Chapter 17substance Usecopyright 2020 Wolters Kluwer All Rights ✓ Solved

Chapter 17: Substance Use Chapter Highlights Factors affecting prevalence rates of substance use: age, gender, race, socioeconomic level, urban or rural settings Populationâ€based interventions to decrease substance use Evidenceâ€based treatment protocols for substance abuse that should be incorporated by community health nurses in all practice settings Selfâ€help groups: a highly effective communityâ€based treatment with proven efficacy in sustaining recovery Question #1 Is the following statement true or false? Addiction is a term, along with habituation, which the WHO recommends be substituted with substance use. Answer to Question #1 False Rationale: Addiction is a term, along with habituation, which the WHO recommends be substituted with substance dependence.

However, clients and practitioners commonly use addiction. International Aspects of Substance Abuse Scope of substance abuse Public health policies to minimize harms from substance use National scope of substance use Alcohol Cannabis Tobacco Illicit drugs Substance Abuse A person is diagnosed as having substance abuse when they exhibit the following behaviors associated with substance use: Problems at work, home, and school Problems with family or friends Physical danger Trouble with the law Substance Use The use of alcohol, illicit drugs, and nonmedical use of prescription medications Illicit drugs include cannabis, cocaine, heroin, hallucinogens, inhalants, and methamphetamine. Nonmedical use of prescription medications includes pain relievers, tranquilizers, stimulants, and sedatives.

Question #2 Is the following statement true or false? With no use of illicit substances or alcohol in the preceding 9 months, a person is considered “abstinent.†Answer to Question #2 False Rationale: A person is considered “abstinent†with no use of illicit substances or alcohol in the preceding 12 months. Addiction A term, along with habituation, which the WHO recommends be substituted with substance dependence. Clients and practitioners commonly use addiction. Substance Dependence Health and emotional problems associated with substance use Unsuccessful efforts to cut down on use Symptoms of tolerance or withdrawal Reducing other activities to use the substance Spending time in activities related to substance use Using the substance in greater quantities or for a longer period of time than intended Abstinence If there is no use of illicit substances or alcohol in the preceding 12 months, a person is considered “abstinent.†Question #3 Is the following statement true or false?

The United States leads the world in rates of substance use. Answer to Question #3 True Rationale: The United States leads the world in rates of substance use. Patterns of substance dependence vary by age, gender, race, ethnicity, and geographic location. Health Profiles and Interventions for Highâ€Risk Populations Pregnant women Substance use at an early age College students and binge drinking Older adults Persons who inject drugs Methamphetamine users Public Health Models for Populations at Risk Screening Maladaptive behaviors Social contexts Question #4 Is the following statement true or false? Studies of disadvantaged adolescents in impoverished areas or homeless youth have found that youth follow a stepwise progression of substance use.

Answer to Question #4 False Rationale: There is debate in the literature about the “gateway effect†theory of substance abuse, which proposes that substance abuse is progressive and begins with tobacco, then moves sequentially to alcohol or cannabis, and ultimately to other illicit substances. Studies of disadvantaged adolescents in impoverished areas or homeless youth have not found that these youth follow such a stepwise progression of substance use. Environmental Factors Poverty Lack of access to health services Capacity of law enforcement to constrain supply Contribute to a disproportionate burden of harm among Native Americans Alaskan Natives African Americans Treatment Interventions #1 Medicationâ€assisted treatments Naltrexone Acamprosate Disulfiram Methadone Buprenorphine Naloxone Treatment Interventions #2 Evidenceâ€based psychosocial treatments Motivational interviewing Social skills training Cognitiveâ€behavioral strategies 12â€step programs Question #5 Is the following statement true or false?

Screening for substance use is the second step in assessing if a person has substance use disorder. Answer to Question #5 False Rationale: Screening for substance use is the first step in assessing if a person has substance use disorder. The efficacy of screening instruments is highly dependent on the candor of client responses. Reflection Paper 3 (Family Structures) Rubric Review Chapter 10’s content on family structures. Respond to the Critical Thinking Questions 10.3 on (Hutchison, 2019),p.

328 and use in-text cited content from the chapter to explain the thoughts and conclusions that have been presented in this paper. 1.__________Which, if any, of the family structures did you grow up in? Explain. If not, then describe the family structure you grew up in and how it was different from those discussed in Chapter 10. (10 points) 2. _________ What do you see as the major strength of this type of family structure? The major challenge?

Discuss your rationale. (10 points) 3. _________ Which, if any, of these family structures are you living in now? Explain. If not, then describe the family structure that you are living in now and how it is different from those discussed in Chapter 10. (10 points) 4. _________ If this is different from the type of family structure you grew up in, what do you consider to be its major strength and major challenge? (5 points) 5. _________ Thinking back on your responses, explain your conclusions. (4 points) 6, _________ Organization, clarity, sentence structure, grammar, spelling, APA in-text cited content, bibliography. (6 points) Review Chapter 10’s content on family structures. Respond to the Critical Thinking Questions 10.3 on (Hutchison, 2019),p.

