The nurse is talking with the spouse of a client admitted for substance use disorder and overdose. Which statement(s) made by the spouse indicates that they are exhibiting enabling behaviors? Select all that apply.
"My spouse had a terrible childhood, and I would probably do the same things."
"If I don't give them money for the drugs, they will just steal it anyway."
"I told my spouse that in order to be able to come home, they will first have to go to rehab."
"I am so scared about my spouse getting fired; I often call in sick for them."
"I can't keep money in the house and have to lock up jewelry in a safe."
Correct Answer : A,B,D
Choice A reason: This statement is an example of rationalizing the spouse's behavior, which can perpetuate the cycle of substance abuse.
Choice B reason: Providing money for drugs, even under the guise of preventing theft, is enabling because it facilitates the continuation of the substance abuse.
Choice C reason: Suggesting rehab as a condition for coming home is not enabling; it is a step towards addressing the substance use disorder.
Choice D reason: Calling in sick on behalf of the spouse to cover for their potential job loss due to substance abuse is an enabling behavior that prevents the spouse from facing the natural consequences of their actions.
Choice E reason: Securing valuables to prevent theft due to the spouse's substance abuse is also enabling because it adjusts normal routines to accommodate the substance use, rather than confronting or addressing the issue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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?.
Correct Answer is B
Explanation
Choice A reason: This response is dismissive of the client's concerns and does not address her discomfort with a male nurse.
Choice B reason: This response is respectful of the client's wishes and offers a solution that could make her more comfortable.
Choice C reason: This response does not acknowledge the client's specific discomfort with a male nurse and does not offer an alternative.
Choice D reason: While this offers an alternative, it may not fully address the client's discomfort with having a male nurse responsible for her overall care.
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