A nurse is assisting the charge nurse to prepare for an in service with nursing staff to discuss substance use disorders. Which of the following should the nurse include as an etiological factor of addictive disorders? (Select all that apply.)

Family history of addiction

Asian ethnicity

Poor educational resources

Low self-esteem

Lack of support system

Answer and Explanation

Correct Answer : A,D,E

A. Family history of addiction: Genetic predisposition and family dynamics can significantly contribute to substance use disorders.

B. Asian ethnicity: Ethnicity alone is not a causative factor for addiction. This choice is incorrect.

C. Poor educational resources: While limited education may correlate with substance use, it is not a direct etiological factor.

D. Low self-esteem: Psychological factors like low self-esteem are strongly linked to the development of addictive behaviors.

E. Lack of support system: Social isolation and lack of support are well-documented risk factors for addiction.

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Correct Answer is C

Explanation

A. "I have no intention to stop drinking. I like the way it makes me feel.": This is an example of denial but does not strongly indicate a defense mechanism.

B. "I have tried so many times to stop drinking. It is so hard.": This demonstrates acknowledgment of the problem and a desire for change, not a defense mechanism.

C. "I don't really have a problem with alcohol. I've just been having a streak of bad luck lately.": This is an example of rationalization, a defense mechanism where the individual justifies their behavior with excuses.

D. "I really need some help. My drinking is tearing my family apart.": This statement reflects insight and readiness for change, not a defense mechanism.

A. Refer client to mental health care provider for evaluation and treatment. B. Assist the client to identify negative effects of chemical dependency. C. Identify support groups in the community for long-term treatment. D. Determine the presence and degree of suicidal risk.

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.

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A nurse is assisting the charge nurse to prepare for an in service with nursing staff to discuss substance use disorders. Which of the following should the nurse include as an etiological factor of addictive disorders? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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