A patient tells the nurse that he becomes very angry and abusive to his friends and family when he is unable to obtain an illegal substance. How should the nurse respond to this patient?
1. "Have you considered seeking treatment for this behavior?"
2. "You must not have many friends left."
3. "Are you this argumentative when at work?"
4. "What does your family say about this?"
Correct Answer: 1
The patient demonstrates anger and abusive behavior when unable to obtain an illegal substance. This information should indicate to the nurse that the patient has a substance abuse problem. The best response for the nurse to make is to ask the patient if he has considered seeking treatment for this behavior. The nurse should not comment on the patient's number of friends. Asking if the patient is argumentative at work could incite the patient's anger and abusiveness. Asking the patient about his family could incite the patient's anger.
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