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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?

A.

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

B.

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

C.

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

D.

"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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Related Questions

Correct Answer is D

Explanation

A. They do not care that they lost their job and their partner: This statement reflects apathy but does not define addiction.

B. They filed for bankruptcy because of their debts and job loss: This is a consequence of their addiction, not a defining characteristic.

C. They are depressed over their current life situation: Depression may coexist with addiction but is not a defining characteristic.

D. They compulsively act on the urge to continue internet gaming and gambling even though they suffered negative consequences: The hallmark of addiction is the compulsive engagement in the behavior despite adverse outcomes.

Correct Answer is B

Explanation

A. "Alcohol tolerance causes the client to have an increased effect when taking opiates." Alcohol tolerance is specific to alcohol and does not directly increase the effect of opiates. However, cross-tolerance with other sedatives (e.g., benzodiazepines) may occur.

B. "Alcohol tolerance can result in a decreased physical response to alcohol." Alcohol tolerance develops as the body adapts to frequent alcohol use, requiring higher amounts to achieve the same effects.

C. "A client who has alcohol tolerance develops physical changes when they haven't recently ingested alcohol." This describes alcohol dependence, not tolerance. Physical changes, such as withdrawal symptoms, occur with dependence.

D. "Alcohol tolerance is a medical emergency and can develop as a result of withdrawal." Tolerance develops over time with frequent alcohol use. Withdrawal symptoms are the result of dependence, not tolerance.

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