A nurse is collecting data from a 12-year-old child. Which of the following assessment findings would indicate a high risk for developing substance abuse?
(Select All that Apply.)
Having a learning disability
Inadequate sleep at night
Substance uses within immediate family
Feeling unsafe at home
Fighting with peers at school
Correct Answer : A,C,D,E
A. Having a learning disability: Learning disabilities can increase vulnerability due to academic struggles and lower self-esteem.
B. Inadequate sleep at night: While poor sleep can affect mood and behavior, it is not a direct high-risk factor for substance abuse.
C. Substance use within immediate family: Exposure to substance use in the family normalizes such behavior, increasing the risk.
D. Feeling unsafe at home: An unstable or unsafe home environment is a significant risk factor for substance abuse.
E. Fighting with peers at school: Peer conflict can lead to isolation and susceptibility to negative influences like substance use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
A. Hallucinations. Hallucinations are a sign of severe alcohol withdrawal, such as delirium tremens (DTs), which can be life-threatening and requires immediate medical attention.
B. Tremors. Tremors are a common withdrawal symptom but are not as critical as hallucinations.
C. Anorexia. Loss of appetite is a minor symptom and not life-threatening.
D. Insomnia. Although common in withdrawal, insomnia is not an urgent priority compared to hallucinations.
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