A nurse is planning care for a client who has chronic substance use disorder. Which of the following is the most therapeutic response to help the client cease alcohol consumption?

"Let me tell you how I struggled to stop drinking whiskey over the years, but finally succeeded."

"You have stopped drinking, haven't you?"

"The physician has ordered you to stop drinking all alcoholic beverages. Are you going to make us happy?"

"Let's work together on a plan that includes medication, group support, and counseling."

Answer and Explanation

The Correct Answer is D

Rationale:

A. Sharing personal experiences can be supportive, but it may not be the most therapeutic or professional approach in this situation.

B. This question is leading and doesn't encourage an open dialogue. It may also induce guilt or defensiveness in the client.

C. This statement is authoritative and may come across as coercive, which can be counterproductive in encouraging the client to take responsibility for their recovery.

D. Collaborating with the client on a comprehensive plan that includes medication, group support, and counseling is a therapeutic approach that empowers the client to actively participate in their recovery, offering them the best chance of success.

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Correct Answer is D

Explanation

Rationale:

A. Self-stigma refers to the internalized negative beliefs a person may have about their own mental illness, not external fears about others.

B. Institutional stigma involves policies or practices within organizations that discriminate against those with mental illness, not individual fears.

C. Cultural stigma refers to societal attitudes and beliefs about mental illness within a specific culture, not individual fears about safety.

D. Public stigma involves widespread negative beliefs and stereotypes about mental illness, which can contribute to fears that individuals with schizophrenia are dangerous to others.

A. Dental decay B. Lower than normal expected reference range of body weight C. Hyperkalemia D. Amenorrhea

Correct Answer is A

Explanation

Rationale:

A. Dental decay is a common result of frequent vomiting in bulimia nervosa due to exposure of teeth to stomach acid.

B. Bulimia nervosa often involves fluctuations in weight rather than a consistently lower weight, as it includes binge eating episodes.

C. Hypokalemia (low potassium) is more commonly associated with bulimia due to vomiting rather than hyperkalemia (high potassium).

D. Amenorrhea (absence of menstruation) may occur in bulimia nervosa but is less specific than dental decay for the condition.

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A nurse is planning care for a client who has chronic substance use disorder. Which of the following is the most therapeutic response to help the client cease alcohol consumption?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is speaking with a newly licensed nurse who reports that they fear a client might be dangerous to others due to the client's diagnosis of schizophrenia. Which of the following types of stigma should the nurse identify as being associated with this fear?

Correct Answer is D

Explanation

A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

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