A nurse is working with a client and their partner. Which of the following information describes the reason it is important to recognize early warning signs related to substance use?

Recognizing early warning signs allows law enforcement to make arrests that lead to forced treatment

Recognizing early warning signs allows the client’s family to stage an intervention run by family members and other loved ones

Recognizing early warning signs can lead to early intervention and better outcomes

Recognizing early warning signs allows the client time to institute or make changes to end-of-life legal documents, such as a living will

Answer and Explanation

The Correct Answer is C

Choice A reason: Involving law enforcement for arrests to force treatment is not a primary reason for recognizing substance use warning signs. This approach is punitive, not therapeutic, and does not focus on early intervention to improve health outcomes, making it incorrect.

Choice B reason: While family interventions can be part of addressing substance use, they are not the primary reason for recognizing early signs. Interventions are a response, not the goal, which is to initiate early treatment for better recovery, making this choice less accurate.

Choice C reason: Recognizing early warning signs, like behavioral or physical changes, allows for timely interventions, such as counseling or medical treatment, improving recovery chances. Early action prevents progression to severe addiction, aligning with evidence-based practice, making this the correct choice.

Choice D reason: Early warning signs of substance use are unrelated to end-of-life documents, which pertain to terminal illness decisions. Substance use interventions focus on recovery, not legal preparations, making this choice irrelevant and incorrect for the scenario.

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Correct Answer is D

Explanation

Choice A reason: Separation anxiety disorder involves excessive fear of being separated from attachment figures, primarily in children but sometimes persisting into adulthood. It manifests as distress about separation, not generalized worry across multiple situations, as described. The client’s broad, uncontrollable anxiety does not align with this specific fear-based disorder.

Choice B reason: Agoraphobia involves fear of situations where escape or help may be unavailable, like crowded places or public transport, leading to avoidance behaviors. The client’s symptoms of excessive, uncontrollable worry across various circumstances do not specifically indicate fear of such situations, making agoraphobia an incorrect diagnosis.

Choice C reason: Panic disorder is characterized by recurrent, unexpected panic attacks with intense physical symptoms like heart palpitations and shortness of breath, followed by persistent fear of future attacks. The client’s ongoing, diffuse worry without mention of discrete panic episodes does not fit this diagnosis, which is more acute and episodic.

Choice D reason: Generalized anxiety disorder involves excessive, uncontrollable worry about multiple aspects of life, such as work, health, or daily events, lasting at least six months. The client’s symptoms of pervasive anxiety and inability to control worry align directly with this disorder, reflecting its chronic, diffuse nature affecting daily functioning.

A. The client drinks 2 liters of liquids daily B. The client eats foods high in tyramine C. The client runs 4 miles outdoors every afternoon D. The client eats 2 to 3 gm of sodium-containing foods daily

Correct Answer is C

Explanation

Choice A reason: Drinking 2 liters of liquids daily supports hydration, reducing lithium toxicity risk by promoting renal excretion. Lithium is cleared by the kidneys, and adequate fluid intake prevents concentration, making this choice incorrect.

Choice B reason: Tyramine is relevant to MAOI antidepressants, causing hypertensive crises, not lithium. Lithium toxicity is related to renal clearance and electrolyte balance, not dietary tyramine, making this choice incorrect for lithium risks.

Choice C reason: Running 4 miles outdoors daily causes significant fluid loss through sweat, reducing blood volume and impairing lithium excretion by the kidneys. This increases lithium concentration, risking toxicity, making this the correct risk factor.

Choice D reason: Eating 2–3 gm of sodium daily is within normal limits and helps maintain electrolyte balance, aiding lithium excretion. Low sodium increases lithium retention, but this amount is not a risk, making this choice incorrect.

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A nurse is working with a client and their partner. Which of the following information describes the reason it is important to recognize early warning signs related to substance use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances, and is unable to control their sense of worry. The nurse should identify that these manifestations indicate which of the following?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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