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?
“I’m not very comfortable with being alone yet."
“Shooting baskets helps me not think about getting high."
"I am going to take up a new hobby. It's time to start something new."
"I can still hang out with my old friends. I am just not going to use."
The Correct Answer is D
A. “I’m not very comfortable with being alone yet." While this statement reflects a challenge, it does not directly suggest a risk of relapse.
B. "Shooting baskets helps me not think about getting high." This reflects a positive coping mechanism.
C. "I am going to take up a new hobby. It's time to start something new." Engaging in new activities is a sign of recovery.
D. "I can still hang out with my old friends. I am just not going to use." Associating with friends who use substances significantly increases the risk of relapse.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Infrequent attendance is usually successful. Success in a 12-step program often depends on consistent attendance and active participation.
B. The philosophy that it is possible to reduce the use of substances without abstaining. The 12-step program emphasizes total abstinence rather than moderation or reduced use.
C. It is a self-help group that focuses on total abstinence. This is the hallmark of the 12-step program, as it emphasizes a commitment to complete abstinence through peer support and personal accountability.
D. Persons who use this program are independent in their sobriety. The program focuses on mutual support, and participants rely on the group and sponsors to maintain sobriety.
Correct Answer is A
Explanation
A. Maintain a nonjudgmental attitude: A nonjudgmental approach promotes trust and encourages the client to disclose pertinent information.
B. Avoid mentioning alcohol use when collecting client data: It is essential to discuss alcohol use openly to guide effective care and intervention.
C. Offer sympathetic support: While empathy is important, over-sympathizing may undermine professional boundaries.
D. Verbalize disapproval of the substance abuse: Expressing disapproval is likely to provoke defensiveness and hinder communication.
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