A patient who experienced injuries from a motor vehicle crash 6 months ago continues to request prescriptions for an opioid analgesic. When assessing this patient for opioid dependency which finding is the nurse least likely to observe?
a. The patient drops out of a Saturday night Bingo group.
b. The patient continues to manage to get to work each day.
c. The patient tried to quit using the opioid but couldn't stop thinking about it.
d. The patient has been to three or four physicians to obtain new prescriptions for the drug.
ANS: B
Being able to work each day is not an observation associated with opioid addiction. A. C. D. The patient with an addiction gives up important social or professional functions to use the substance, has tried at least once to quit but still obsesses about the substance, spends significant time obtaining the substance, and is unable to fulfill major role obligations at work, school, or home.
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