A nurse is preparing an in-service program about substance abuse ...

[kodithompson]

A nurse is preparing an in-service program about substance abuse and its etiology. Which of the following would the nurse most likely include in the presentation when discussing possible etiologies?
 
  A) Mixed self-esteem
  B) Genetic predisposition
  C) Dysfunctional family
  D) Peer influence

Question 2

A client is brought into the emergency department because he was involved in an automobile accident. His blood alcohol level (BAL) is 0.10 mg. Based on this finding, the nurse would expect to assess which of the following?
 
  A) Difficulty with coordination
  B) Stupor
  C) Emotional lability
  D) Ataxia

[scrocafella]

Answer to Question 1

Ans: B
Substance abuse encompasses the body, the mind, and society's influence. Human and animal studies confirm a genetic predisposition for drinking behaviors and self-administering mind-altering drugs, but as yet no precise genetic marker has been established. Temperament, self-concept, age, motivation for change, social consequences for problematic behaviors, parental and family relationships, and peer pressure all contribute to expression of substance abusea chronic and progressive disorder. Dysfunctional family and peer influence reflect social etiologies.

Answer to Question 2

Ans: A
A BAL of 0.10 mg would be manifested by difficulty driving and coordinating movements. Ataxia and emotional lability would be associated with a BAL of 0.20 mg. Stupor would be associated with a BAL of 0.30 mg.