A nurse is discussing common misconceptions regarding clients who have substance use disorder. The nurse should include which of the following as a potential negative result of providers believing that addiction is the client's own fault?
The client may increase their substance use dramatically.
The client may ask for residential treatment instead of outpatient treatment.
The provider may choose to abuse substances.
The provider may deny care or deliver poor quality of care.
The Correct Answer is D
A. The client may increase their substance use dramatically: While stigma and negative beliefs can affect a client’s self-esteem and motivation, believing addiction is the client's fault does not directly lead to increased substance use. Clients may instead feel shame or hopelessness in response to stigma.
B. The client may ask for residential treatment instead of outpatient treatment: This outcome is not directly related to providers believing that addiction is the client's own fault. The client's treatment preference may depend on various factors, including the severity of their addiction and personal circumstances.
C. The provider may choose to abuse substances: While healthcare providers can experience addiction, believing that addiction is the client’s fault does not necessarily lead to the provider themselves abusing substances.
D. The provider may deny care or deliver poor quality of care: When providers hold the belief that addiction is the client's own fault, it can lead to bias, stigma, and judgment. This attitude may result in denying care or providing inadequate treatment, ultimately impacting the quality of care the client receives and hindering their recovery process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Splitting: This mechanism is commonly seen in clients with borderline personality disorder. It involves viewing people or situations in black-and-white terms, categorizing them as all good or all bad. This can create division among the healthcare team, as team members may be viewed differently by the client depending on their current mood or interactions, leading to conflicts and confusion within the team.
B. Regression: This defense mechanism involves reverting to behaviors of an earlier developmental stage. While it may occur in borderline personality disorder, it does not typically create division among healthcare team members like splitting does.
C. Reaction formation: In this case, individuals behave in a way that is opposite to their true feelings. Although it can occur in various contexts, it is not as commonly associated with creating division within the healthcare team.
D. Denial: This mechanism involves refusing to accept reality or facts. While present in borderline personality disorder, it does not specifically lead to division among team members in the same way.
Correct Answer is B
Explanation
A. Dissociative amnesia: This diagnosis involves a loss of memory for personal information or events, typically following trauma or stress. It does not relate to intentionally causing injuries or symptoms.
B. Factitious disorder: Individuals with factitious disorder intentionally produce or feign physical or psychological symptoms to assume the role of a sick person. This behavior can include causing self-harm, such as breaking bones, to gain attention, sympathy, or care from others. The client's actions align with this diagnosis.
C. Illness anxiety disorder: Previously known as hypochondriasis, this disorder involves excessive worry about having a serious illness despite having no significant medical evidence. Individuals with this disorder do not intentionally cause harm to themselves; rather, they focus on perceived health concerns.
D. Functional neurological symptom disorder: This disorder involves neurological symptoms that cannot be explained by medical conditions. While individuals may have genuine neurological symptoms, they do not typically engage in self-harm or intentionally inflict injuries as seen in factitious disorder.
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