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What is the definition of substance misuse?

A.

The use-even one time-of any substance.

B.

The use of a psychoactive compound/drug/substance in an amount or frequency that causes harm to the person or others.

C.

The use of any substance in a manner, situation, amount or frequency that can cause harm to users or to those around them.

D.

The use of a psychoactive compound/drug/substance that poses hazards to health and impacts all aspects of the client's life.

Answer and Explanation

The Correct Answer is B

A. The use-even one time-of any substance: Too broad and does not specify harm or misuse. Using a prescribed medication once wouldn't necessarily be misuse.

B. The use of a psychoactive compound/drug/substance in an amount or frequency that causes harm to the person or others. Defines misuse as harmful use impacting health or safety. Substance misuse involves using substances in a way that causes harm, which can include physical, psychological, or social consequences.

C. The use of any substance in a manner, situation, amount or frequency that can cause harm to users or to those around them: While this choice highlights potential harm, it lacks specificity regarding psychoactive substances. It’s a broader concept that may include non-psychoactive substances as well.

D. The use of a psychoactive compound/drug/substance that poses hazards to health and impacts all aspects of the client's life: This definition is comprehensive but not as succinct as choice B. It encompasses physical, psychological, and social consequences of substance misuse.


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Related Questions

Correct Answer is ["7.2"]

Explanation

Dopamine infusion calculation:

  • Client weight: 176 pounds
  • Dopamine dose ordered: 3 mcg/kg/min
  • Dopamine concentration: 500 mg in 250 mL
  • Conversion factor: 1 mg = 1000 mcg
  • 1 kg = 2.2 pounds

Calculations:

  • Convert client weight to kg: 176 lbs / 2.2 lbs/kg = 80 kg
  • Calculate mcg/min: 3 mcg/kg/min × 80 kg = 240 mcg/min
  • Calculate mcg/hr: 240 mcg/min × 60 min/hr = 14400 mcg/hr
  • Calculate mL/hr: Dopamine concentration is 2 mg/250 mL, which equals 2000 mcg/mL.
    • mL/hr = 14400 mcg/hr / 2000 mcg/mL = 7.2 mL/hr

Answers:

  • mcg/min: 240 mcg/min
  • mcg/hr: 14400 mcg/hr
  • mL/hr: 7.2 mL/hr

Correct Answer is C

Explanation

A. Systemic lupus erythematosus (SLE): SLE is an autoimmune disease but is not directly linked to the pathophysiology of HIT.

B. Placental abruption: Placental abruption is a complication of pregnancy and is not a risk factor for HIT.

C. Heparin therapy for deep-vein thrombosis (DVT): Correct Answer. Heparin therapy itself, especially in the treatment of deep-vein thrombosis, is a significant risk factor for developing HIT due to the exposure to heparin.

D. Warfarin therapy for atrial fibrillation: Warfarin is not associated with the development of HIT.

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