A Patient Has Severe Acne That Has Been Refractory to Treatment

question 8

Multiple Choice

A patient has severe acne that has been refractory to treatment. The patient is taking tetracycline and using topical tretinoin [Retin-A] and has been applying benzoyl peroxide twice daily. The provider asks the nurse to teach this patient about isotretinoin [Accutane], which the patient will begin taking in a few weeks. The nurse will include which statement when teaching this patient about this drug?

• A) "Alcohol may be consumed in moderation when taking this drug."
• B) "Skin rash, headache, and hair loss are common with this drug."
• C) "Tetracycline must be discontinued before beginning the isotretinoin."
• D) "Two pregnancy tests are required before each monthly refill of your prescription."

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Definitions:

Secondary Deviance

In labeling theory, the subsequent deviant identity or career that develops as a result of being labeled deviant.

Primary Deviance

The initial act of rule-breaking or deviant behavior before society labels it as such, which does not yet affect an individual’s self-concept or societal identification.

Deviant Label

The branding of behaviors or individuals that deviate from societal norms as wrong or abnormal, influencing how they are perceived and treated by others.

Tertiary Deviance

Redefining the stigma associated with a deviant label as a positive phenomenon.