Which Situations Would the Nurse Characterize as Indicating Substance Abuse

Which situations would the nurse characterize as indicating substance abuse rather than dependence?

A) The client reports that her boyfriend left her because she drinks so much.
B) The client reports being fired from three jobs this year due to tardiness after binge drinking.
C) The client reports needing more marijuana to feel "high."
D) The client has been arrested twice for purchasing methamphetamine.
E) The client has ruined three shirts due to overspraying paint while huffing.