A charge nurse is preparing an educational session about addictive disorders for the nursing staff. Which of the following should the nurse include as etiological factors of addictive disorders? (Select all that apply).
Low self-esteem.
Family history of addiction.
Asian ethnicity.
Personality disorders.
Being female.
Correct Answer : A,B,D
The correct answer is choice a. Low self-esteem, b. Family history of addiction, and d. Personality disorders.
Choice A rationale:
Low self-esteem is considered a risk factor for addictive disorders. Individuals with low self-esteem may use substances as a coping mechanism to deal with negative feelings about themselves.
Choice B rationale:
A family history of addiction is a significant risk factor. Genetic predisposition plays a crucial role in the development of addictive behaviors.
Choice C rationale:
Asian ethnicity is not typically considered an etiological factor for addictive disorders. In fact, some studies suggest that certain genetic factors in Asian populations may reduce the risk of alcohol addiction.
Choice D rationale:
Personality disorders, such as borderline personality disorder or antisocial personality disorder, are associated with a higher risk of substance use disorders. These disorders can lead to behaviors that increase the likelihood of addiction.
Choice E rationale:
Being female is not a direct etiological factor for addictive disorders. However, gender can influence the patterns and consequences of substance use, with males generally having a higher prevalence of substance use disorders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale:
Lithium is a mood stabilizer commonly used to treat bipolar disorder. It helps to regulate mood swings, prevent manic episodes, and reduce the risk of depressive episodes.
Choice B rationale:
Donepezil is not used to treat bipolar disorder. It is an acetylcholinesterase inhibitor primarily used to treat symptoms of Alzheimer's disease.
Choice C rationale:
Valproate (Depakote) is another mood stabilizer used in the treatment of bipolar disorder. It can help manage both manic and depressive episodes, as well as prevent future mood swings.
Choice D rationale:
Carbamazepine (Tegretol) is an anticonvulsant medication that also has mood-stabilizing properties. It is often prescribed for individuals with bipolar disorder, especially those who do not respond well to lithium.
Choice E rationale:
Paroxetine (Paxil) is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat depression and anxiety disorders. It is not a primary medication choice for bipolar disorder.
Correct Answer is D
Explanation
The correct answer is choice D.
Choice A rationale:
Encouraging the family to take the client out of the facility for short periods of time may not be appropriate at this point. Abrupt changes in behavior, like sudden cheerfulness, might be a warning sign for potential suicide risk in individuals with depression. Allowing the client to leave the facility could increase the risk of harm.
Choice B rationale:
Rewarding the client for the change in behavior might inadvertently reinforce the idea that acting cheerful is desirable. This could hinder the client's progress and therapeutic understanding of their condition.
Choice C rationale:
Asking the client why her behavior has changed is a thoughtful and reasonable approach, but it might not address the potential underlying issues adequately. Depression can still be present, and sudden shifts in mood should be monitored closely.
Choice D rationale:
Monitoring the client's whereabouts at all times is the appropriate action. Sudden improvements in a depressed client's demeanor could indicate that they have made a decision to end their life. Monitoring ensures their safety and enables prompt intervention if needed.
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