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A client is being discharged from treatment for addiction to cocaine. Which statement made by the client would cause the most concern for the nurse?

A.

“I’m not very comfortable with being alone yet."

B.

“Shooting baskets helps me not think about getting high."

C.

"I am going to take up a new hobby. It's time to start something new."

D.

"I can still hang out with my old friends. I am just not going to use."

Answer and Explanation

The Correct Answer is D

A. “I’m not very comfortable with being alone yet." While this statement reflects a challenge, it does not directly suggest a risk of relapse.

B. "Shooting baskets helps me not think about getting high." This reflects a positive coping mechanism.

C. "I am going to take up a new hobby. It's time to start something new." Engaging in new activities is a sign of recovery.

D. "I can still hang out with my old friends. I am just not going to use." Associating with friends who use substances significantly increases the risk of relapse.


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Related Questions

Correct Answer is D

Explanation

A. Refer client to mental health care provider for evaluation and treatment: While this is important, it is not the immediate priority. Identifying imminent risks, such as suicidal ideation, takes precedence.

B. Assist the client to identify negative effects of chemical dependency: This intervention is more suitable after immediate safety concerns, such as suicide risk, are addressed.

C. Identify support groups in the community for long-term treatment: This is a secondary intervention after immediate risks have been mitigated.

D. Determine the presence and degree of suicidal risk: Ensuring the client’s safety is the priority, as depression and recent stressors (job loss) significantly increase the risk of suicide.

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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