A patient tells the nurse that he's stopped "hanging out with his former friends" and has started going to the gym after work to avoid the temptation of taking drugs
The nurse realizes this patient is achieving which of the following outcomes? 1. Risk reduction with lifestyle changes
2. Total and permanent abstinence from drugs
3. Live a drug-free life
4. Deny the existence of drugs in society
Risk reduction with lifestyle changes
Rationale: The outcome "risk reduction with lifestyle changes" is demonstrated by this patient's going to the gym and avoiding his previous friends to reduce the temptation of taking drugs. Although the outcome of "total and permanent abstinence" may be achievable for some patients with some abuse disorders, for others it may be an unattainable goal. Each situation must be assessed individually. Make sure outcomes can be measured so the treatment team is aware of progress and relapse. Living a drug-free life and denying the existence of drugs in society are not realistic and may not be measurable for this patient.
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