A nurse is caring for a client who has alcohol use disorder. Which of the following statements made by the client indicates the client has a support system?
"My boss fired me due to my frequent absence."
"My friends frequently drink alcohol, so I do not see them anymore."
"I have a sibling who attends Al-Anon”
"I take care of my parent who has Wernicke-Korsakoff syndrome."
The Correct Answer is C
A. "My boss fired me due to my frequent absence": This statement indicates a lack of support in the client's work environment, rather than a positive support system. Losing a job due to alcohol use suggests strained relationships and challenges in the client's social or professional life.
B. "My friends frequently drink alcohol, so I do not see them anymore": While the client is avoiding potentially harmful relationships, this statement indicates isolation rather than a supportive network.
C. "I have a sibling who attends Al-Anon": This statement indicates that the client has a family member actively involved in a support group (Al-Anon), which is designed for families and friends of individuals with alcohol use disorders. This suggests the client has a support system in place.
D. "I take care of my parent who has Wernicke-Korsakoff syndrome": While this indicates a sense of responsibility, it does not necessarily point to a supportive relationship. The client may be struggling with caregiving without the emotional or social support they need.
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Related Questions
Correct Answer is D
Explanation
A. "I will learn how to voluntarily control my blood pressure and heart rate": This statement refers to biofeedback, which focuses on controlling physiological responses like heart rate and blood pressure. It is not part of cognitive reframing, which targets thoughts.
B. "I will focus on a mental image while concentrating on my breathing.": This is describing guided imagery and relaxation techniques. While these are effective stress management strategies, they are not part of cognitive reframing, which focuses on altering negative thought patterns.
C. "I will progressively relax each of my muscle groups when feeling stressed.": This statement refers to progressive muscle relaxation, which helps with physical relaxation but does not involve changing thought patterns.
D. "I will practice replacing negative thoughts with positive self-statements": This is an accurate description of cognitive reframing. It involves identifying negative thoughts and replacing them with more balanced or positive ones to manage stress and improve emotional well-being.
Correct Answer is C
Explanation
A. Call security guards to the scene for a show of force: Calling security may escalate the situation, especially if the client is already showing signs of agitation. This could increase fear or aggression, making it harder to de-escalate the client. A calm and supportive approach is more effective.
B. Escort the client to a secluded area to speak privately: Escorting the client to a secluded area may increase feelings of isolation or entrapment, potentially worsening the situation. It is better to maintain an open, non-threatening environment for communication and de-escalation.
C. Offer the client several options for a time-out period: Offering choices, such as a time-out, helps the client feel some control over the situation, which can reduce agitation. This strategy fosters cooperation while addressing the need for the client to calm down in a safe space.
D. Place the client in restraints before they escalate further: Restraints should be a last resort and only used if the client poses an immediate danger to themselves or others. Using restraints prematurely can increase aggression and escalate the situation, so other de-escalation techniques should be tried first.
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