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A public health nurse is working with a local school to implement programs for the prevention of drug and alcohol use disorder. The nurse should identify which of the following interventions is an effective strategy for preventing drug and alcohol use disorder in children?

Education and interventions in high school during early adolescence when children are more susceptible to peer influence.

Education and interventions early in childhood when children are more inclined to change.

Education and interventions in middle school when children are learning about health and nutrition.

Education and interventions in high school during late adolescence when children are more likely to engage in high-risk behaviors.

Answer and Explanation

The Correct Answer is B

A. Education and interventions in high school during early adolescence when children are more susceptible to peer influence: Waiting until early adolescence may miss critical formative years when behaviors are more easily influenced.

B. Education and interventions early in childhood when children are more inclined to change: Early intervention is effective because children at this stage are forming habits and values, making it easier to instill healthy behaviors. Early interventions can shape their attitudes and understanding about the risks associated with drug and alcohol use before they are exposed to peer pressure and high-risk situations.

C. Education and interventions in middle school when children are learning about health and nutrition: Middle school interventions are beneficial but may come too late for some children who have already been exposed to risky behaviors.

D. Education and interventions in high school during late adolescence when children are more likely to engage in high-risk behaviors: This approach may be too late to prevent substance use for many children already engaging in risky behaviors.

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Correct Answer is C

Explanation

A. "I have no intention to stop drinking. I like the way it makes me feel.": This is an example of denial but does not strongly indicate a defense mechanism.

B. "I have tried so many times to stop drinking. It is so hard.": This demonstrates acknowledgment of the problem and a desire for change, not a defense mechanism.

C. "I don't really have a problem with alcohol. I've just been having a streak of bad luck lately.": This is an example of rationalization, a defense mechanism where the individual justifies their behavior with excuses.

D. "I really need some help. My drinking is tearing my family apart.": This statement reflects insight and readiness for change, not a defense mechanism.

A. "Alcohol tolerance causes the client to have an increased effect when taking opiates." B. "Alcohol tolerance can result in a decreased physical response to alcohol." C. "A client who has alcohol tolerance develops physical changes when they haven't recently ingested alcohol." D. "Alcohol tolerance is a medical emergency and can develop as a result of withdrawal."

Correct Answer is B

Explanation

A. "Alcohol tolerance causes the client to have an increased effect when taking opiates." Alcohol tolerance is specific to alcohol and does not directly increase the effect of opiates. However, cross-tolerance with other sedatives (e.g., benzodiazepines) may occur.

B. "Alcohol tolerance can result in a decreased physical response to alcohol." Alcohol tolerance develops as the body adapts to frequent alcohol use, requiring higher amounts to achieve the same effects.

C. "A client who has alcohol tolerance develops physical changes when they haven't recently ingested alcohol." This describes alcohol dependence, not tolerance. Physical changes, such as withdrawal symptoms, occur with dependence.

D. "Alcohol tolerance is a medical emergency and can develop as a result of withdrawal." Tolerance develops over time with frequent alcohol use. Withdrawal symptoms are the result of dependence, not tolerance.

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A public health nurse is working with a local school to implement programs for the prevention of drug and alcohol use disorder. The nurse should identify which of the following interventions is an effective strategy for preventing drug and alcohol use disorder in children?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the drinking history of a client with a history of alcohol abuse. The client is being admitted after being found unresponsive in a public place. Which statement would indicate the use of defense mechanisms?

Correct Answer is C

Explanation

A nurse is discussing alcohol tolerance with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is collecting data from a client who is receiving treatment for alcohol detoxification. Which of the following findings is the nurse's priority?

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A nurse is reinforcing teaching about alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates an understanding of the teaching?

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