A patient complaining of back pain tells the nurse that he needs several refills on any prescription since he takes the medication more frequently than prescribed. What should this information suggest to the nurse?
1. The patient has lost control over the consumption of the pain medication.
2. The patient is impulsive.
3. The patient uses the pain medication to fit in with a peer group.
4. The patient uses the pain medication to overcome low self-esteem.
Correct Answer: 1
Addictive behavior associated with substance use is characterized by loss of control over consumption. The patient states that he is taking the medication more frequently that prescribed, which could indicate a loss of control. There is not enough information to support the idea that the patient is being impulsive, is using the pain medication to fit in with a peer group, or is using the pain medication to overcome low self-esteem.
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