A nurse is collecting data from a 12-year-old child. Which of the following assessment findings would indicate a high risk for developing substance abuse?
(Select All that Apply.)
Having a learning disability
Inadequate sleep at night
Substance uses within immediate family
Feeling unsafe at home
Fighting with peers at school
Correct Answer : A,C,D,E
A. Having a learning disability: Learning disabilities can increase vulnerability due to academic struggles and lower self-esteem.
B. Inadequate sleep at night: While poor sleep can affect mood and behavior, it is not a direct high-risk factor for substance abuse.
C. Substance use within immediate family: Exposure to substance use in the family normalizes such behavior, increasing the risk.
D. Feeling unsafe at home: An unstable or unsafe home environment is a significant risk factor for substance abuse.
E. Fighting with peers at school: Peer conflict can lead to isolation and susceptibility to negative influences like substance use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Fatigue and depression: These symptoms are associated with withdrawal from stimulants, not alcohol.
B. Muscle aches and chills: These are not common symptoms of alcohol withdrawal.
C. Anxiety and diaphoresis: Alcohol withdrawal is characterized by increased autonomic activity, including anxiety, sweating, tremors, and tachycardia.
D. Arrhythmia and respiratory depression: While severe withdrawal can lead to seizures and arrhythmias, respiratory depression is not typical.
Correct Answer is ["B","C","E"]
Explanation
A. Polyphagia: This is not associated with alcohol withdrawal; appetite changes are not characteristic symptoms.
B. Illusions: Visual or auditory illusions are common during alcohol withdrawal and are due to central nervous system hyperactivity.
C. Seizures: Alcohol withdrawal seizures, especially tonic-clonic seizures, can occur within 12–48 hours after cessation.
D. Nystagmus: Nystagmus is more often associated with intoxication rather than withdrawal.
E. Tremors: Tremors (shaking or tremulousness) are hallmark signs of alcohol withdrawal and often appear within hours of cessation.
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