38: A nurse in a mental health facility is caring for a client who has antisocial personality disorder and alcohol dependency. The nurse should encourage the client to participate in which of the following groups?
Dual diagnosis treatment
Codependency support
Psychodrama
Crisis intervention
The Correct Answer is A
A. Dual diagnosis treatment: This group is appropriate as it addresses both the antisocial personality disorder and alcohol dependency. Dual diagnosis treatment provides integrated care for individuals with co-occurring mental health and substance use disorders, making it a suitable option for this client.
B. Codependency support: This group primarily focuses on individuals affected by another person's substance use or behavior rather than directly addressing the issues of substance dependence and personality disorders in the individual.
C. Psychodrama: While psychodrama can be useful for exploring interpersonal issues and emotional experiences, it may not specifically address the dual challenges of antisocial personality disorder and alcohol dependency as effectively as dual diagnosis treatment.
D. Crisis intervention: This group focuses on immediate problems and crisis management rather than ongoing management of complex, co-occurring disorders. It may not provide the comprehensive support needed for both antisocial personality disorder and alcohol dependency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ask the client to demonstrate walking with the cane: Correct. Evaluation involves assessing the client’s ability to perform the learned skill, which is done by asking the client to demonstrate walking with the cane.
B. Show the client a video about walking with a cane: This is part of the teaching process, not evaluation. It is used to provide information but does not assess the client's understanding or ability.
C. Identify short-term goals for the client: This is part of the planning stage, where goals are set to guide the teaching and learning process, not part of evaluation.
D. Determine the client's readiness to learn: This is an initial assessment step before teaching begins, not part of the evaluation process after teaching has occurred.
Correct Answer is D
Explanation
A. "Advance the cane 12 inches forward when walking." Advancing the cane 12 inches forward is not practical; the cane should be moved in a manner that aligns with the client's steps for better balance and support. The movement of the cane should be synchronized with the client's stride rather than a fixed distance.
B. "Keep the cane at the same level as the affected leg when climbing stairs." When climbing stairs, the cane should be held on the side of the unaffected leg to provide optimal support and balance. Keeping the cane level with the affected leg is incorrect and does not provide adequate support.
C. "Hold the cane on the side of your affected leg when walking." The cane should be held on the side opposite the affected leg to provide better stability and support. Holding the cane on the affected side would not offer the necessary support for effective ambulation.
D. "Move your unaffected leg before your affected leg when walking." This is the correct technique as it ensures better balance and stability. Moving the unaffected leg first while using the cane allows for a more secure and coordinated gait, reducing the risk of falls.
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