The nurse is leading a family therapy group with a client addicted to alcohol. Which statement made by the spouse indicates the need for additional education regarding alcoholism as a family illness?

"We have separated our finances so that I will not go broke."

"I take my kids with me to Al-Anon meetings every week."

"Last time the client got arrested, I just let the client sit in jail."

"I have to call in sick for the client when the client is too hungover to go to work."

Answer and Explanation

The Correct Answer is D

Choice A reason: Separating finances is a practical step but does not address the underlying issues of alcoholism as a family illness.

Choice B reason: Attending Al-Anon meetings is a positive step towards understanding and coping with the effects of a family member's alcoholism.

Choice C reason: Allowing the client to face the consequences of their actions can be part of setting boundaries, which is important in dealing with alcoholism.

Choice D reason: Calling in sick for the client enables the behavior and prevents the client from facing the natural consequences of their alcoholism, indicating a need for further education on the illness.

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Correct Answer is D

Explanation

Choice A reason: Gastric lavage is not indicated in this scenario as the client's lithium level is not extremely elevated. Gastric lavage is typically reserved for cases of acute lithium toxicity when levels are significantly higher than the therapeutic range.

Choice B reason: There is no need to hold the medication as the lithium level is within the normal therapeutic range, which is generally between 0.6 to 1.2 mEq/L. Early manifestations of toxicity typically occur at levels above 1.5 mEq/L.

Choice C reason: Checking the client's medication record is a standard procedure but does not take precedence over administering the medication. The lithium level indicates that the client has been compliant with the medication regimen.

Choice D reason: The nurse should administer the morning dose of lithium because the current level is within the therapeutic range, indicating that it is safe to continue the prescribed treatment.

A. The client has supportive and encouraging relationships. B. There are multiple siblings in the household. C. The family appears to lack interest in the client. D. The client has overprotective parents.

Correct Answer is C

Explanation

Choice A reason: Supportive and encouraging relationships are typically protective against the development of eating disorders, not a contributing factor?.

Choice B reason: Having multiple siblings in the household does not directly indicate a cause for an eating disorder.

Choice C reason: A family's lack of interest can contribute to feelings of neglect or low self-worth, which are known risk factors for the development of eating disorders?.

Choice D reason: While overprotective parents can contribute to stress, they are not necessarily an indicator of why a client may be experiencing an eating disorder. The relationship between parenting style and eating disorders is complex and not solely causative?.

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The nurse is leading a family therapy group with a client addicted to alcohol. Which statement made by the spouse indicates the need for additional education regarding alcoholism as a family illness?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an acute care mental health facility is preparing to administer morning medication to a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0 mEq/L. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

During an assessment of family dynamics for a client with an eating disorder, which observed issue could indicate a reason for the client's eating disorder?

Correct Answer is C

Explanation

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The nurse is providing education for a client to improve mental and emotional health and influence the client's response to illness. Which statement made by the client indicates that the education is effective? (Select all that apply.)

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