When does the nurse determine that cocaine education has been effective?

• A. "I wasn't using cocaine to feel better about myself."
• B. "I started using cocaine more and more until I couldn't stop."
• C. "I'm not addicted to cocaine because I don't use it every day."
• D. "I'm not going to be a chronic user; I only use it on holidays."

Answer: (B)

The statement "I started using cocaine more and more until I couldn't stop" reflects an understanding of the progressive nature of substance use disorders, including cocaine use. This realization indicates that the individual recognizes the potential for addiction and the slippery slope that can occur with substance use.

Effective education about cocaine should lead to awareness of how use can escalate over time and the risks involved, including the loss of control over one’s drug use. This understanding is crucial for identifying patterns of abuse that can lead to addiction. Individuals who grasp this concept are more likely to seek help or adopt preventative measures. Therefore, this response illustrates a clear comprehension of the risks associated with cocaine use and an acknowledgment of the gravity of the situation.

The other options either reflect misconceptions about addiction or minimize the seriousness of drug use, which would not demonstrate effective education regarding cocaine and its effects.