Questionnaire for Addiction (Drug & Alcohol Use)–KJ

Questionnaire for Addiction (Drug & Alcohol Use)–KJ

1. Have you ever used drug or alcohol? Yes
   1. Please specify the substance and for how long you been using. Since I was 12, I started doing cocaine and weed. I also drink like everyone else.
   2. How frequently and how much do you use? I only do it occasionally when I go out with friends. Mainly on the weekends.
2. Have you ever tried to quit or cut down on the amount that you used? Yes, but its not like I am addicted to it. I can stop whenever.
   1. What methods have you tried? Just stopping on my own
3. Do you have any history of mental health or medical conditions? I have ADHD and depression.
   1. Are you currently taking any medications? Adderall
   2. Are you in treatment or have received any treatment for any mental health issues? I have a therapist I occasionally talk to. She has really help me a lot in my life, especially with all the issues I have with my parents.
4. Have you ever experienced any consequence due to the substance use, whether it is physical, mental, or social? I have gotten suspended from school before, and I had to call the cops on my ex because he was way too high and hit me. I have never been arrested, but getting high makes all my problems go away.
   1. Are you experiencing any legal issues? No
5. Do you have a support system in place (family, friends, groups, etc.)? My mom, she is always there when I need her. She is the one that put me in therapy.
6. What are your personal goals regarding reducing or quitting? I know its bad for me and I need to stop. I can stop I know I can.
7. Are you open to receiving treatment, therapy, or any other service? I am already in therapy, and I don’t feel like I need anything else. I don’t have a problem; I am not an addict.
8. Are there any barriers that may prevent you from achieving your personal goals? I am fine but no
9. Is there any information that you would like to provide, that we did not cover or would like to elaborate on? Not really, I know its bad for me and I need to stop. I can stop I know I can.

Using the information from the interview you conducted:

• List the support needs of your participant beginning with the highest priority and then in descending order.
• Provide examples of appropriate interventions of the professional caregiver, for example, the nurse.
• Discuss how to implement objectives of Healthy People 2030 to increase wellness.
• Discuss nursing’s role as an advocate for participant acceptance of diagnosis and treatment.
• Discuss the impact of the environment on patient’s health.
  • Include social determinants that impact care.