A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, "I am really concerned about my husband." Which of the following is an appropriate response by the nurse?
"Tell me what is concerning you.”
"Crying helps us let things out and we feel better.”
"Your husband is making really good progress.”
"Did your husband say something to upset you?”
The Correct Answer is A
Choice A rationale:
The correct choice. In this situation, the nurse's priority is to gather information and provide emotional support. By asking the spouse to share their concerns, the nurse opens up a channel of communication and shows empathy, creating an opportunity to address the spouse's worries and provide reassurance.
Choice B rationale:
While the sentiment that crying can be cathartic and relieving is true, this response does not directly address the spouse's concern or encourage them to share their feelings. It's important to focus on the spouse's feelings rather than just explaining the benefits of crying.
Choice C rationale:
Assuming that the husband is making progress without knowing the specifics of the situation can come across as dismissive of the spouse's concerns. It's important to validate the spouse's emotions and provide support, rather than making assumptions about the husband's progress.
Choice D rationale:
Asking whether the husband said something to upset the spouse might be relevant, but it does not address the spouse's expressed concern about their husband. This response may not foster open communication and emotional support as effectively as choice A.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
The correct answer is choicea. Low self-esteem,b. Family history of addiction, andd. Personality disorders.
Choice A rationale:
Low self-esteem is considered a risk factor for addictive disorders.Individuals with low self-esteem may use substances as a coping mechanism to deal with negative feelings about themselves.
Choice B rationale:
A family history of addiction is a significant risk factor.Genetic predisposition plays a crucial role in the development of addictive behaviors.
Choice C rationale:
Asian ethnicity is not typically considered an etiological factor for addictive disorders.In fact, some studies suggest that certain genetic factors in Asian populations may reduce the risk of alcohol addiction.
Choice D rationale:
Personality disorders, such as borderline personality disorder or antisocial personality disorder, are associated with a higher risk of substance use disorders.These disorders can lead to behaviors that increase the likelihood of addiction.
Choice E rationale:
Being female is not a direct etiological factor for addictive disorders.However, gender can influence the patterns and consequences of substance use, with males generally having a higher prevalence of substance use disorders.
Correct Answer is B
Explanation
The correct answer is choice B: "I am powerless against my addiction to alcohol."
Choice B rationale:
This statement reflects an understanding of one of the fundamental principles of Alcoholics Anonymous (AA), which is the acknowledgment of powerlessness over alcohol. The concept of powerlessness is a cornerstone of the 12-step program and encourages individuals to recognize that attempting to control their addiction often leads to negative consequences. This admission is crucial for clients in recovery, as it opens the door to seeking support and relying on the fellowship and guidance of AA.
Choice A rationale:
While identifying triggers for alcoholism is important, this statement does not directly capture the essence of AA's principle. The focus on identifying causes does not fully encompass the concept of powerlessness over the addiction.
Choice C rationale:
Responsibility for one's alcoholism is not a core principle of AA. Instead, the program encourages individuals to take responsibility for their actions and their commitment to recovery, but not for causing their addiction in the first place.
Choice D rationale:
AA is a peer support program that emphasizes personal responsibility and self-accountability. While counseling might be beneficial, the statement implies external responsibility for recovery, which contradicts the self-help nature of AA.
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