NCLEX-PN® ExaminationHealth Promotion and MaintenanceHard

A practical nurse is providing health education to a group of adolescents about high-risk behaviors and their consequences. When discussing substance abuse, which statement by an adolescent indicates a need for further clarification regarding the long-term effects of cannabis use?

  1. A“Driving under the influence of cannabis is dangerous because it slows down my reaction time.”
  2. B“Cannabis can impair my memory and concentration, especially during school.”
  3. C“Using cannabis regularly might increase my risk for respiratory problems like bronchitis.”
  4. D“It's not as addictive as other drugs, so I can stop whenever I want without withdrawal.”
Show answer & explanation

Correct answer: D. “It's not as addictive as other drugs, so I can stop whenever I want without withdrawal.”

While cannabis may be less addictive than some other substances, regular use can lead to psychological dependence and physical withdrawal symptoms upon cessation, such as irritability, anxiety, sleep disturbances, and decreased appetite. The statement "I can stop whenever I want without withdrawal" indicates a misunderstanding of its addictive potential and withdrawal effects.

Why the other options are wrong

  • A. This is a correct understanding; cannabis impairs motor skills and reaction time, making driving dangerous.
  • B. This is a correct understanding; cannabis is known to impair cognitive functions.
  • C. This is a correct understanding; smoking cannabis can lead to respiratory issues.

Cannabis Dependence & Withdrawal

Regular, heavy use of cannabis can lead to dependence, characterized by a compulsive need for the drug and withdrawal symptoms upon cessation.

  • Psychological dependence is common.
  • Withdrawal symptoms include irritability, anxiety, sleep issues, decreased appetite.
  • Severity of withdrawal varies by individual and usage pattern.

Memory trick: Dependence Doesn't Discriminate: Don't Dismiss Danger.

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