A patient diagnosed with alcoholism says. "Drinking helps me cope with being a single parent." Which therapeutic response by the nurse would help the patient conceptualize the drinking objectively?

"Sooner or later, alcohol will kill you. Then what will happen to your children?"

"I hear a lot of defensiveness in your voice. Do you really believe this?"

"Tell me what happened the last time you drank."

"If you were coping so well, why were you hospitalized again?"

Answer and Explanation

The Correct Answer is C

A. This response is confrontational and judgmental, likely causing defensiveness rather than insight.
B. Pointing out defensiveness may provoke resistance rather than helping the patient analyze their behavior objectively.

C. This response encourages the patient to reflect on their own behavior and the consequences of drinking, promoting self-awareness and objective evaluation without judgment. It allows the patient to explore their actions and recognize patterns.

D. This response is accusatory and may make the patient feel blamed, which is not therapeutic.

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Correct Answer is C

Explanation

A. Singing carols is calm, unlikely to trigger combat-related flashbacks.
B. A seashore outing is generally peaceful and not typically a PTSD trigger.
C. Fireworks mimic gunfire and explosions, which can easily trigger flashbacks, hypervigilance, and distress in combat veterans with PTSD.
D. Halloween can be stimulating, but not as direct a combat reminder as fireworks.

A. culturally influenced. B. mild anxiety. C. displacement. D. trait anxiety.

Correct Answer is B

Explanation

A. Culturally influenced responses relate to behaviors shaped by cultural norms, not a temporary feeling of restlessness before a test.
B. Mild anxiety is characterized by increased alertness, restlessness, and improved concentration, which can actually enhance performance on tasks like taking a test.
C. Displacement is a defense mechanism in which emotions are transferred to a less threatening object or person, not simply feeling restless.
D. Trait anxiety refers to a long-term personality characteristic of being generally anxious, not a situational response before an exam.

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A patient diagnosed with alcoholism says. "Drinking helps me cope with being a single parent." Which therapeutic response by the nurse would help the patient conceptualize the drinking objectively?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A soldier returned 3 months ago from a combat zone and was diagnosed with post-traumatic stress disorders (PTSD). Which social event would be most disturbing for this soldier?

Correct Answer is C

Explanation

A student says, "Before taking a test. I feel very alert and a little restless." The nurse can correctly assess the students experience as

Correct Answer is B

Explanation

A nurse in an emergency department is caring for a client who is experiencing acute alcohol withdrawal. Which of the following actions should the nurse first take?

A patient in alcohol rehabilitation reveals to the nurse. "I feel terrible guilt for sexually abusing my 6-year-old before I was admitted." Select the nurse's most important action.

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Which scenario demonstrates a dissociative fugue?

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