The client tells the nurse that she takes a drink every morning to calm her nerves and stop her tremors. The nurse realizes the client is at risk for:
A neurologic disorder, psychologic addiction, physical dependence.
An anxiety disorder.
A cardiovascular disorder.
A nutritional deficiency.
The Correct Answer is A
Choice A reason: Drinking alcohol every morning to calm nerves and stop tremors indicates physical dependence. Tremors are a withdrawal symptom, and the need to drink to relieve them shows tolerance and dependence. Additionally, psychological addiction is present because the client believes alcohol is necessary to function. Chronic alcohol use also predisposes to neurologic disorders such as peripheral neuropathy and Wernicke-Korsakoff syndrome.
Choice B reason: While the client may have underlying anxiety, the key issue is the dependence on alcohol to manage symptoms. The behavior described is more consistent with addiction and withdrawal rather than a primary anxiety disorder.
Choice C reason: Alcohol can contribute to cardiovascular problems such as hypertension or arrhythmias, but the immediate risk described in the scenario is dependence and neurologic complications, not cardiovascular disease.
Choice D reason: Chronic alcohol use can lead to nutritional deficiencies, especially thiamine deficiency, but the client’s daily drinking to stop tremors is more directly indicative of dependence and addiction rather than nutritional deficiency alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Grandiose mood is a feature of mania, not depression. While sleep changes and fatigue are consistent with depression, the presence of grandiosity makes this option incorrect.
Choice B reason: Pressured speech is a symptom of mania, not depression. Depression is characterized by slowed speech and psychomotor retardation rather than rapid, pressured communication.
Choice C reason: Flight of ideas is a hallmark of mania, not depression. Depression involves slowed thought processes, difficulty concentrating, and feelings of helplessness, but not rapid shifts in thought.
Choice D reason: Anhedonia (loss of pleasure), feelings of worthlessness, and difficulty focusing are core symptoms of major depression. This option directly matches the client’s report and expected findings.
Correct Answer is C
Explanation
Choice A reason: Hiding negative feelings from the client is not therapeutic. Families should be encouraged to communicate openly and honestly, while maintaining supportive and constructive interactions. Suppressing emotions can create tension and prevent healthy coping.
Choice B reason: Family therapy may be beneficial in some cases, but it is not universally required to prevent relapse. Relapse prevention focuses more on medication adherence, ongoing therapy, and support systems rather than mandatory family therapy.
Choice C reason: Helping the client feel valued within the family is essential. Depression often causes feelings of worthlessness and isolation. Reinforcing the client’s role as a valued member promotes self-esteem, belonging, and recovery. This is the most effective teaching point for families.
Choice D reason: Depression is not always a constant problem throughout life. Many clients recover fully with treatment, and while relapse can occur, it is not inevitable. Teaching families that depression is permanent can foster hopelessness rather than support.
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