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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Acupuncture: While it may be used as a complementary therapy, it is not a primary approach.
B. Prayer: This may provide personal comfort but is not a medical treatment.
C. Hypnosis: Hypnosis is not widely used or validated for substance abuse treatment.
D. Detoxification: Detoxification is the process of safely removing a substance from the body, often under medical supervision.
Correct Answer is ["A","C","E"]
Explanation
A. Visual hallucinations: Hallucinations, especially visual, are common in alcohol withdrawal delirium.
B. Grandiosity: This is more associated with mania in bipolar disorder than alcohol withdrawal.
C. Tremors: Tremors, or "shakes," are classic signs of withdrawal.
D. Hypotension: Hypertension, rather than hypotension, is more commonly seen in alcohol withdrawal delirium.
E. Paranoid delusions: Delusions, often paranoid in nature, are characteristic of withdrawal delirium.
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