A nurse is discussing common misconceptions regarding clients who have substance use disorder. The nurse should include which of the following as a potential negative result of providers believing that addiction is the client's own fault?

The client may increase their substance use dramatically.

The client may ask for residential treatment instead of outpatient treatment.

The provider may choose to abuse substances.

The provider may deny care or deliver poor quality of care.

Answer and Explanation

The Correct Answer is D

A. The client may increase their substance use dramatically: While stigma and negative beliefs can affect a client’s self-esteem and motivation, believing addiction is the client's fault does not directly lead to increased substance use. Clients may instead feel shame or hopelessness in response to stigma.
B. The client may ask for residential treatment instead of outpatient treatment: This outcome is not directly related to providers believing that addiction is the client's own fault. The client's treatment preference may depend on various factors, including the severity of their addiction and personal circumstances.
C. The provider may choose to abuse substances: While healthcare providers can experience addiction, believing that addiction is the client’s fault does not necessarily lead to the provider themselves abusing substances.
D. The provider may deny care or deliver poor quality of care: When providers hold the belief that addiction is the client's own fault, it can lead to bias, stigma, and judgment. This attitude may result in denying care or providing inadequate treatment, ultimately impacting the quality of care the client receives and hindering their recovery process.

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Correct Answer is D

Explanation

A. Lack of feelings of remorse: This finding is more characteristic of antisocial personality disorder rather than paranoid personality disorder. Individuals with paranoid personality disorder may feel justified in their suspicions but do not typically lack remorse for their actions.
B. Inflated sense of self: An inflated sense of self is associated with narcissistic personality disorder. Individuals with paranoid personality disorder may have self-doubt but often feel their beliefs and perceptions are valid.
C. Requiring frequent reassurance from others: This behavior is more typical of dependent personality disorder. Individuals with paranoid personality disorder are generally distrustful of others and may not seek reassurance due to their suspicious nature.
D. Suspiciousness of others: This is a key characteristic of paranoid personality disorder. Individuals with this disorder often exhibit a pervasive distrust and suspiciousness of others, interpreting their motives as malevolent. This finding is expected when assessing a client with paranoid personality disorder.

A. Crying, sharing personal details of relationship problems, monopolizing conversations. B. Increased cheerfulness, increased energy, helping other nurses on the shift. 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 irritability towards supervisors, outspokenness regarding work issues, increased attendance at staff meetings.

Correct Answer is C

Explanation

A. Crying, sharing personal details of relationship problems, monopolizing conversations: While these behaviors may indicate emotional distress or stress, they are not specific red flags for a substance use disorder. Many factors can lead to emotional behaviors that are not necessarily related to substance use.
B. Increased cheerfulness, increased energy, helping other nurses on the shift: Although increased energy might seem positive, it can also be a sign of stimulant use. However, increased cheerfulness and helpfulness alone do not necessarily indicate a substance use disorder and may reflect a temporary mood change.
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 are significant red flags for a substance use disorder. Continually volunteering for overtime may indicate a desire to be near controlled substances, while avoiding witnesses during narcotic waste and needing solitude in the medication room suggests potential misuse or diversion of medications.
D. Increased irritability towards supervisors, outspokenness regarding work issues, increased attendance at staff meetings: While increased irritability and outspoken behavior may raise concerns about the nurse's mood or job satisfaction, they are not direct indicators of a substance use disorder. Increased attendance at meetings may even suggest a commitment to the job rather than a problem.

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A nurse is discussing common misconceptions regarding clients who have substance use disorder. The nurse should include which of the following as a potential negative result of providers believing that addiction is the client's own fault?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has paranoid personality disorder. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse manager is reviewing a recent client report related to a staff nurse. Which of the following behaviors by a nurse at work might be red flags for a substance use disorder?

Correct Answer is C

Explanation

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