The client has successfully completed detox and is ready for discharge home. What is the primary reason the nurse refers the client to Alcoholics Anonymous (AA)?
To teach how to manage alcohol use
To provide support for a lifelong addiction
To prevent relapse from occurring
To help the client meet other people who have been successful in treatment.
The Correct Answer is B
A. To teach how to manage alcohol use: AA does not focus on teaching moderation or controlled drinking. Its philosophy promotes complete abstinence and spiritual growth as a foundation for recovery.
B. To provide support for a lifelong addiction: AA offers ongoing, peer-led support and accountability, which is crucial for managing alcohol use disorder long term. It helps individuals maintain sobriety through shared experiences and regular meetings.
C. To prevent relapse from occurring: While AA participation can reduce the likelihood of relapse, it is not a guaranteed prevention method. It is part of a broader recovery plan that includes coping strategies, support, and lifestyle changes.
D. To help the client meet other people who have been successful in treatment: AA does foster social connection, but its primary purpose is to support individuals in recovery, not just to introduce them to others. The program focuses on mutual aid and the 12-step framework.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "What makes you most angry about getting the disease?": This response aligns with the anger stage, which is the second stage in the Kübler-Ross model. It helps validate frustration but is not appropriate in the bargaining phase. At this point, the client is more focused on negotiating for more time or outcomes. Encouraging anger expression may be less helpful now.
B. "Let's review the laboratory results and compare them with the diagnostic tests.": This is a logical, data-focused statement that doesn’t address the client’s emotional needs. During bargaining, clients are seeking emotional reassurance and often making "if only" or "I wish" statements. Reviewing labs lacks therapeutic value in this emotional stage.
C. "I understand that it would be wonderful to see your daughter's graduation.": This statement acknowledges a common bargaining response — hoping to live long enough for an important event. It reflects empathy and connects with the client's emotional state. Supporting these goals helps the client feel heard and validated during this stage.
D. "I like your idea of living for today and enjoying those around you.": This statement reflects the mindset seen in the acceptance stage of grief. While it promotes positivity, it does not resonate with the bargaining phase, where clients are still negotiating with fate or a higher power. It may feel dismissive of the client’s current emotional struggle.
Correct Answer is A
Explanation
A. Echocardiography: This test uses ultrasound to visualize heart structures and assess left ventricular function and thickness. It’s the primary tool for evaluating hypertensive effects on the heart.
B. Positron emission tomography (PET) scan: PET scans assess metabolic activity and are used in oncology and some cardiac studies but are not first-line for evaluating left ventricular changes due to hypertension.
C. Fluorescein angiography: This test is used in ophthalmology to assess retinal blood vessels and has no relevance to cardiac or ventricular function.
D. Computed tomographic (CT) scan: CT scans may detect structural abnormalities but are not typically used to assess left ventricular function in hypertension. Echocardiography is more precise and noninvasive for this purpose.
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