The patient has been diagnosed with substance dependence. The patient has been using Bennies for the last three years. Which patient statements should the nurse attribute to substance dependence?
Select all that apply.
1. "I am so tired and I feel so down about everything that is happening around me."
2. "I really tried to cut down my use, but I fail miserably every time."
3. "The only thing I care about right now is getting my fix."
4. "I have to use a lot more right now to get the same high as I did before."
5. "I have a great job where I work fulltime as a mechanical engineer, so that part of my life is very fulfilling."
Correct Answer: 1,2,3,4
"Bennies" is a term used to describe amphetamines. Substance dependence can be associated with withdrawal symptoms from the substance. Fatigue and depression are withdrawal symptoms associated with the use of amphetamines. When patients are unsuccessfully attempting to cut down on their use of the substance, dependence can often be the cause. Fixation on obtaining more of the substance is characteristic of dependency. Patients are more likely to develop tolerance to the drug and require greater quantities to get the same result. It is unlikely that a patient with substance dependence is continuing to keep a fulltime job because the patient will usually spend a lot of time procuring and using the drug and invest less time with occupational activities.
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