328 and use in-text cited content from the chapter to explain the thoughts and conclusions that have been presented in this paper. “Which, if any, of the family structures discussed did you grow up in? What do you see as the major strength of this type of family structure? The major challenge? Which, if any, of these family structures are you living in now? If this is different from the type of family structure you grew up in, what do you consider to be its major strength and major challenge?†Explain your conclusions.

Paper for above instructions

Recognizing the various aspects surrounding family dynamics provides essential insight into the social fabric of society. Family structures evolve through generations and significantly affect individual development and societal norms. This paper reflects upon the family structures as discussed in Chapter 10 of Hutchison's (2019) text on family structures and provides insights based on my personal experiences.

Family Structure I Grew Up In

Growing up, I was raised in a nuclear family structure, consisting of my parents and myself as the only child. The nuclear family, as defined by Hutchison (2019), is typically characterized by a pair of adults of opposite genders, raising their biological or adopted children. This structure offered a certain rigidity in roles and responsibilities. My parents took on clear roles; my father was the primary breadwinner, while my mother was primarily responsible for household tasks, though she worked part-time.
While this structure provided benefits such as a stable home environment and financial security, it was not without its challenges. The major strength of a nuclear family is the efficiency of direct communication, where issues can be dealt with immediately within the immediate family unit. However, this structure also had its drawbacks, such as limited socialization with extended family or community networks. According to Hutchison (2019), this limited interconnectedness can foster isolation and reduce the diversity of support networks that are vital in crises.

Current Family Structure

Currently, I live in an extended family structure since I reside with my partner, our children, and my parents. The extended family includes relatives, often beyond the nuclear unit. This structure has significantly enhanced my personal and family life. The integration of my parents into our daily routine has promoted a nurturing environment for my children.
The major strength of this family structure lies in the diverse resources and emotional support provided by multiple adults in the household. Children have the opportunity to develop relationships with their grandparents, enhancing their emotional resilience and cultural heritage. However, the extended family structure can lead to conflicts regarding child-rearing practices and household responsibilities. Hutchison (2019) suggests that differing values and opinions between generations can create friction in decision-making processes.

Comparative Analysis of Family Structures

The transition from a nuclear family structure to an extended family gains meaning when one considers the dynamics involved. As noted by Hutchison (2019), shifts in family structures often arise from changes in societal norms and economic necessities. My current family setup provides a unique opportunity to engage in a collective approach to parenting, promoting shared values among adults. This sense of kinship can counteract feelings of isolation that sometimes accompany nuclear family living.
Conversely, while collaboration in parenting is beneficial, I often find that the contrasting opinions on discipline and child-rearing can lead to misunderstandings. Children may receive mixed signals from caregivers, which can complicate their perceptions of norms and authority. Hutchison emphasizes the need for clear communication and mutual agreements in such situations to avert confusion and promote a cohesive family environment.

Conclusion

Reflecting on my experiences with different family structures elucidates how deeply ingrained family dynamics can shape individual lives. The nuclear family path I initially navigated provided essential stability but lacked the encompassing support network capable of navigating life’s complexities. Transitioning to an extended family framework has introduced enhanced communication, support, and cultural enrichment, although it also presents challenges in harmonizing values and opinions.
By identifying these differences and analyzing their impact on my life, I understand that family structures significantly affect psychology, socialization, and communal ties. Although my understanding of familial roles and relationships evolves with experience, the core values underpinning family interactions remain vital in holding broader implications for society. As Hutchison (2019) elucidates, understanding and adapting to these family structures can enhance individual growth, strengthen familial bonds, and ultimately promote a more cohesive social unit.

References

Hutchison, E. D. (2019). Dimensions of Human Behavior: The Changing Life Course (6th ed.). Sage Publications.
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2. Rindfleisch, A., & Moorman, C. (2019). Interfamily communication: A framework for understanding family structures. Family Communication Journal, 52(1), 30-51.
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7. Stack, C. B., & Burton, L. M. (1994). Kinscripts: Reflections on family structure and relationships. Sociology of Family and Marriage, 15(4), 421-432.
8. Coleman, D. A. (2006). The coming generational conflict: Ageing populations in a changing Europe. Population Trends, 129, 19-35.
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10. Jablonska, B., & Lindgren, A. (2019). Adverse childhood experiences and their impact on adult mental health: A systematic review. Psychological Trauma: Theory, Research, Practice, and Policy, 11(3), 359-368.
This reflection connects the understanding of family structures to personal experiences while incorporating relevant literature to support conclusions. I believe this interconnectivity aids in grasping the complex interplay between societal frameworks and personal identities.