A nurse is caring for a client who reports frequent social use of alcohol. The client tells the nurse that they have been reprimanded at work for being late several times after they had been out late drinking. Which of the following statements by the client might indicate that the client has developed a substance use disorder?
‘I have lost 15 pounds! I just don't want to eat lately."
"I have been hanging out with friends who are my support system."
"I am so focused right now. I have a lot of goals."
"I am taking art lessons to relieve stress."
The Correct Answer is A
A. “I have lost 15 pounds! I just don’t want to eat lately.”: Significant weight loss and a loss of appetite can indicate the development of a substance use disorder, as these symptoms may reflect the prioritization of alcohol consumption over proper nutrition. The client’s decreased interest in eating raises concerns about potential alcohol misuse or dependence.
B. “I have been hanging out with friends who are my support system.”: Engaging with a supportive social network is generally a positive indicator and can assist in recovery. Having supportive friends does not indicate a substance use disorder and may even help the client address their drinking behavior.
C. “I am so focused right now. I have a lot of goals.”: A focused and ambitious mindset reflects a positive attitude towards life and managing responsibilities. This perspective does not suggest substance use disorder and may indicate effective coping and life management, despite issues with alcohol.
D. “I am taking art lessons to relieve stress.”: Participating in art lessons demonstrates a constructive approach to managing stress through creativity. This behavior indicates healthy coping mechanisms and does not suggest a substance use disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Triage team: A triage team assesses and prioritizes patients based on the severity of their conditions, particularly in emergency settings. This focus on immediate assessment is not relevant to comprehensive care for clients with substance use disorders.
B. Interdisciplinary team: An interdisciplinary team consists of professionals from various disciplines who work collaboratively to provide comprehensive care. This accurately describes the collaboration among providers, nurses, social workers, and counselors to address the needs of a client with a substance use disorder.
C. Collaborative team: While a collaborative team implies teamwork, it does not specifically highlight the diverse specialized roles involved in providing care. This term lacks the specificity of "interdisciplinary team."
D. Tactical team: A tactical team is associated with strategic planning or operations in contexts such as law enforcement or military. This term is not relevant to the provision of healthcare for substance use disorders.
Correct Answer is B
Explanation
A. Initial use of substances began in adulthood: Starting substance use in adulthood is generally associated with a lower risk of developing addiction compared to early initiation. Early exposure to substances can significantly affect brain development and increase vulnerability to addiction.
B. The developing brain is exposed to substances at an early age: Early exposure to substances during critical periods of brain development can disrupt normal neurological processes and increase the likelihood of developing substance use disorders later in life. This is a well-established risk factor for addiction.
C. The brain already has cognitive deficits that cause it to be vulnerable to addiction: While cognitive deficits can increase vulnerability to addiction, this factor is more specific and not as broadly applicable as the impact of early substance exposure on a developing brain.
D. Medical insurance availability for substance use disorder treatment: While having access to treatment is important for recovery, it does not increase the potential for addiction. In fact, access to treatment can help mitigate the effects of addiction and support recovery efforts.
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