The nurse is leading a family therapy group with a client addicted to alcohol. Which statement made by the spouse indicates the need for additional education regarding alcoholism as a family illness?

"We have separated our finances so that I will not go broke."

"I take my kids with me to Al-Anon meetings every week."

"Last time the client got arrested, I just let the client sit in jail."

"I have to call in sick for the client when the client is too hungover to go to work."

Answer and Explanation

The Correct Answer is D

Choice A reason: Separating finances is a practical step but does not address the underlying issues of alcoholism as a family illness.

Choice B reason: Attending Al-Anon meetings is a positive step towards understanding and coping with the effects of a family member's alcoholism.

Choice C reason: Allowing the client to face the consequences of their actions can be part of setting boundaries, which is important in dealing with alcoholism.

Choice D reason: Calling in sick for the client enables the behavior and prevents the client from facing the natural consequences of their alcoholism, indicating a need for further education on the illness.

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Correct Answer is ["A","C","D","E"]

Explanation

Choice A reason: Personality traits are enduring and can be resistant to change, making treatment challenging.

Choice B reason: This statement is not accurate; clients with personality disorders may not always be receptive to treatment.

Choice C reason: Slow progress and clients discontinuing treatment are common barriers in treating personality disorders.

Choice D reason: Clients may not recognize the need for change, which can hinder the therapeutic process.

Choice E reason: Clients may identify with their personality traits, even if they are maladaptive, and may resist changing them.

A. Prevent aggressive and impulsive behaviors. B. Manipulate others. C. Decrease the time available for interaction with people. D. Decrease anxiety.

Correct Answer is D

Explanation

Choice A reason: While OCD behaviors may appear aggressive or impulsive, they are typically performed to reduce anxiety rather than prevent aggressive impulses.

Choice B reason: Manipulation of others is not a common goal of OCD behaviors; these behaviors are more self-directed and aimed at managing the individual's own anxiety.

Choice C reason: Decreasing time for social interaction is not the primary intent of OCD behaviors; rather, these behaviors are compulsions that the individual feels driven to perform, often to alleviate anxiety.

Choice D reason: Repetitive cleaning in OCD is a compulsion that aims to decrease anxiety caused by obsessive thoughts, often about contamination or disorder.

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The nurse is leading a family therapy group with a client addicted to alcohol. Which statement made by the spouse indicates the need for additional education regarding alcoholism as a family illness?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is working with clients with personality disorders that are having problems with relationships and other parts of their life. Which barrier(s) is the nurse experiencing when working with this group of clients? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and observes that the client demonstrates constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?

Correct Answer is D

Explanation

The nurse is talking with a client who grew up in a home where both parents were alcoholics. Which behaviors does the nurse identify when assessing this client that correlate with this home life? Select all that apply.

A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? Select all that apply.

The nurse is working to develop a therapeutic nurse-client relationship with a client diagnosed with paranoid personality disorder. Which techniques will the nurse use to foster trust? Select all that apply.

A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The student spends the session berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms?

A client with cognitive deficits is extremely suicidal and has not responded to antidepressants. The treatment team is considering electroconvulsive therapy (ECT). Which client information would impact the feasibility of this treatment option?

The nurse is talking with a client who grew up in a home where both parents were alcoholics. Which behaviors does the nurse identify when assessing this client that correlate with this home life? Select all that apply.