The nurse who is caring for a patient with a history of heroin abuse is assisting the patient to determine ways to avoid the ongoing use of the drug
Which of the following outcomes would best determine that the patient has been successful in not taking heroin? 1. Patient has had no hospital admissions for heroin use and has graduated from the methadone program.
2. The patient was seen in the emergency room one time in the last 6 months for heroin-related symptoms.
3. The patient continues to work and engage in previous social activities.
4. Patient has not returned to live with wife and continues to hold part-time employment.
Patient has had no hospital admissions for heroin use and has graduated from the methadone program.
Rationale: The best evidence that the patient has been successful in not using heroin would be that the patient has not been admitted to the hospital for heroin use and has graduated from the methadone program. Methadone alleviates the cravings associated with the drug and allows addicts to lead productive lives. Graduation from the methadone program means the patient no longer needs methadone to control cravings. The patient being in the emergency room for heroin-related symptoms would mean that the patient had still been using heroin. Individuals who have substance abuse problems need to change their previous lifestyle, habits, and associations. Patients who continue to work and engage in previous social activities may still access heroin. The patient who has not returned to life with his wife and continues to hold part-time employment may still access heroin.
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