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 A

Explanation

Choice A reason: For a client with Alzheimer's disease, it is beneficial to talk them through tasks one step at a time to help maintain their cognitive function and independence for as long as possible. This approach can reduce confusion and frustration.

Choice B reason: While rotating caregivers might provide variety, it can be confusing for a client with Alzheimer's disease. Consistency in caregivers can help establish a routine and sense of familiarity, which is comforting and can reduce anxiety.

Choice C reason: A consistent daily activity schedule is crucial for clients with Alzheimer's disease. It helps to maintain a sense of normalcy and can reduce stress and confusion. Changing the schedule daily could lead to increased anxiety and disorientation.

Choice D reason: Allowing ample time for activities is important as rushing can cause stress and agitation in clients with Alzheimer's disease. They often require more time to process information and complete tasks due to cognitive impairments.

A. "I can demand a higher salary for what I do on the team." B. "I find it difficult to obtain the resources I need in my job to get promoted." C. "When I had my child, they designated an office space for me to pump." D. "I have a set of specialized skills that are requested often on my team."

Correct Answer is B

Explanation

Choice A reason: This statement reflects assertiveness and self-advocacy rather than suppressed anger. It shows the client's awareness of her value to the team and her willingness to negotiate for fair compensation.

Choice B reason: This statement suggests frustration and possible feelings of being undervalued or obstructed in career advancement, which could be indicative of suppressed anger.

Choice C reason: This statement seems to express gratitude for the accommodation provided for her needs as a new mother, rather than suppressed anger.

Choice D reason: This statement indicates a recognition of her own expertise and the demand for her skills within the team, which is a positive self-assessment and not suggestive of suppressed anger.

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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 on a long-term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?

Correct Answer is A

Explanation

A female client comes to the clinic regularly for various somatic issues that have been ruled out for any organic cause. She states that she works as one of the only women on a cybersecurity technical team. Which statement made by the client indicates that she may have suppressed anger?

Correct Answer is B

Explanation

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