Which client statement indicates knowledge deficit r/t substance use disorder?
a) Although legal, alcohol is one of most widely used drugs
b) Tolerance to heroin develops quickly
d) Marijuana is like smoking cigarettes, everyone does it

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Answer:

Option D, marijuana is like smoking cigarettes, everyone does it

Explanation:

In the case of the patient's statement presented in option D, the patient is seemingly translating the normalization of marijuana use in society or in their community -- comparing it to cigarette use -- to possibly mean it cannot be an abused substance that leads to substance use disorder (SUD); or an addiction to this substance is not to be taken as serious as others because, as they hyperbolize "everyone does it."

Whether the patient was regurgitating misinformation or is simply not well informed on SUDs, a healthcare provider must address this knowledge deficit and help to correct this false patient statement.

Why Not Other Choices:

Option A and B are correct statements. Though it is legal, alcohol is a widely used substance that, also because of its normalization, many people do not typically view as a drug necessarily. Despite normalization, alcohol has its own specific form of SUD called alcohol use disorder (AUD). Lastly, tolerance to heroin can develop as soon as immediately after the first use which can affect how fast someone using this substance can develop a SUD.  

Final answer:

The statement 'Marijuana is like smoking cigarettes, everyone does it' indicates a knowledge deficit about substance use disorder and the potential risks of using psychoactive substances such as marijuana, regardless of its legal status or societal acceptance.

Explanation:

The client statement that indicates a knowledge deficit related to substance use disorder is "Marijuana is like smoking cigarettes, everyone does it." This statement reflects a misunderstanding of the nature of drug addiction and the potential harm associated with the use of psychoactive drugs like marijuana. While it is true that the legal status of marijuana is in flux and that public perception might be shifting, that doesn't diminish the fact that it can lead to a substance use disorder if used compulsively despite negative consequences.

Understanding substance use and abuse is important because it involves recognizing the risks and potential for dependency, regardless of legal status or societal acceptance. It is important to remember that all psychoactive substances, including marijuana, alcohol, and nicotine, have potential health risks and can be misused, leading to substance use disorders.