RUHS, Jaipur, M.Sc Nursing Entrance Exam-2021
Mental Health Nursing
Medium
Substance dependence is due to all except?
Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2021
Explanation
- Substance dependence is a complex disorder that affects individuals across all levels of intelligence.
- There is no established scientific evidence that links a person's intelligence (IQ) as a direct cause for developing substance dependence.
- The primary causes are understood through the Bio-Psycho-Social model, which includes genetic, psychological, and environmental factors, but not cognitive ability itself.
Why Other Options Were Wrong
- Option A: This is a known risk factor. Certain personality traits, such as high impulsivity, sensation-seeking, and low self-esteem, are strongly linked to an increased vulnerability to substance dependence.
- Option B: This is a well-established social risk factor. Peer influence is particularly powerful in initiating substance use, especially among adolescents and young adults.
- Option D: This is a major biological and social risk factor. A family history of substance abuse points to both genetic predisposition and environmental influences that significantly increase an individual's risk.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Etiology and risk factors for substance dependence as background academic context rather than a clinical decision trigger.
- Nurses must perform a holistic assessment for substance use risk, considering biological (family history), psychological (personality, coping skills), and social (peer groups, support systems) factors.
- Understanding that addiction is not related to intelligence helps the nurse to reduce stigma and adopt a compassionate, non-judgmental approach to patient care.
- A non-judgmental attitude is crucial for establishing a therapeutic relationship, which is essential for effective treatment and recovery.
How to Approach the Question
- First, identify the negative framing of the question with the keyword 'except'. This means you are looking for the option that is NOT a cause of substance dependence.
- Recall the main categories of risk factors for substance dependence, which are broadly categorized as biological, psychological, and social.
- Evaluate each option against these categories. 'Personality' is a psychological factor. 'Peer pressure' is a social factor. 'Family history' is both a biological (genetic) and social factor.
- Recognize that 'Intelligence' is a cognitive attribute and does not fit into the established etiological models of addiction.
- Conclude that intelligence is the outlier and the correct answer because it is not considered a direct cause of substance dependence.
Concept Tested & Keywords
- Concept Tested: Etiology and risk factors for substance dependence
- Stem keywords: Substance dependence, due to
- Lead-in keywords: except
- Negative lead-in flag: The question asks to identify the option that is NOT a cause of substance dependence.
Question ID
QguLtqdh2FkR-PQTN_QZ3X
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 1971-1973
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 883-885
E6 Guide to Mental Health & PSYCHIATRIC NURSING R Sreevani— Part 1 (pp 26-289 of 579) p. 260-262
Practise the full RUHS, Jaipur, M.Sc Nursing Entrance Exam-2021
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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