Which of the following clients is most likely to be at risk for drug dependence and difficulties with withdrawal?

A client who has recently begun treatment with propanolol (Inderal) for the treatment of social phobia.

A woman who has been taking lorazepam (Ativan) for several months after witnessing a traumatic motor vehicle accident.

A man whose obsessive-compulsive disorder (OCD) is being treated long-term with paroxetine (Paxil)

A client with generalized anxiety disorder who has responded well since beginning treatment with fluoxetine (Prozac) earlier in the year.

Answer and Explanation

The Correct Answer is B

A. A client who has recently begun treatment with propranolol (Inderal) for the treatment of social phobia. Propranolol, a beta-blocker, does not have a significant risk for dependence or withdrawal symptoms. It is primarily used for physical symptoms of anxiety, such as tachycardia.

B. A woman who has been taking lorazepam (Ativan) for several months after witnessing a traumatic motor vehicle accident. Lorazepam is a benzodiazepine, which has a high potential for dependence and withdrawal, especially with long-term use. This client is the most at risk for these issues.

C. A man whose obsessive-compulsive disorder (OCD) is being treated long-term with paroxetine (Paxil). While discontinuation symptoms can occur with SSRIs like paroxetine, the risk of dependence is significantly lower than with benzodiazepines.

D. A client with generalized anxiety disorder who has responded well since beginning treatment with fluoxetine (Prozac) earlier in the year. Like paroxetine, fluoxetine is an SSRI, and while discontinuation symptoms may occur, the risk of dependence is low.

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Correct Answer is B

Explanation

A. "I feel like everyone depends on me too much." This statement indicates a sense of responsibility and connection to others, which may not directly indicate suicidal ideation.

B. "Life has lost its meaning for me." This statement is a strong indicator of hopelessness, which is a key risk factor for suicide. The client feels that life is meaningless, which could indicate a desire to end their life.

C. "I wish I could just take a vacation and get away from it all." While this statement may indicate stress or a desire to escape, it does not directly suggest suicidal intent.

D. "I feel like a failure and wish one thing would just go right." This statement indicates frustration and low self-worth, but it doesn't necessarily indicate an immediate risk of suicide as clearly as statement B.

A. Her family will no longer be dysfunctional. B. She'll need ongoing support to remain abstinent. C. She doesn't need to be concerned about abusing alcohol in the future. D. She can learn to consume alcohol without problems.

Correct Answer is B

Explanation

A. "Her family will no longer be dysfunctional." Completing a treatment program does not guarantee that family dynamics will change or improve immediately. Family dysfunction is often deeply rooted and requires separate or concurrent therapy.

B. "She'll need ongoing support to remain abstinent." Recovery from alcoholism is an ongoing process, and continued support, whether through therapy, support groups, or counseling, is critical to maintaining abstinence and preventing relapse.

C. "She doesn't need to be concerned about abusing alcohol in the future." This statement is inaccurate because individuals recovering from alcoholism must remain vigilant to prevent relapse. Alcoholism is a chronic condition, and the risk of relapse remains.

D. "She can learn to consume alcohol without problems." This is incorrect, as individuals who have struggled with alcoholism typically need to abstain completely from alcohol to prevent relapse.

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Which of the following clients is most likely to be at risk for drug dependence and difficulties with withdrawal?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is interviewing a client with major depression. Which of the following statements by the client would most indicate to the nurse that the client is at risk for suicide?

Correct Answer is B

Explanation

A client with alcoholism has just completed a residential treatment program. What can this client reasonably expect?

Correct Answer is B

Explanation

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