A nurse in a substance use disorder clinic is explaining the alcohol recovery process to a client's family.
Which of the following should the nurse identify as the first step toward successful recovery from alcohol use disorder?.

Acknowledge an inability to control drinking

Agree to a prescription for an alcohol use deterrent.

Incorporate a form of spirituality into daily life.

Form a close support network.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Acknowledging an inability to control drinking is the first step in many recovery models, including the 12-step program of Alcoholics Anonymous. This step involves admitting that alcohol has taken over one’s life.

Choice B rationale:

Agreeing to a prescription for an alcohol use deterrent can be a part of the recovery process, but it is not typically the first step.

Choice C rationale:

Incorporating a form of spirituality into daily life can be a part of the recovery process for some individuals, but it is not typically the first step.

Choice D rationale:

Forming a close support network is crucial in the recovery process, but it comes after acknowledging the problem.

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Correct Answer is A

Explanation

Choice A rationale:

Suppression is a conscious decision to delay paying attention to an emotion or need in order to cope with the present reality. In this case, the client is choosing to delay thinking about their health until after their son’s wedding.

Choice B rationale:

Reaction formation is behaving in a way that is exactly the opposite of one’s true feelings. This is not evident in the client’s statement.

Choice C rationale:

Splitting is the inability to integrate the positive and negative qualities of oneself or others into a cohesive image. This is not evident in the client’s statement.

Choice D rationale:

Projection is attributing one’s unacceptable thoughts and feelings onto another who does not have them. This is not evident in the client’s statement.

A. Ensure the teaching sessions occur right before bedtime B. Assist the clients with establishing long-term goals. C. Schedule the teaching sessions for a long time to promote participation. D. Use "I" statements rather than "you" statements.

Correct Answer is D

Explanation

Choice A rationale:

Teaching sessions right before bedtime may not be effective as older adults may be tired and less able to concentrate.

Choice B rationale:

Establishing long-term goals can be overwhelming for older adults. Short-term goals are more manageable and achievable.

Choice C rationale:

Long teaching sessions may lead to fatigue and decreased concentration. Short, frequent sessions are more effective.

Choice D rationale:

Using “I” statements rather than “you” statements can help create a more positive and collaborative learning environment.

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A nurse in a substance use disorder clinic is explaining the alcohol recovery process to a client's family. Which of the following should the nurse identify as the first step toward successful recovery from alcohol use disorder?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new diagnosis of cancer. The client states, "I can't think about my health until after my son is married next week.”. The nurse should identify the client's statement as an indication of which of the following maladaptive defense mechanisms?.

Correct Answer is A

Explanation

A nurse is assisting with teaching a group of older adult clients about behavioral expectations. Which of the following actions should the nurse take to help eliminate barriers to learning?.

Correct Answer is D

Explanation

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A nurse in a substance use disorder clinic is explaining the alcohol recovery process to a client's family.
Which of the following should the nurse identify as the first step toward successful recovery from alcohol use disorder?.