A nurse is educating a client who is prescribed a Schedule II controlled substance for chronic pain. Which of the following statements by the client indicates an understanding of the teaching?

Correct answer: b) "I should store my medication in a locked cabinet."

Rationale: Schedule II controlled substances have a high potential for abuse and addiction and are subject to strict regulations by the DEA. The client should store the medication in a secure place to prevent theft or misuse. The client cannot refill the prescription by calling the pharmacy but must obtain a new written prescription from the provider. The client should not share the medication with anyone else, as this is illegal and dangerous. The client should take the medication as prescribed and report any inadequate pain relief to the provider.

Incorrect choices:

a) "I can refill my prescription by calling the pharmacy.": This is incorrect as Schedule II drugs cannot be refilled by phone, but require a new written prescription.

c) "I can share my medication with my spouse if they have similar symptoms.": This is incorrect as sharing controlled substances is illegal and can cause harm to others.

d) "I should take more medication if my pain is not relieved.": This is incorrect as taking more medication than prescribed can lead to overdose, addiction, or adverse effects.

Correct answer: d) "I should use over-the-counter drugs instead of prescription drugs if I have pain."

Rationale: This statement indicates a need for further teaching, as over-the-counter drugs can also be abused or misused and cause harm to the client. The client should consult with their provider before taking any medications for pain and follow the directions carefully. The client should also use nonpharmacological methods for pain relief, such as relaxation techniques, massage, or ice packs.

Incorrect choices:

a) "I should avoid situations or people that trigger my urge to use drugs.": This statement indicates an understanding of the teaching, as avoiding triggers is one of the prevention and education strategies for substance abuse.

b) "I should seek professional help if I have signs of depression or anxiety.": This statement indicates an understanding of the teaching, as seeking professional help is one of the prevention and education strategies for substance abuse. Depression and anxiety are common co-occurring disorders with substance abuse and can increase the risk of relapse.

c) "I should join a support group or a 12-step program to stay sober.": This statement indicates an understanding of the teaching, as joining a support group or a 12-step program is one of the prevention and education strategies for substance abuse. Support groups and 12-step programs can provide peer support, guidance, and accountability for clients who are recovering from substance abuse.