The nurse is assessing the drinking history of a client with a history of alcohol abuse. The client is being admitted after being found unresponsive in a public place. Which statement would indicate the use of defense mechanisms?

"I have no intention to stop drinking. I like the way it makes me feel."

"I have tried so many times to stop drinking. It is so hard."

I don't really have a problem with alcohol. I've just been having a streak of bad luck lately."

"I really need some help. My drinking is tearing my family apart."

Answer and Explanation

The Correct Answer is C

A. "I have no intention to stop drinking. I like the way it makes me feel.": This is an example of denial but does not strongly indicate a defense mechanism.

B. "I have tried so many times to stop drinking. It is so hard.": This demonstrates acknowledgment of the problem and a desire for change, not a defense mechanism.

C. "I don't really have a problem with alcohol. I've just been having a streak of bad luck lately.": This is an example of rationalization, a defense mechanism where the individual justifies their behavior with excuses.

D. "I really need some help. My drinking is tearing my family apart.": This statement reflects insight and readiness for change, not a defense mechanism.

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Correct Answer is A

Explanation

A. One parent who is an alcoholic. A family history of substance abuse, particularly a parent with alcoholism, significantly increases the genetic and environmental risk of substance abuse in children.

B. Overprotective parents. Overprotection may contribute to other issues, like anxiety, but it is not strongly associated with substance abuse.

C. Being raised in an urban area. Living in an urban area does not independently indicate higher risk without other contributing factors.

D. Parents who practiced strict discipline. Strict discipline may lead to rebellion in some cases, but it is not a primary risk factor for substance abuse.

A. Education and interventions in high school during early adolescence when children are more susceptible to peer influence. B. Education and interventions early in childhood when children are more inclined to change. C. Education and interventions in middle school when children are learning about health and nutrition. D. Education and interventions in high school during late adolescence when children are more likely to engage in high-risk behaviors.

Correct Answer is B

Explanation

A. Education and interventions in high school during early adolescence when children are more susceptible to peer influence: Waiting until early adolescence may miss critical formative years when behaviors are more easily influenced.

B. Education and interventions early in childhood when children are more inclined to change: Early intervention is effective because children at this stage are forming habits and values, making it easier to instill healthy behaviors. Early interventions can shape their attitudes and understanding about the risks associated with drug and alcohol use before they are exposed to peer pressure and high-risk situations.

C. Education and interventions in middle school when children are learning about health and nutrition: Middle school interventions are beneficial but may come too late for some children who have already been exposed to risky behaviors.

D. Education and interventions in high school during late adolescence when children are more likely to engage in high-risk behaviors: This approach may be too late to prevent substance use for many children already engaging in risky behaviors.

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The nurse is assessing the drinking history of a client with a history of alcohol abuse. The client is being admitted after being found unresponsive in a public place. Which statement would indicate the use of defense mechanisms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client's risk factors for developing a substance abuse disorder. Which family characteristic would the nurse identify as the most significant risk factor?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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