A nurse is teaching a community education class about the difference between alcohol dependence and alcohol abuse. Which of the following statements best confirms that a partici-pant understands the difference?
a. "The major difference between alcohol dependence and alcohol abuse is the amount of alcohol consumed."
b. "The major difference between alcohol dependence and alcohol abuse is the presence of craving."
c. "The major difference between alcohol dependence and alcohol abuse is that in abuse, alcohol is consumed in excess."
d. "The major difference between alcohol dependence and alcohol abuse is tolerance and withdrawal."
D
Alcohol dependence is chronic use of alcohol that produces physical dependence, for which a withdrawal syndrome occurs if alcohol is discontinued abruptly.
Chronic consumption of alcohol produces tolerance. The amount of alcohol consumed determines the extent of abuse, not the difference between dependence and abuse.
The presence of craving has to do with psychological abuse.
Consumption of alcohol in excess involves both alcohol dependence and alcohol abuse.
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