In assessing a 13-year-old Native American boy who lives on a ...

[MirandaLo]

In assessing a 13-year-old Native American boy who lives on a reservation, the nurse finds that he regularly drinks alcohol and smokes cannabis. He says that most of his friends do so, as well.
 
  The nurse is aware that this rate of prevalence is far higher than that for 13-year-olds of all ethnicities nationwide. Which social conditions have researchers associated with this health disparity? (Select all that apply.)
  A) Greater availability of cannabis from local farms
  B) Higher socioeconomic status
  C) Lower academic attainment
  D) Proximity to Mexico and drug gangs
  E) College enrollment

Question 2

The nurse assesses a 33-year-old who abuses alcohol. To gauge how the client's substance use is impairing his ability to fulfill normal role functions, the nurse should use: (Select all that apply.)
 
  A) History of arrests for drunken driving
  B) Age at the time of first alcoholic drink
  C) Jobs lost due to intoxication at work and chronic absenteeism
  D) Failing grades in night classes at the local community college
  E) Blood alcohol level at time of last arrest for driving while intoxicated

[sierramartinez]

Answer to Question 1

Ans: A, C, D
Feedback:
Substance misuse is a major public health concern for Native American youth on reservations, where more than half of eighth graders report alcohol and cannabis use, a pronounced increase from overall national prevalence rates for eighth graders of all ethnicities. While there is no causal model to explain the higher rates of substance use among youth on reservations, social factors including greater availability from local cannabis farms, proximity to Mexico and drug gangs, lower (not higher) socioeconomic status, and lower academic attainment (not college enrollment) are some of the social conditions that researchers have associated with this pronounced health disparity.

Answer to Question 2

Ans: A, C, D
Feedback:
Legal, employment, or academic difficulties that have resulted from misuse are an important gauge of how substance use is impairing the client's ability to fulfill normal role functions. Age at first use of a substance is a key indicator for risk of substance dependence but would not be a good gauge for how substance use is impairing the client's fulfillment of roles. Blood alcohol level is used to establish whether someone is intoxicated, but would not be a good gauge for how substance use is impairing the client's fulfillment of roles.

[MirandaLo]

Excellent

[anyusername12131]

TYSM