Your patient admits to using an illegal substance daily, thinking about it when not actually using it, and spending a lot of time figuring out where to get it. This patient could have:
Dementia
A delusion
An addiction
DTs
The Correct Answer is C
A. Dementia: Dementia is a cognitive decline due to neurodegeneration, not compulsive drug use.
B. A delusion: Delusions are false fixed beliefs not based in reality, unrelated to habitual substance use behavior.
C. An addiction: Addiction involves compulsive substance use, preoccupation with the substance, and behavioral disruption due to its use.
D. DTs: Delirium tremens is an acute withdrawal condition seen in alcohol dependence, not a description of ongoing drug-seeking behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I'm sure that the bugs you see will not harm you.": This response validates the hallucination and may increase the client's anxiety.
B. "I don't see any bugs, but you seem very frightened.": This response maintains reality orientation while acknowledging the client’s emotional state, a therapeutic and non-confrontational approach.
C. "Let's get out of your room so that the bugs will not bother you": This reinforces the hallucination and may worsen disorientation.
D. “There are no bugs in here. This is part of your illness.": This is too blunt and dismissive, potentially increasing defensiveness or agitation.
Correct Answer is C
Explanation
A. when a mother asks the doctor about sessions the doctor had with her 16-year-old daughter
A 16-year-old may have rights to privacy depending on the state's laws, and privileged communication is protected unless exceptions apply.
B. when a wife asks what her husband said in therapy
Spouses are not entitled to this information unless consent is given.
C. when there is an imminent danger to the patient or others and in cases of suspected child abuse
These are exceptions to confidentiality laws; providers must report imminent danger or abuse.
D. when a daughter of the patient asks about her father and that daughter is not the health care proxy or responsible person for the father
If she is not authorized, the provider cannot disclose information.
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