The nurse has determined the outcome criteria for a male patient who has a history of using marijuana to be "impulse control as exhibited by abstinence.". Which of the following would indicate that the patient has achieved this outcome?
1. Patient states that he has not used any marijuana since being in the hospital.
2. Patient states that he used marijuana only on the weekends.
3. Patient's mother tells the nurse that she found marijuana in the dresser drawer in the patient's room at home.
4. Patient's older brother tells the nurse that he witnessed his brother smoking marijuana one time since he was hospitalized.
Patient states that he has not used any marijuana since being in the hospital.
Rationale: Outcome criteria for substance abusers include "impulse control as exhibited by abstinence.". For this outcome to be achieved, the patient must not use any marijuana. The patient stated that he has not used any marijuana, which is evidence of achievement. Using marijuana on the weekends would not be evidence of achievement of the outcome. The mother finding marijuana in the patient's dresser drawer at home could mean that the patient continues to use marijuana. The patient's older brother stating that he observed his brother using marijuana would indicate that the outcome was not achieved.
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