Which of the following approaches should the nurse take when interviewing a client during admission to an alcohol treatment center?
Verbalize disapproval of the client’s substance abuse.
Avoid displaying an emotional response.
Maintain a nonjudgmental attitude.
Offer sympathetic support.
The Correct Answer is C
Choice A reason: Verbalizing disapproval of the client’s substance abuse is not therapeutic and can harm the nurse-client relationship. It may cause the client to feel judged and less likely to be open about their struggles, hindering the treatment process.
Choice B reason: While it is important to maintain professionalism, avoiding any emotional response can make the nurse seem distant and uncaring. A balance between empathy and professional detachment is necessary to build rapport and trust with the client.
Choice C reason: Maintaining a nonjudgmental attitude is essential in the therapeutic setting, especially during the initial interview at an alcohol treatment center. It helps to create a safe environment where the client feels respected and understood, which can facilitate openness and honesty about their issues with substance abuse.
Choice D reason: Offering sympathetic support is a positive approach, but it must be carefully balanced with professional boundaries. Sympathy can sometimes be mistaken for pity, which might not be empowering for the client. Empathy, which involves understanding and sharing the feelings of another, is generally more appropriate in a therapeutic setting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A Reason:
Anxiety is a common comorbidity with eating disorders. Individuals with eating disorders often experience heightened levels of anxiety, which can manifest as generalized anxiety, panic attacks, or specific phobias. The preoccupation with food, body weight, and shape in eating disorders can exacerbate anxiety symptoms.
Choice B Reason:
Depression is another frequent comorbidity with eating disorders. The feelings of worthlessness, hopelessness, and anhedonia that characterize depression can often intertwine with the negative self-perception and emotional distress associated with eating disorders. This relationship can create a vicious cycle where each condition perpetuates the other.
Choice C Reason:
Obsessive-compulsive disorder (OCD) is commonly comorbid with eating disorders, particularly with anorexia nervosa and bulimia nervosa. The obsessive thoughts about food and compulsive behaviors such as excessive exercising or ritualistic eating patterns seen in eating disorders share similarities with the symptomatology of OCD.
Choice D Reason:
Schizophrenia is not typically considered a comorbidity of eating disorders. While individuals with schizophrenia may exhibit disordered eating behaviors, these are usually secondary to psychotic symptoms or medication side effects rather than a primary eating disorder.
Choice E Reason:
Breathing-related sleep disorders are not commonly associated with eating disorders. However, if an individual with an eating disorder has significant weight fluctuations, it could potentially impact sleep and breathing. Still, it is not a primary comorbidity like anxiety, depression, or OCD.
Correct Answer is D
Explanation
Choice A reason:
Reality orientation is about helping individuals understand their surroundings and the current situation. The statement in question does not directly affect the child's ability to perceive reality but rather ties the parent's affection to the child's performance, which is not related to reality orientation.
Choice B reason:
A sense of responsibility is typically encouraged by allowing children to experience the consequences of their actions and decisions. The statement made by the parent does not address the child's responsibility; instead, it places the child's worth and the parent's love as conditional upon academic performance.
Choice C reason:
A sense of survival would be hindered if the child's basic needs or safety were threatened. In this scenario, the statement does not threaten the child's sense of survival but rather their emotional security and self-worth.
Choice D reason:
Unconditional love is the concept that a parent's love for their child is not based on the child's actions or achievements. The statement made by the parent suggests that their love is conditional upon the daughter's academic success, which can severely impact the child's self-esteem. Children need to know that they are loved regardless of their achievements to develop a healthy sense of self-esteem. When parental love is perceived as conditional, it can lead to feelings of insecurity and unworthiness.
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