A nurse is assisting the charge nurse to prepare for an in service with nursing staff to discuss substance use disorders. Which of the following should the nurse include as an etiological factor of addictive disorders? (Select all that apply.)

Family history of addiction

Asian ethnicity

Poor educational resources

Low self-esteem

Lack of support system

Answer and Explanation

Correct Answer : A,D,E

A. Family history of addiction: Genetic predisposition and family dynamics can significantly contribute to substance use disorders.

B. Asian ethnicity: Ethnicity alone is not a causative factor for addiction. This choice is incorrect.

C. Poor educational resources: While limited education may correlate with substance use, it is not a direct etiological factor.

D. Low self-esteem: Psychological factors like low self-esteem are strongly linked to the development of addictive behaviors.

E. Lack of support system: Social isolation and lack of support are well-documented risk factors for addiction.

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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.

A. Increased irritability towards supervisors, outspokenness regarding work issues, increased attendance at staff meetings. B. Crying, sharing personal details of relationship problems, monopolizing conversations. C. Volunteering for overtime on a continual basis, avoiding having a witness to wasting narcotics, needing to be alone in the medication room when preparing medications. D. Increased cheerfulness, increased energy, helping other nurses on the shift.

Correct Answer is C

Explanation

A. Increased irritability towards supervisors, outspokenness regarding work issues, increased attendance at staff meetings: These behaviors may reflect workplace dissatisfaction or burnout rather than substance use.

B. Crying, sharing personal details of relationship problems, monopolizing conversations: These are more indicative of emotional distress or poor boundaries, not necessarily substance use.

C. Volunteering for overtime on a continual basis, avoiding having a witness to wasting narcotics, needing to be alone in the medication room when preparing medications: These behaviors suggest potential access and misuse of medications, a key indicator of substance use disorder in healthcare workers.

D. Increased cheerfulness, increased energy, helping other nurses on the shift: While these behaviors might seem unusual, they are not strong indicators of substance use disorder.

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A nurse is assisting the charge nurse to prepare for an in service with nursing staff to discuss substance use disorders. Which of the following should the nurse include as an etiological factor of addictive disorders? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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