A client who is a substance abuser is described as "disinhibited" in a clinical planning conference. How should the nurse interpret this information?
1. The client is antisocial.
2. The client lacks the ability to respond flexibly to circumstances.
3. The client's substance abuse has caused brain damage.
4. The client does not respond to reward activation in the brain.
2
Rationale 1: An antisocial client may be disinhibited, but the terms are not synonymous.
Rationale 2: Without an intact inhibitory mechanism, the client's behavior becomes maladaptive.
Rationale 3: There is no indication that the client has brain damage. Genetic damage may be present.
Rationale 4: The client who is disinhibited likely responds more robustly to reward activation.
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