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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bone and muscle aches: These are more commonly associated with opioid withdrawal, not alcohol withdrawal.
B. Decreased blood pressure and nausea: Alcohol withdrawal is typically associated with increased blood pressure, not decreased blood pressure.
C. Increased heart rate and vomiting: Tachycardia and gastrointestinal symptoms like vomiting are common signs of alcohol withdrawal.
D. Constipation and pupil constriction: These symptoms are not characteristic of alcohol withdrawal but are associated with opioid use.
Correct Answer is A
Explanation
A. Seizure activity: Seizures are a known complication of alcohol withdrawal due to central nervous system hyperactivity.
B. Pathological change on CT scan: CT scan findings are not directly related to alcohol withdrawal symptoms.
C. Bradycardia: Alcohol withdrawal is typically associated with tachycardia, not bradycardia.
D. Stuporous level of consciousness: Clients experiencing alcohol withdrawal are often agitated or anxious rather than stuporous.
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