A nurse is giving a presentation about intimate partner abuse for a community group. Which of the following statements by a group member indicates an understanding of the teaching?

"The honeymoon stage of violence usually gets longer over time."

"Survivors of abuse often feel guilty."

"As abuse continues, victims become more determined to be independent"

"Abusers often have high self-esteem."

Answer and Explanation

The Correct Answer is B

A. "The honeymoon stage of violence usually gets longer over time": The honeymoon stage typically becomes shorter as the cycle of abuse progresses. Over time, the tension-building and abusive episodes tend to increase in frequency and intensity.
B. "Survivors of abuse often feel guilty": Survivors of intimate partner abuse often feel guilty, ashamed, or responsible for the abuse. They may believe they somehow provoked the violence or could have prevented it.
C. "As abuse continues, victims become more determined to be independent": Victims of abuse often become more dependent over time due to manipulation, fear, and control exerted by the abuser. They may find it difficult to leave or make independent decisions.
D. "Abusers often have high self-esteem": This statement is generally inaccurate as abusers often have low self-esteem and may use controlling behaviors as a way to mask feelings of inadequacy or insecurity.

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Correct Answer is C

Explanation

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.

A. Schedule electroconvulsive therapy (ECT) B. Diazepam 10 mg PO three times a day C. Perform Alcohol Use Disorders Identification Test (AUDIT) D. Group therapy E. Complete blood count and basic metabolic profile F. Nutritional consult G. Methadone 40 mg PO daily H. Propranolol 40 mg PO twice a day

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"B"},"H":{"answers":"A"}}

Explanation

Rationale:

Schedule electroconvulsive therapy (ECT): ECT is a treatment for severe depression, bipolar disorder, or catatonia that has not responded to other treatments. It is not indicated for the acute management of alcohol withdrawal syndrome or alcohol use disorder.
Diazepam 10 mg PO three times a day: Diazepam is commonly used to manage alcohol withdrawal symptoms due to its sedative and anticonvulsant properties. It helps prevent withdrawal seizures and reduces anxiety during the withdrawal period.
Perform Alcohol Use Disorders Identification Test (AUDIT): This assessment tool is appropriate for evaluating the severity of alcohol use disorder and understanding the client’s alcohol consumption patterns. It is essential for treatment planning and ongoing care.
Group therapy: Group therapy is an essential component of alcohol use disorder treatment. It offers support, accountability, and shared experiences, which are vital in maintaining sobriety.
Complete blood count and basic metabolic profile: These lab tests are necessary to monitor the client's overall health and identify potential complications related to alcohol withdrawal, such as electrolyte imbalances, anemia, or liver dysfunction.
Nutritional consult: Clients with alcohol use disorder often have poor nutrition, and a nutritional consult is essential to address deficiencies, provide guidance, and support recovery.

Methadone 40 mg PO daily: Methadone is used for opioid withdrawal and maintenance treatment, not for alcohol use disorder. It is contraindicated in this client’s care, as it is not indicated for alcohol withdrawal or management.
Propranolol 40 mg PO twice a day: Propranolol may be used to manage the autonomic symptoms of alcohol withdrawal, such as elevated heart rate and blood pressure. It can help control symptoms like tremors and anxiety, making it an appropriate choice.

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A nurse is giving a presentation about intimate partner abuse for a community group. Which of the following statements by a group member indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A nurse is caring for a client who is experiencing alcohol withdrawal. Exhibits A nurse is planning care for a client who has alcohol use disorder. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"B"},"H":{"answers":"A"}}

Explanation

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