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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E","F","G"]
Explanation
Choice A reason: Support systems are crucial for emotional and practical support, especially when dealing with mental health issues.
Choice B reason: Physical health can significantly impact mental health, and vice versa; it's important to consider the client's overall well-being.
Choice C reason: Mental health support, such as therapy or support groups, is essential for someone struggling with the effectiveness of their medication.
Choice D reason: While alcohol consumption can affect mental health, it is not mentioned in the client's statement and therefore cannot be assumed.
Choice E reason: Feelings of self-worth are directly related to mental health and can influence the client's perspective on their value and the burden they perceive themselves to be to others.
Choice F reason: Family history can provide insight into potential hereditary patterns of mental health issues and the client's support network.
Choice G reason: Access to lethal means is a critical safety concern, especially for clients expressing feelings of worthlessness or experiencing severe depression.
Correct Answer is A
Explanation
Choice A reason: Bulimia Nervosa often involves behaviors such as excessive laxative use, which can lead to severe electrolyte imbalances, potentially causing unconsciousness.
Choice B reason: While a sudden cardiac event is possible, it is less likely to be directly related to the history of Bulimia Nervosa and laxative use.
Choice C reason: There is no indication that an accidental fall occurred, and it would not be directly related to the history of laxative use.
Choice D reason: Without further information, it is speculative to attribute the unconsciousness to a reaction to another medication.
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