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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. “Disulfiram will prevent my cravings for alcohol.” Disulfiram creates an aversion but does not reduce cravings.

B. "I should expect hand tremors to start less than 24 hours after I stop drinking." Tremors typically begin within 6-24 hours of the last drink.

C. "It is important that I take Vitamin C to prevent liver cirrhosis or other liver damage." Thiamine (Vitamin B1), not Vitamin C, is essential to prevent Wernicke’s encephalopathy and other complications.

D. "Withdrawal symptoms should last about 5 to 7 days once they begin." Withdrawal symptoms typically peak in 48-72 hours and subside after 4-5 days, not 7 days.

A. Infrequent attendance is usually successful. B. The philosophy that it is possible to reduce the use of substances without abstaining. C. It is a self-help group that focuses on total abstinence. D. Persons who use this program are independent in their sobriety.

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.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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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.)