A patient tells the nurse that she started to have a glass of wine every evening at home after work to "unwind" and then realized that she cannot continue with her day unless she has the wine
The nurse realizes that this patient uses wine for which reason? 1. To cope with day-to-day problems
2. To deal with difficulty expressing emotions
3. To suppress a genetic need for alcohol
4. To socialize with others
1
Rationale 1: Psychological factors in substance abuse include the use of the substance as self-medication to cope with day-to-day problems that over time becomes an addiction.
Rationale 2: There is no information to suggest that the patient is having difficulty expressing emotions.
Rationale 3: There is no information to suggest that the patient has a genetic need for alcohol.
Rationale 4: The patient is drinking at home after work.
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