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

Answer and Explanation

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.

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Correct Answer is ["B","C","E","F"]

Explanation

Rationale for correct choices:

Irritability: Irritability is a common symptom of posttraumatic stress disorder (PTSD), often resulting from the heightened arousal and anxiety that individuals with PTSD experience after trauma. This is frequently seen in clients who have undergone significant emotional distress.
Feelings of emptiness: A sense of emptiness or detachment is often associated with PTSD. This is related to the emotional numbness and avoidance that individuals may experience as a result of trauma, leading them to feel disconnected or emotionally "empty."
Sleep disturbance: Sleep problems, such as insomnia or nightmares, are hallmark symptoms of PTSD. Clients often struggle with restful sleep due to anxiety, hypervigilance, or intrusive thoughts related to the traumatic event.
Guilt: Guilt is a common emotion experienced by individuals with PTSD, especially following trauma such as sexual assault. Survivors may blame themselves for not preventing the event, which can contribute to their emotional distress and symptoms of PTSD.

Rationale for incorrect choices:

Hallucinations: Hallucinations are not typically associated with PTSD. While PTSD can cause intense emotional reactions, hallucinations are more commonly seen in conditions such as schizophrenia or severe substance intoxication, not in PTSD.
Echopraxia: Echopraxia, which involves mimicking another person's movements, is generally associated with conditions such as autism or certain neurological disorders, not PTSD.

A. High self-esteem B. Low socioeconomic status C. Genetic predisposition D. History of maternal infection during pregnancy

Correct Answer is C

Explanation

A. High self-esteem: High self-esteem is not a risk factor for alcohol use disorder. In fact, individuals with alcohol use disorder often struggle with low self-esteem and emotional distress.

B. Low socioeconomic status: While low socioeconomic status can be a risk factor for various mental health and substance use issues, it is not as directly linked to alcohol use disorder as other factors, such as genetics or environmental influences.

C. Genetic predisposition: Genetic predisposition is a significant risk factor for alcohol use disorder. Family history and genetic factors can influence the likelihood of developing alcohol use disorder, making it a key factor to include in the presentation.

D. History of maternal infection during pregnancy: While maternal infections during pregnancy can have various effects on fetal development, they are not directly linked to the development of alcohol use disorder.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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