The nurse is educating a client with alcoholism who has been in rehabilitation for two weeks to prepare for discharge. Which statement made by the client indicates that education was effective and the client is best prepared for discharge?

"This is a good time to make a lot of serious changes in my life, such as a new job."

"I will be able to maintain sobriety by looking at the long-term outcomes."

"In order to give myself the best chance for sobriety, I will abstain from alcohol."

"Now that I have completed rehab, I can safely return to life as it was before."

Answer and Explanation

The Correct Answer is C

Choice A reason: Making significant life changes immediately after rehab can be overwhelming and might not be advisable as the client adjusts to sobriety.

Choice B reason: Focusing on long-term outcomes can be motivating, but it is also important to have short-term goals to maintain sobriety.

Choice C reason: Abstaining from alcohol is a fundamental part of maintaining sobriety and indicates an understanding of the importance of avoiding triggers.

Choice D reason: Returning to life as it was before rehab can be risky without making changes to support sobriety, such as avoiding triggers and continuing therapy.

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Correct Answer is C

Explanation

Choice A reason: Focusing conversations on nutritious food can be positive, but it does not directly indicate a change in behavior related to bulimia nervosa.

Choice B reason: Gaining weight may be a positive sign, but it is not sufficient on its own to indicate a behavioral change, as weight can fluctuate for various reasons.

Choice C reason: Demonstrating healthy coping mechanisms that decrease anxiety is a strong indicator of positive behavioral change in a client with bulimia nervosa, as it suggests the client is developing strategies to manage the disorder.

Choice D reason: While verbalizing an understanding of the disorder's etiology is beneficial, it does not necessarily reflect a change in behavior.

A. "All of the other clients on this unit must follow the rules of the unit." B. "No one is paying attention to me, and I am so angry!" C. "Why do you think others on the unit are being friendly to me?" D. "I am just not sure what activity to do; will you tell me?"

Correct Answer is B

Explanation

Choice A reason: This statement does not typically correlate with histrionic personality disorder, which is characterized by attention-seeking behavior rather than a focus on rules.

Choice B reason: This statement reflects the attention-seeking and emotional behavior often associated with histrionic personality disorder.

Choice C reason: While this statement could indicate a need for validation, it is not as directly related to the dramatic or attention-seeking behaviors typical of histrionic personality disorder.

Choice D reason: Indecisiveness can be a trait of histrionic personality disorder, but the statement does not directly reflect the characteristic patterns of behavior such as the need for attention.

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The nurse is educating a client with alcoholism who has been in rehabilitation for two weeks to prepare for discharge. Which statement made by the client indicates that education was effective and the client is best prepared for discharge?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with bulimia nervosa has been attending a mental health clinic for several months. Which factor should the nurse identify as an appropriate indicator of a positive client behavioral change?

Correct Answer is C

Explanation

The nurse is talking with a client diagnosed with histrionic personality disorder. Which statement made by the client does the nurse identify as correlating with this diagnosis?

Correct Answer is B

Explanation

A nurse is planning discharge for a client who has borderline personality disorder. Which of the following interventions should be included for this client?

A client has a history of excessive fear of water. Which term should the nurse use to describe this specific phobia, and under what subtype is this phobia identified?

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The nurse should frequently assess a client with a depressive disorder for lethality risk related to suicidal ideation. Which questions should the nurse include? (Select all that apply.)