The patient has been diagnosed with substance dependence. The ...

[ishan]

The patient has been diagnosed with substance dependence. The patient has been using Bennies for the last three years. Which patient statements should the nurse attribute to substance dependence?
 
  Select all that apply.
  1. I am so tired and I feel so down about everything that is happening around me.
  2. I really tried to cut down my use, but I fail miserably every time.
  3. The only thing I care about right now is getting my fix.
  4. I have to use a lot more right now to get the same high as I did before.
  5. I have a great job where I work fulltime as a mechanical engineer, so that part of my life is very fulfilling.

Question 2

The nurse is preparing material for a staff development presentation on substance abuse. Which information should the nurse include that addresses the family history of substance abuse?
 
  Select all that apply.
  1. There is a genetic link between having an alcoholic parent and developing problems related to substance use.
  2. These genetic issues are more often related to alcohol, marijuana, and tobacco use.
  3. One type of genetically related alcoholism is associated with an antisocial personality disorder, early use, and an inability to stop drinking.
  4. The patient has an increased likelihood of developing substance use problems when the mother of the patient is an alcoholic rather than the father.
  5. Some studies indicate that adolescents who are more genetically prone to develop alcoholism were less likely to have other types of substance use problems.

[ankilker]

Answer to Question 1

Correct Answer: 1,2,3,4

Bennies is a term used to describe amphetamines. Substance dependence can be associated with withdrawal symptoms from the substance. Fatigue and depression are withdrawal symptoms associated with the use of amphetamines. When patients are unsuccessfully attempting to cut down on their use of the substance, dependence can often be the cause. Fixation on obtaining more of the substance is characteristic of dependency. Patients are more likely to develop tolerance to the drug and require greater quantities to get the same result. It is unlikely that a patient with substance dependence is continuing to keep a fulltime job because the patient will usually spend a lot of time procuring and using the drug and invest less time with occupational activities.

Answer to Question 2

Correct Answer: 1, 2, 3

Children of alcoholics have a greater risk for developing substance use problems. These types of genetic issues lead to problems with alcohol, marijuana, and tobacco use. One type of alcoholism seen mostly in the sons of alcoholic fathers is associated with an inability to abstain, early onset, and an antisocial personality. These types of genetic issues are typically found in male relatives. Studies have shown that dopamine has been identified as the primary neurotransmitter responsible for sustaining the addictive quality of drugs and for increasing drug-seeking behavior.

[ishan]

Gracias!

[xthemafja]

Thanks for the timely response, appreciate it