The spouse of a client who is diagnosed with an alcohol use disorder requests information from the nurse about support groups to help the family cope with the effects of the client's drinking on the family. Which statement by the spouse would suggest the teaching has been effective? The spouse states:

"Support groups are an option for the client, not the family."

"We can call Alcoholics Anonymous (AA) and go to a closed meeting to see what happens in the AA meetings."

"The family can go to Al-Anon meetings for support."

"We should wait until the client is ready to stop drinking before the family goes to support meetings.

Answer and Explanation

The Correct Answer is C

C. This statement demonstrates an understanding of the availability of support groups specifically for family members affected by alcohol use disorder and reflects the spouse's willingness to seek support independently of the client's readiness for treatment.
A. Effective teaching would convey that support groups are available not only for individuals struggling with alcohol use disorder but also for their family members who may need support in coping with the impact of the disorder on their lives.
B. Alcoholics Anonymous (AA) meeting are primarily for individuals with alcohol use disorder.
D. Effective teaching would emphasize the importance of the family seeking support for themselves independently of the client's readiness to seek treatment.

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Correct Answer is A

Explanation

A. he CAGE questionnaire is a widely used screening tool for alcohol use disorder (AUD). It consists of four questions that assess the client's alcohol consumption, attempts to cut down or control drinking, feelings of guilt about drinking, and whether alcohol use interferes with daily activities or responsibilities.
B. The CIWA is a tool used to assess the severity of alcohol withdrawal symptoms in individuals with alcohol dependence who are undergoing detoxification or withdrawal management. The CIWA is not specifically used for screening alcohol use disorder but rather for monitoring and managing alcohol withdrawal symptoms in individuals with known alcohol dependence.
C. The AIMS is a tool used to assess for the presence and severity of abnormal involuntary movements, particularly those associated with antipsychotic medications or conditions such as tardive dyskinesia. It is not used for screening alcohol use disorder.

D. The ORT-OUD is a screening tool specifically designed to assess the risk of opioid use disorder (OUD) in individuals who are prescribed opioid medications for chronic pain. It is not used for screening alcohol use disorder.

A. Phase IV: The Forgiveness Phase B. Phase III: The Honeymoon Phase C. Phase II: The Acute Battering Incident D. Phase I: The Tension-Building Phase

Correct Answer is B

Explanation

B. The honeymoon phase occurs after the acute battering incident and is characterized by the abuser showing remorse, apologizing, and trying to reconcile with the victim. During this phase, the abuser may express love, affection, and promises to change.
A. This phase is not typically recognized as a distinct phase in the cycle of abuse.
C. The acute battering incident is the phase characterized by the actual physical or emotional abuse. It is the culmination of tension that has been building in the relationship, leading to an explosive and violent incident.
D. The tension-building phase is the initial phase in the cycle of abuse, characterized by increasing tension and conflict between the partners. During this phase, the victim may try to placate the abuser, avoid conflict, or walk on eggshells to prevent escalation.

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Naxlex Comprehensive Predictor Exams

The nurse believes that a client being admitted for a surgical procedure may have a drinking problem. Which screening tool should the nurse use to further evaluate this possibility?

Correct Answer is A

Explanation

A woman in a severely abusive relationship is hospitalized with severe injuries and head trauma. Her husband sends flowers to the unit and a card begging for forgiveness. The nurse recognizes this to be which phase in an abusive relationship?

Correct Answer is B

Explanation

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