A client with alcoholism has just completed a residential treatment program. What can this client reasonably expect?

Her family will no longer be dysfunctional.

She'll need ongoing support to remain abstinent.

She doesn't need to be concerned about abusing alcohol in the future.

She can learn to consume alcohol without problems.

Answer and Explanation

The Correct Answer is B

A. "Her family will no longer be dysfunctional." Completing a treatment program does not guarantee that family dynamics will change or improve immediately. Family dysfunction is often deeply rooted and requires separate or concurrent therapy.

B. "She'll need ongoing support to remain abstinent." Recovery from alcoholism is an ongoing process, and continued support, whether through therapy, support groups, or counseling, is critical to maintaining abstinence and preventing relapse.

C. "She doesn't need to be concerned about abusing alcohol in the future." This statement is inaccurate because individuals recovering from alcoholism must remain vigilant to prevent relapse. Alcoholism is a chronic condition, and the risk of relapse remains.

D. "She can learn to consume alcohol without problems." This is incorrect, as individuals who have struggled with alcoholism typically need to abstain completely from alcohol to prevent relapse.

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Correct Answer is A

Explanation

A. "My condition is a degenerative brain disorder caused by nutrient deficiency." Wernicke encephalopathy is caused by thiamine (vitamin B1) deficiency, which is often due to chronic alcoholism. The condition is associated with neurological damage from this nutrient deficiency, making this statement accurate.

B. "There is swelling of my brain that is caused by alcohol consumption." Wernicke encephalopathy is not characterized by brain swelling but by neurological damage due to thiamine deficiency.

C. "The inability of my liver to metabolize the alcohol caused this condition." While liver dysfunction can be associated with alcohol use, Wernicke encephalopathy is specifically due to thiamine deficiency, not liver metabolism issues.

D. "Toxins from the alcohol I drank have caused my brain to swell." This statement is incorrect as Wernicke encephalopathy is related to thiamine deficiency rather than brain swelling from alcohol toxins.

A. "I am not on vacation. I am here with you." B. "How can I go on vacation. I do not have any money." C. "Stop saying that. You know better. No one told you that." D. "Just forget about that and let's talk about something else."

Correct Answer is A

Explanation

A. "I am not on vacation. I am here with you." This response calmly reassures the client by affirming the mother’s presence, which helps address the son’s confusion without directly challenging his perception.

B. "How can I go on vacation? I do not have any money." This response could increase confusion and does not address the son's needs effectively. It could also lead to unnecessary discussions that might not be helpful.

C. "Stop saying that. You know better. No one told you that." This response is dismissive and confrontational, which may exacerbate the son’s distress and could damage the therapeutic relationship.

D. "Just forget about that and let's talk about something else." This response avoids addressing the son’s concerns, which can make him feel dismissed and not listened to, potentially worsening his symptoms.

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A client with alcoholism has just completed a residential treatment program. What can this client reasonably expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with Wernicke encephalopathy. The nurse determines that teaching has been effective when the client makes which statement?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

The nurse is caring for a client who has has been inhaling solvents to receive a "high." After the nurse provides education on the effects of inhaling solvents, which statement from the client indicates understanding of the teaching?

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