The nurse suspects that a patient has a substance dependency. What observations did the nurse use to come to this conclusion?

Question

Select all that apply.
1. presence of tolerance
2. substance taken longer than intended
3. spends more time in private using the substance
4. desire to control substance use
5. discontinues use while experiencing intrapersonal problems

Answer 1

Correct Answer: 1, 2, 3, 4

Substance dependence is demonstrated by tolerance to the drug, using the drug longer than intended, and spending more time using the substance in private. The dependent patient will also spend more time getting, taking, and recovering from use; there is an unsuccessful persistent desire to cut down or control the substance, there is more withdrawal from family and friends, and there is continued use despite knowledge of adverse effects. Substance abuse manifestations include continued use despite intrapersonal problems, failure to fulfill major roles, and involvement in physically hazardous situations while impaired.