A nurse is meeting with a new client at a substance use disorder clinic. During the meeting, the client states that they have been using cocaine at least once daily for the past 6 months. The nurse is collecting which of the following types of data from the client's account?
Historical
Objective
Subjective
Secondary
The Correct Answer is C
A. Historical: Historical data refers to past medical or substance use history but does not specifically relate to the client’s current account of their substance use. While this information is relevant, it is not the primary type of data being collected in this instance.
B. Objective: Objective data consists of measurable and observable information, such as vital signs, physical examination findings, or laboratory results. The client's account of their cocaine use is not an objective measure but rather a personal statement reflecting their experience.
C. Subjective: The client's statement about using cocaine daily for the past 6 months is subjective data. It is based on the client's personal experiences and perceptions, which are important for understanding their substance use pattern and informing treatment planning.
D. Secondary: Secondary data refers to information obtained from sources other than the client, such as family members, previous medical records, or other healthcare providers. Since the information is coming directly from the client, it does not qualify as secondary data.
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Correct Answer is B
Explanation
A. They do not care that they lost their job and their partner: This statement reflects a potential lack of insight or awareness regarding the impact of their behavior on their life and relationships. However, this attitude may also stem from denial, which is common in individuals with addictive behaviors. Even if the client appears indifferent, their actions indicate a compulsive engagement in gaming and gambling, highlighting the disconnect between their awareness of consequences and their inability to change the behavior.
B. They compulsively act on the urge to continue internet gaming and gambling even though they suffered negative consequences: This behavior is characteristic of non-substance addiction. It emphasizes the compulsive nature of the client's engagement in these activities, regardless of the significant negative impacts on their life, such as job loss, financial difficulties, and relationship issues.
C. They are depressed over their current life situation: While depression may be a concurrent issue, it does not specifically reflect the compulsive behaviors associated with non-substance addiction. The focus should be on the actions that indicate addiction rather than emotional responses.
D. They filed for bankruptcy because of their debts and job loss: Filing for bankruptcy is a consequence of the client's behavior, but it does not directly indicate the compulsive nature of their gaming and gambling habits. The focus on the behavior itself is more relevant to understanding the addiction.
Correct Answer is D
Explanation
A. Thought insertion: This delusion involves the belief that one's thoughts are not their own and have been placed in their mind by an external force. The client's belief of being a celebrity does not reflect this type of delusion.
B. Persecutory: Persecutory delusions involve the belief that one is being targeted or harassed by others. The client's delusion of being a celebrity does not indicate that they feel threatened or persecuted; rather, it reflects an inflated sense of self-importance.
C. Control: Delusions of control involve the belief that one's thoughts, feelings, or actions are being controlled by an external force. The client's behavior does not suggest they believe their actions are controlled by someone else but rather indicates a belief in their elevated status.
D. Grandiose: Grandiose delusions are characterized by an inflated sense of self-worth, power, or identity. The client's belief of being a celebrity exemplifies this type of delusion, as it involves an exaggerated perception of their own importance and status.
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