The nurse is assessing a patient suspected of having a substance use disorder. The nurse understands that individuals with a substance use disorder display some symptoms that are universal regardless of the substance involved. Which symptoms of substance use disorder will the nurse include in the assessment? Select all that apply.

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3. Patients who have a substance use disorder experience some universal symptoms: a need for greater amounts of the substance to achieve the same effect; neglect of normal activities due to focus on obtaining or using more of the substance; and a persistent craving for the substance. The patient with a substance use disorder does not necessarily disregard his or her religious beliefs or lack the desire to quit. Some patients have a desire to reduce their use of the substance but have difficulty doing so.
4. Patients who have a substance use disorder experience some universal symptoms: a need for greater amounts of the substance to achieve the same effect; neglect of normal activities due to focus on obtaining or using more of the substance; and a persistent craving for the substance. The patient with a substance use disorder does not necessarily disregard his or her religious beliefs or lack the desire to quit. Some patients have a desire to reduce their use of the substance but have difficulty doing so.
5. Patients who have a substance use disorder experience some universal symptoms: a need for greater amounts of the substance to achieve the same effect; neglect of normal activities due to focus on obtaining or using more of the substance; and a persistent craving for the substance. The patient with a substance use disorder does not necessarily disregard his or her religious beliefs or lack the desire to quit. Some patients have a desire to reduce their use of the substance but have difficulty doing so.

The Nurse Is Assessing a Patient Suspected of Having a Substance