the client on the effect of his drinking on their relationship.
- D. The friend refused to go out drinking with the client to celebrate the client's birthday.
Correct Answer: B
Rationale: Calling nightly and searching for the client enables drinking by reducing consequences, unlike seeking help, confronting, or refusing to drink, which are not codependent.