A client tells the nurse at the methadone clinic that he has a ...

[hubes95]

A client tells the nurse at the methadone clinic that he has a prescription for methadone 40 mg daily orally. The nurse recognizes that methadone maintenance can be used as an effective drug replacement for individuals addicted to:
 
  1. Opiates
  2. Amphetamines
  3. Barbiturates
  4. Hallucinogens

Question 2

When attempting to elicit an accurate substance abuse history, the nurse should:
 
  1. Progress from the most prohibited chemical of abuse to the most accepted
  2. Avoid asking the client the drug history and question the spouse later
  3. Progress from the most acceptable chemical of abuse to the most prohibited
  4. Wait for the client to be comfortable enough to self-disclose use

[Pamela.irrgang@yahoo.com]

Answer to Question 1

ANS: 1
Methadone has been the treatment of choice for morphine and heroin addicts. (option 1)

Answer to Question 2

ANS: 3
The client is more likely to admit to acceptable chemicals, so those should be discussed first (op-tion 3). Bringing up the most prohibited chemicals will likely result in denial (option 1). The spouse should not be the sole source of information on substance abuse (option 2), and waiting for self-disclosure (option 4) may result in no information.