The spouse of a client who is diagnosed with an alcohol use disorder requests information from the nurse about support groups to help the family cope with the effects of the client's drinking on the family. Which statement by the spouse would suggest the teaching has been effective? The spouse states:

"Support groups are an option for the client, not the family."

"We can call Alcoholics Anonymous (AA) and go to a closed meeting to see what happens in the AA meetings."

"The family can go to Al-Anon meetings for support."

"We should wait until the client is ready to stop drinking before the family goes to support meetings.

Answer and Explanation

The Correct Answer is C

C. This statement demonstrates an understanding of the availability of support groups specifically for family members affected by alcohol use disorder and reflects the spouse's willingness to seek support independently of the client's readiness for treatment.
A. Effective teaching would convey that support groups are available not only for individuals struggling with alcohol use disorder but also for their family members who may need support in coping with the impact of the disorder on their lives.
B. Alcoholics Anonymous (AA) meeting are primarily for individuals with alcohol use disorder.
D. Effective teaching would emphasize the importance of the family seeking support for themselves independently of the client's readiness to seek treatment.

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Correct Answer is A

Explanation

A. Neglect occurs when a caregiver fails to provide for a child's basic needs, such as food, shelter, clothing, medical care, education, or emotional support. In this scenario, the child's statement about not eating for days and feeling worried because their parents are away suggests a lack of provision for basic needs, indicating possible neglect.
B. Sexual abuse involves inappropriate sexual behavior or contact imposed upon a child by an adult or older child. There is no indication of sexual abuse in the child's statement about not eating for days and feeling worried because their parents are away.
C. Financial abuse typically involves the misuse or withholding of a child's financial resources by a caregiver. While financial abuse can manifest in various forms, such as stealing a child's money or preventing access to resources, there is no direct mention of financial abuse in the child's statement.
D. Bullying involves repeated aggressive behavior intended to intimidate, harm, or exert control over another individual. There is no indication of bullying in the child's statement to the school nurse.

A. cannot answer the nurse when spoken to. B. may need complete supervision when performing hand hygiene. C. is allowed to use safety scissors with adult guidance. D. follows directions independently when given an assignment.

Correct Answer is B

Explanation

B. Children with IDD often require additional support and supervision in performing daily tasks, including personal hygiene routines like handwashing. Depending on the specific needs and abilities of the child, they may require varying levels of assistance and supervision.
A. Communication abilities can vary widely among children with IDD, and many may be able to understand and respond to simple questions or instructions, albeit with some difficulty.
C. Safety scissors are specifically designed for children to use safely, with features such as blunt tips and plastic blades to minimize the risk of injury. Allowing a child with IDD to use safety scissors with adult guidance can promote independence while ensuring safety.
D. Children with IDD often face challenges in following directions and completing tasks independently, particularly those with lower IQ scores.

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Naxlex Comprehensive Predictor Exams

While talking to the school nurse, a child in third grade states, "My parents are away and I have not eaten for days. I am worried that my parents forgot about me and my little brother." The nurse would suspect what type of abuse?

Correct Answer is A

Explanation

A nurse is caring for a 10-year old child with Intellectual Developmental Disorder who has an IQ of 45. Which child capability would the nurse expect to observe? The child:

Correct Answer is B

Explanation

A severely depressed, sullen client has been taking fluoxetine for 10 days. During the first outpatient visit, the client smiles excitedly and states, "I feel so much better now." How should the nurse interpret this behavior change? The:

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