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 reflects a justification of the spouse's behavior, which can enable the continuation of abuse.
Choice B reason: Providing money for drugs, even if to prevent theft, is enabling the substance abuse to continue.
Choice C reason: Encouraging rehab is not enabling; it is an attempt to address the problem.
Choice D reason: Calling in sick for the spouse to cover for their potential job loss due to substance abuse is an enabling behavior.
Choice E reason: This is a protective behavior. Both are healthy responses to dealing with a partner’s destructive behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is: "Tell me what is concerning you."
Choice A reason:
Asking "Did your husband say something to upset you?" may seem accusatory and could lead the spouse to feel defensive. It does not open a dialogue for the spouse to express their concerns freely and can be perceived as leading the conversation in a negative direction.
Choice B reason:
"Tell me what is concerning you." is an open-ended statement that invites the spouse to share their feelings and concerns. It demonstrates empathy and active listening, which are key components of therapeutic communication. This response encourages the spouse to elaborate on their feelings and fosters a supportive environment.
Choice C reason:
Saying "Your husband is making really good progress!" is reassuring, but it does not address the spouse's current emotional state or concerns. It may come across as dismissive of the spouse's feelings and does not encourage further discussion about their worries.
Choice D reason:
Asking "Did something bad happen to your husband?" can increase anxiety and assumes a negative event has occurred. It is not a therapeutic response because it does not provide comfort or support to the spouse in a stressful situation.
Correct Answer is C
Explanation
Choice A reason: Focusing conversations on nutritious food can be positive, but it does not directly indicate a change in behavior related to bulimia nervosa.
Choice B reason: Gaining weight may be a positive sign, but it is not sufficient on its own to indicate a behavioral change, as weight can fluctuate for various reasons.
Choice C reason: Demonstrating healthy coping mechanisms that decrease anxiety is a strong indicator of positive behavioral change in a client with bulimia nervosa, as it suggests the client is developing strategies to manage the disorder.
Choice D reason: While verbalizing an understanding of the disorder's etiology is beneficial, it does not necessarily reflect a change in behavior.
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