The nurse is talking with the spouse of a client admitted for substance use disorder and overdose. Which statement(s) made by the spouse indicates that they are exhibiting enabling behaviors? Select all that apply.

"My spouse had a terrible childhood, and I would probably do the same things."

"If I don't give them money for the drugs, they will just steal it anyway."

"I told my spouse that in order to be able to come home, they will first have to go to rehab."

"I am so scared about my spouse getting fired; I often call in sick for them."

"I can't keep money in the house and have to lock up jewelry in a safe."

Answer and Explanation

Correct Answer : A,B,D

Choice A reason: This statement is an example of rationalizing the spouse's behavior, which can perpetuate the cycle of substance abuse.

Choice B reason: Providing money for drugs, even under the guise of preventing theft, is enabling because it facilitates the continuation of the substance abuse.

Choice C reason: Suggesting rehab as a condition for coming home is not enabling; it is a step towards addressing the substance use disorder.

Choice D reason: Calling in sick on behalf of the spouse to cover for their potential job loss due to substance abuse is an enabling behavior that prevents the spouse from facing the natural consequences of their actions.

Choice E reason: Securing valuables to prevent theft due to the spouse's substance abuse is also enabling because it adjusts normal routines to accommodate the substance use, rather than confronting or addressing the issue.

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Correct Answer is A

Explanation

Choice A reason: Wernicke-Korsakoff syndrome is a brain and memory disorder that requires immediate treatment. It occurs due to a severe deficiency of thiamine (vitamin B1), which is essential for the brain to convert food into energy.

Choice B reason: There is no evidence suggesting that Wernicke-Korsakoff syndrome is a psychological condition related to stress.

Choice C reason: Wernicke-Korsakoff syndrome is not a genetic disorder; it is caused by a deficiency of vitamin B1, often associated with alcohol abuse or malnutrition.

Choice D reason: It is not an infectious disease; Wernicke-Korsakoff syndrome results from nutritional deficiencies, specifically a lack of thiamine (vitamin B1).

A. "Weight gain is a common but troubling side effect." B. "What have you been eating? Weight gain is not usually associated with lithium." C. "Weight gain occurs only during the first month of treatment with this drug." D. "That's strange. Weight loss is the typical pattern."

Correct Answer is A

Explanation

Choice A reason: Weight gain is indeed a known side effect of lithium treatment, and acknowledging this can validate the client's experience.

Choice B reason: This response could be perceived as blaming and does not acknowledge that weight gain can be a side effect of lithium.

Choice C reason: This statement is misleading as weight gain can occur beyond the first month of treatment with lithium.

Choice D reason: This statement is incorrect as weight loss is not the typical pattern associated with lithium; weight gain is more common.

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The nurse is talking with the spouse of a client admitted for substance use disorder and overdose. Which statement(s) made by the spouse indicates that they are exhibiting enabling behaviors? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is Wernicke-Korsakoff syndrome?

Correct Answer is A

Explanation

A client began taking lithium for the treatment of bipolar disorder approximately one month ago. The client asks if it is normal to have gained 12 pounds in this time frame. Which is the appropriate nursing reply?

Correct Answer is A

Explanation

A nurse is working with clients diagnosed with personality disorders. Which techniques would be most important for the nurse to use to effectively deal with the frustration in providing care to this group of clients? Select all that apply.

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A nurse is assessing risk factors for suicide. Which of the following should the nurse consider? Select all that apply.

A nurse is caring for a client who has an extremely elevated lithium level. Which of the following actions should the nurse take?