The nurse is talking with a client who grew up in a home where both parents were alcoholics. Which behaviors does the nurse identify when assessing this client that correlate with this home life? Select all that apply.

Drinks alcohol to excess 3 days a week.

States that they hang on to bad relationships due to fear of being alone.

Went back to college to complete a degree in nursing.

Divorced 3 times with tumultuous relationships with spouses.

Several trusting relationships with friends.

Answer and Explanation

Correct Answer : A,B,D

Choice A reason: Drinking alcohol to excess is a behavior that can be influenced by growing up in a home with alcoholic parents, as it may become a learned coping mechanism.

Choice B reason: Hanging on to bad relationships due to fear of being alone can be a behavior stemming from the instability and insecurity experienced in a home with alcoholic parents.

Choice C reason: Returning to college to complete a degree does not directly correlate with the influence of growing up in a home with alcoholic parents and is more indicative of personal ambition and goals.

Choice D reason: Having multiple divorces with tumultuous relationships could be related to the dysfunctional relationship dynamics observed in a home with alcoholic parents.

Choice E reason: Forming several trusting relationships with friends does not necessarily correlate with growing up in a home with alcoholic parents and is generally a positive social behavior.

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Correct Answer is A

Explanation

Choice A reason: Weight gain is indeed a known side effect of lithium treatment, and acknowledging this can validate the client's experience.

Choice B reason: This response could be perceived as blaming and does not acknowledge that weight gain can be a side effect of lithium.

Choice C reason: This statement is misleading as weight gain can occur beyond the first month of treatment with lithium.

Choice D reason: This statement is incorrect as weight loss is not the typical pattern associated with lithium; weight gain is more common.

A. Prevent aggressive and impulsive behaviors. B. Manipulate others. C. Decrease the time available for interaction with people. D. Decrease anxiety.

Correct Answer is D

Explanation

Choice A reason: While OCD behaviors may appear aggressive or impulsive, they are typically performed to reduce anxiety rather than prevent aggressive impulses.

Choice B reason: Manipulation of others is not a common goal of OCD behaviors; these behaviors are more self-directed and aimed at managing the individual's own anxiety.

Choice C reason: Decreasing time for social interaction is not the primary intent of OCD behaviors; rather, these behaviors are compulsions that the individual feels driven to perform, often to alleviate anxiety.

Choice D reason: Repetitive cleaning in OCD is a compulsion that aims to decrease anxiety caused by obsessive thoughts, often about contamination or disorder.

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The nurse is talking with a client who grew up in a home where both parents were alcoholics. Which behaviors does the nurse identify when assessing this client that correlate with this home life? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client began taking lithium for the treatment of bipolar disorder approximately one month ago. The client asks if it is normal to have gained 12 pounds in this time frame. Which is the appropriate nursing reply?

Correct Answer is A

Explanation

A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and observes that the client demonstrates constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?

Correct Answer is D

Explanation

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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?

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