A nurse is providing teaching to a client who has an alcohol use disorder about Alcoholics Anonymous (AA). Which of the following client statements indicates an understanding of the program's basic concepts?

"I am responsible for my alcoholism."

"I am powerless against my addiction to alcohol."

"I need to see a counselor who will be responsible for my recovery."

"I need to identify things that cause me to be an alcoholic."

Answer and Explanation

The Correct Answer is B

Choice A Reason:

While personal responsibility is important in recovery, the statement "I am responsible for my alcoholism" does not align with the fundamental concepts of AA. AA emphasizes that while individuals are responsible for their recovery and making amends, alcoholism is viewed as a disease over which one has no control.

Choice B Reason:

The statement "I am powerless against my addiction to alcohol" reflects the first step of AA's Twelve Steps, which is admitting powerlessness over alcohol and recognizing that life has become unmanageable. This is a core concept of AA, acknowledging that recovery begins with this admission.

Choice C Reason:

Suggesting that a counselor is responsible for one's recovery does not align with AA's principles. AA advocates that recovery is a personal journey and that the support from the group and a higher power, as understood by the individual, is what aids in recovery.

Choice D Reason:

While identifying triggers for alcohol use is a part of many treatment programs, the statement "I need to identify things that cause me to be an alcoholic" does not capture the essence of AA's approach. AA focuses on the acceptance of alcoholism as a disease and working through the Twelve Steps for recovery.

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Correct Answer is A

Explanation

Choice A reason:

Hallucinations are not a common side effect of Buspar (Buspirone) and could indicate a serious reaction to the medication. If a client experiences hallucinations, it is crucial for the nurse to report this to the provider immediately as it may require medical intervention or adjustment of the medication.

Choice B reason:

Discolored urine can be concerning, but it is not typically associated with Buspar (Buspirone). It could be related to other factors such as diet, hydration levels, or other medications. However, if the discoloration is persistent or accompanied by other symptoms, it should be reported to the provider.

Choice C reason:

Decreased appetite might occur with Buspar (Buspirone), but it is generally not considered a serious side effect. If the decreased appetite leads to significant weight loss or nutritional deficiencies, it should be discussed with the provider.

Choice D reason:

Sweating can be a side effect of many medications and is not usually a cause for concern with Buspar (Buspirone). However, if sweating is excessive or causes discomfort, it may be worth mentioning to the provider.

A. Prior physical health followed by the need for two surgeries within the last three months. B. Sudden unexplained loss of peripheral sensation. C. Obsession over a fictitious defect in physical appearance. D. Continuous worry about the undiagnosed presence of an illness.

Correct Answer is D

Explanation

Choice A reason:

A history of prior physical health issues and surgeries may contribute to health-related anxieties, but they are not specific findings expected in illness anxiety disorder. This disorder is characterized by excessive worry about having a serious illness, not necessarily a history of actual health problems.

Choice B reason:

Sudden unexplained loss of peripheral sensation could be a symptom of a neurological condition and is not a typical finding in illness anxiety disorder. Individuals with this disorder are preoccupied with the idea of being ill rather than experiencing unexplained physical symptoms.

Choice C reason:

An obsession over a fictitious defect in physical appearance is more indicative of body dysmorphic disorder rather than illness anxiety disorder. While both disorders involve preoccupation with health and appearance, illness anxiety disorder focuses on the fear of having a serious illness.

Choice D reason:

Continuous worry about the undiagnosed presence of an illness is a central feature of illness anxiety disorder. Individuals with this disorder are excessively concerned about the possibility of having a serious, undiagnosed medical condition despite lack of or minimal somatic symptoms

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A nurse is providing teaching to a client who has an alcohol use disorder about Alcoholics Anonymous (AA). Which of the following client statements indicates an understanding of the program's basic concepts?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is taking care of a client who has generalized anxiety disorder and is taking Buspar (Buspirone). Which of the following adverse effects should the nurse report to the provider?

Correct Answer is A

Explanation

Which of the following findings should a nurse expect when assessing a client with illness anxiety disorder?

Correct Answer is D

Explanation

When providing community healthcare teaching regarding the early warning signs of Alzheimer's disease, which signs should the nurse advise family members to report? (Select all that apply.)

A nurse educator is discussing community mental health with a group of nursing students. Based on the public health model, which of the following statements made by one of the students indicates correct information about primary prevention?

A nurse is planning care for a client who has dependent personality disorder. Which of the following actions should the nurse plan to take?

A nurse in a psychiatric unit is caring for several clients. Which of the following clients should the nurse recommend for group therapy?

What should the nurse do to establish trust in a therapeutic relationship with the clients?

A home health nurse is making a home visit to a client who has Alzheimer's disease and the client's partner. Which of the following observations indicates to the nurse that the partner is experiencing caregiver role strain?

A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client received a telephone call that was upsetting, and now the client is pacing up and down the hallways of the unit. Which of the following actions should the nurse take?

A nurse is assessing a client diagnosed with schizophrenia who has been treated with fluphenazine (Prolixin) for several years. Which of the following findings should the nurse document as manifestations of tardive dyskinesia (TD)?