The nurse is managing care for a group of substance abusers. The patients have completed group education about the disease of addiction. The nurse determines that learning has occurred when the patients make which statements?
1. "A heroin addict can die from heroin withdrawal."
2. "Substance abuse depends on complex variables."
3. "Most addicts became addicted from pain medication in a hospital."
4. "Addiction includes a compulsion to use a mood-altering substance."
5. "There is most likely a genetic component to addiction."
Correct Answer: 2,4,5
Rationale: Addiction is an overwhelming compulsion that drives someone to repetitive drug-taking behavior, despite serious health and social consequences. Substance abuse depends on multiple, complex, interacting variables. Children of alcoholic parents are four times more likely to become alcoholics than children of nonalcoholic parents. Prescription drugs rarely cause addiction when used according to accepted medical protocols. While extremely unpleasant, withdrawal from opioids is not life threatening.
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The client is experiencing lymphedema in the arm on the operative side after a modified radical mastectomy. Which statement indicates correct understanding for managing this problem?
A. "I will reduce my intake of salt." B. "I will elevate my arm on a pillow at night." C. "I will try to drink at least 3 L of water each day." D. "I will wear long sleeves to prevent sun exposure to this arm."
The patient states, "I think I am actually addicted to nicotine." Which assessment findings are consistent with this type of addiction?
Select all that apply. 1. The blood pressure is 182/86. 2. The patient states, "Sometimes, I feel so nauseated after I smoke cigarettes." 3. The patient states, "I have never been able to stop smoking for more than two weeks at a time because the cravings get so bad." 4. An apical heart rate is 72 beats per minute. 5. A respiratory rate is 14 breaths per minute.
The nurse understands that when using a nontraditional model of population-based nursing practice, the primary goal is to:
a. contain costs. c. maintain quality of care. b. increase costs. d. decrease quality of care.
The nurse is teaching a client on the importance of monitoring intake and output at home. Which statement will the nurse include in the client teaching?
A. "Weigh at two different times during the day in order to see a change." B. "If your weight goes up more than one pound in a day, contact your health care provider." C. "If you notice sticky mucus membranes, contact your health care provider." D. "Weigh with two different scales in order to compare results."