The community health nurse is performing an admission assessment on a client with a substance use disorder. Which of the following questions is most appropriate for the nurse to use when interviewing the client about their substance use history?

Correct Answer: B

Rationale: The correct answer is B because it focuses on gathering specific and relevant information about the client's substance use history. By asking about the type of substances used and frequency, the nurse can assess the severity of the addiction and plan appropriate interventions. A: This question assumes a judgmental tone and may make the client defensive. C: This question is more about the client's commitment to treatment rather than exploring their substance use history. D: This question may imply blame on the client and does not facilitate an open and honest discussion about their substance use.

Correct Answer: B

Rationale: The correct answer is B because using terms like "clean sample" or "dirty drug test" implies moral judgment and can perpetuate stigma towards individuals with Substance Use Disorders (SUDs). Step 1: "Clean" and "dirty" are value-laden terms that suggest purity and impurity, reinforcing negative stereotypes. Step 2: Stigmatizing language can discourage individuals from seeking help. Step 3: Avoiding such language promotes a non-judgmental and supportive environment for clients with SUDs. Choices A, C, and D are incorrect because they use person-first language and neutral terms that focus on the individual rather than the behavior or test result.

Correct Answer: D

Rationale: The correct answer is D: Breast development. Breast development is typically the initial indication of puberty in girls, known as thelarche. It is usually the first visible sign of puberty and is triggered by hormonal changes. Menarche (A) refers to the onset of menstruation, which typically occurs later in puberty. Growth spurt (B) typically occurs after breast development. Growth of pubic hair (C) is also a sign of puberty, but it usually follows breast development.

Correct Answer: B

Rationale: In adolescence, Erikson believed that the primary psychosocial task is developing a sense of identity. This involves exploring one's values, beliefs, and goals to establish a coherent self-concept. This process is crucial for forming a stable sense of self and navigating the challenges of adolescence. Intimacy (choice A) is typically associated with young adulthood, as it involves forming close, trusting relationships. Initiative (choice C) is a task in early childhood related to exploring and taking on new challenges. Independence (choice D) is important but not the central task in adolescence according to Erikson's theory.

Correct Answer: C

Rationale: The correct answer is C: They provide adolescents with a feeling of belonging. During adolescence, peer relationships play a crucial role in providing emotional support, a sense of identity, and social connection. This feeling of belonging helps teenagers develop self-esteem and confidence. Option A is incorrect because not all adolescents dislike their parents. Option B is incorrect as parental guidance and control are still important during adolescence. Option D is incorrect as peer relationships typically help adolescents explore their identity within a social context rather than promoting individuality.