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 D
Explanation
Choice A reason: Hypersomnia is not typically associated with cocaine intoxication, which usually results in increased alertness and energy.
Choice B reason: Depression may occur as a come-down effect after the cocaine high, but it is not a direct symptom of intoxication.
Choice C reason: Nystagmus, or rapid involuntary movements of the eyes, can occur with cocaine intoxication.
Choice D reason: Dilated pupils are a common sign of cocaine intoxication due to its stimulant effects on the nervous system.
Correct Answer is D
Explanation
Choice A reason: Acrophobia is the fear of heights, not water, and is considered a natural environment type of phobia.
Choice B reason: Aquaphobia is indeed the fear of water, but it is classified as a natural environment type of phobia, not situational.
Choice C reason: Acrophobia is incorrectly associated here; it is the fear of heights and not related to water.
Choice D reason: Aquaphobia is the correct term for an excessive fear of water, and it is identified as a natural environment type of phobia.
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