The nurse is assessing a client's risk factors for developing a substance abuse disorder. Which family characteristic would the nurse identify as the most significant risk factor?

One parent who is an alcoholic

Overprotective Parents

Being raised in an urban area

Parents who practiced strict discipline

Answer and Explanation

The Correct Answer is A

A. One parent who is an alcoholic. A family history of substance abuse, particularly a parent with alcoholism, significantly increases the genetic and environmental risk of substance abuse in children.

B. Overprotective parents. Overprotection may contribute to other issues, like anxiety, but it is not strongly associated with substance abuse.

C. Being raised in an urban area. Living in an urban area does not independently indicate higher risk without other contributing factors.

D. Parents who practiced strict discipline. Strict discipline may lead to rebellion in some cases, but it is not a primary risk factor for substance abuse.

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Correct Answer is B

Explanation

A. Withdrawal symptoms will only manifest as physical discomfort and will not affect a person's mental state. Withdrawal can cause both physical and psychological symptoms, including anxiety, depression, and hallucinations.

B. Withdrawal symptoms will manifest differently depending on the type of addictive substance. Different substances (e.g., alcohol, opioids, stimulants) have distinct withdrawal symptoms. For example, alcohol withdrawal can cause seizures, while opioid withdrawal causes flu-like symptoms.

C. Withdrawal symptoms will only occur immediately after the cessation of the addictive substance. Symptoms may be delayed depending on the substance's half-life and duration of use.

D. Withdrawal symptoms will always include severe headache as the primary manifestation. Headaches are not universal in withdrawal and are substance-dependent.

A. "Alcohol tolerance causes the client to have an increased effect when taking opiates." B. "Alcohol tolerance can result in a decreased physical response to alcohol." C. "A client who has alcohol tolerance develops physical changes when they haven't recently ingested alcohol." D. "Alcohol tolerance is a medical emergency and can develop as a result of withdrawal."

Correct Answer is B

Explanation

A. "Alcohol tolerance causes the client to have an increased effect when taking opiates." Alcohol tolerance is specific to alcohol and does not directly increase the effect of opiates. However, cross-tolerance with other sedatives (e.g., benzodiazepines) may occur.

B. "Alcohol tolerance can result in a decreased physical response to alcohol." Alcohol tolerance develops as the body adapts to frequent alcohol use, requiring higher amounts to achieve the same effects.

C. "A client who has alcohol tolerance develops physical changes when they haven't recently ingested alcohol." This describes alcohol dependence, not tolerance. Physical changes, such as withdrawal symptoms, occur with dependence.

D. "Alcohol tolerance is a medical emergency and can develop as a result of withdrawal." Tolerance develops over time with frequent alcohol use. Withdrawal symptoms are the result of dependence, not tolerance.

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The nurse is assessing a client's risk factors for developing a substance abuse disorder. Which family characteristic would the nurse identify as the most significant risk factor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a correctly prioritized hypothesis about manifestations of withdrawal symptoms?

Correct Answer is B

Explanation

A nurse is discussing alcohol tolerance with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is B

Explanation

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