A nurse is caring for a client who has a recent diagnosis of alcohol use disorder. Which of the following statements made by the client indicates acceptance of the diagnosis?
"I do not see myself attending community support groups"
"My drinking isn't as bad as everyone says it is."
"My family has a history of alcohol use disorder."
"I was diagnosed because my spouse is upset about my drinking
The Correct Answer is C
A. "I do not see myself attending community support groups": This indicates resistance to accepting the diagnosis. Participation in community support groups, such as Alcoholics Anonymous, is often an important part of treatment and recovery for alcohol use disorder.
B. "My drinking isn't as bad as everyone says it is.": This statement reflects denial, a common defense mechanism in individuals with alcohol use disorder. It shows a lack of acceptance and an unwillingness to acknowledge the severity of the problem.
C. "My family has a history of alcohol use disorder": This indicates acceptance of the diagnosis as the client is acknowledging the familial connection and potential genetic predisposition to alcohol use disorder. It shows insight into the condition and a willingness to consider its impact.
D. "I was diagnosed because my spouse is upset about my drinking": This statement shifts the responsibility for the diagnosis onto the spouse and does not show acceptance of the disorder. It suggests that the client may not fully accept the diagnosis as their own issue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Transfer a client who has delirium from a bed to a wheelchair: Assisting with transfers and mobility is within the scope of practice for an AP, especially if the client is stable and the task does not require clinical decision-making.
B. Inform a client who has schizophrenia about available community services: This task requires clinical judgment and communication skills to ensure that the client understands the information and that the services are appropriate for their needs. It should be performed by a nurse, not an AP.
C. Obtain a list of current medications from a client who is experiencing a manic episode: While obtaining a medication list is an important task, it requires assessment and evaluation of the client's condition, which should be done by a nurse, especially when the client is in a manic state and may have impaired judgment or communication.
D. Insert an NG tube for a client who has acetaminophen toxicity: Inserting an NG tube is an invasive procedure that requires clinical knowledge and skill. It should be performed by a licensed nurse or physician, not an AP.
Correct Answer is D
Explanation
A. Assign the client to a different caregiver each shift: This is not ideal for a client with acute delirium. Consistency in caregivers is important to reduce confusion and help the client feel more secure in a familiar environment.
B. Teach the client assertive techniques: Assertiveness training is more appropriate for clients with anxiety or communication difficulties, not for those with acute delirium. In delirium, the priority is managing cognitive function and safety.
C. Refute the client's perception of visual hallucinations: Refuting hallucinations can cause frustration and worsen the client's confusion. It’s better to acknowledge the hallucinations calmly without validating them, offering reassurance instead of confrontation.
D. Reinforce the client's orientation with a calendar: This is an appropriate intervention. Using a calendar, clock, and other orientation tools helps reinforce reality and can reduce confusion in clients with delirium, aiding in their cognitive stabilization.
Complete the following sentence by using the lists of options.
The client is at risk of developing