The nurse is assessing the drinking history of a client with a history of alcohol abuse. The client is being admitted after being found unresponsive in a public place. Which statement would indicate the use of defense mechanisms?

"I have no intention to stop drinking. I like the way it makes me feel."

"I have tried so many times to stop drinking. It is so hard."

I don't really have a problem with alcohol. I've just been having a streak of bad luck lately."

"I really need some help. My drinking is tearing my family apart."

Answer and Explanation

The Correct Answer is C

A. "I have no intention to stop drinking. I like the way it makes me feel.": This is an example of denial but does not strongly indicate a defense mechanism.

B. "I have tried so many times to stop drinking. It is so hard.": This demonstrates acknowledgment of the problem and a desire for change, not a defense mechanism.

C. "I don't really have a problem with alcohol. I've just been having a streak of bad luck lately.": This is an example of rationalization, a defense mechanism where the individual justifies their behavior with excuses.

D. "I really need some help. My drinking is tearing my family apart.": This statement reflects insight and readiness for change, not a defense mechanism.

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Correct Answer is ["A","D","E"]

Explanation

A. Family history of addiction: Genetic predisposition and family dynamics can significantly contribute to substance use disorders.

B. Asian ethnicity: Ethnicity alone is not a causative factor for addiction. This choice is incorrect.

C. Poor educational resources: While limited education may correlate with substance use, it is not a direct etiological factor.

D. Low self-esteem: Psychological factors like low self-esteem are strongly linked to the development of addictive behaviors.

E. Lack of support system: Social isolation and lack of support are well-documented risk factors for addiction.

A. "Disulfiram will prevent my cravings for alcohol." B. "I should expect hand tremors to start less than 24 hours after I stop drinking." C. "It is important that I take Vitamin C to prevent liver cirrhosis or other liver damage." D. "Withdrawal symptoms should last about 5 to 7 days once they begin."

Correct Answer is B

Explanation

A. “Disulfiram will prevent my cravings for alcohol.” Disulfiram creates an aversion but does not reduce cravings.

B. "I should expect hand tremors to start less than 24 hours after I stop drinking." Tremors typically begin within 6-24 hours of the last drink.

C. "It is important that I take Vitamin C to prevent liver cirrhosis or other liver damage." Thiamine (Vitamin B1), not Vitamin C, is essential to prevent Wernicke’s encephalopathy and other complications.

D. "Withdrawal symptoms should last about 5 to 7 days once they begin." Withdrawal symptoms typically peak in 48-72 hours and subside after 4-5 days, not 7 days.

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The nurse is assessing the drinking history of a client with a history of alcohol abuse. The client is being admitted after being found unresponsive in a public place. Which statement would indicate the use of defense mechanisms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting the charge nurse to prepare for an in service with nursing staff to discuss substance use disorders. Which of the following should the nurse include as an etiological factor of addictive disorders? (Select all that apply.)

Correct Answer is ["A","D","E"]

Explanation

A nurse is reinforcing teaching about alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is B

Explanation

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