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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?

A.

“I’m not very comfortable with being alone yet."

B.

“Shooting baskets helps me not think about getting high."

C.

"I am going to take up a new hobby. It's time to start something new."

D.

"I can still hang out with my old friends. I am just not going to use."

Answer and Explanation

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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Related Questions

Correct Answer is C

Explanation

A. "I have no intention to stop drinking. I like the way it makes me feel.": This is an example of denial but does not strongly indicate a defense mechanism.

B. "I have tried so many times to stop drinking. It is so hard.": This demonstrates acknowledgment of the problem and a desire for change, not a defense mechanism.

C. "I don't really have a problem with alcohol. I've just been having a streak of bad luck lately.": This is an example of rationalization, a defense mechanism where the individual justifies their behavior with excuses.

D. "I really need some help. My drinking is tearing my family apart.": This statement reflects insight and readiness for change, not a defense mechanism.

Correct Answer is D

Explanation

A. "I have had bipolar disorder for over 10 years." While mental health conditions can co-occur with addiction, this statement does not directly indicate gambling addiction.

B. "My parents are my support system." This is a neutral statement and does not indicate addiction.

C. “I can't sleep at night. I have insomnia." Insomnia may occur for various reasons and is not diagnostic of gambling addiction.

D. "My wife left me. I lost my job and had to file for bankruptcy." Financial ruin and personal losses are strong indicators of gambling addiction.

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