Nokea
The nurse explains to the client's family the alcoholic's recovery process. What is the first step in recovering from alcohol?
- A. Admitting an inability to control drinking
- B. Forming a close support network
- C. Relying on some form of religious belief
- D. Checking into an inpatient rehabilitation unit
Correct Answer: A
Rationale: Admitting powerlessness over alcohol is the foundational step in recovery models like Alcoholics Anonymous, as it acknowledges the problem and initiates the commitment to change.
You may also like to solve these questions
Which question during the client interview is likely to generate the most information?
- A. Tell me about your family.
- B. Are you currently married?
- C. Who is your nearest relative?
- D. Give me a list of your family members.
Correct Answer: A
Rationale: An open-ended question about family prompts detailed responses, providing comprehensive insight into social support and history.
The nurse is collecting information from the family in which Munchausen Syndrome by Proxy (MSP) is suspected. Which finding should the nurse expect?
- A. The abusing parent is likely the father.
- B. The abusing parent and child have a strong bond.
- C. The abusing parent has little medical knowledge.
- D. The child will provide insight into what is occurring.
Correct Answer: B
Rationale: MSP involves a strong parent-child bond (B) typically with the mother (not father A) who has medical knowledge (not little C). Children rarely provide insight (D).
During a home visit, which assessment finding is most suggestive that the client is experiencing auditory hallucinations?
- A. The client sings a song while walking around the room.
- B. The client quickly changes the topic of conversation.
- C. The client repeats a sentence over and over again.
- D. The client turns an ear as if listening to someone.
Correct Answer: D
Rationale: Turning an ear as if listening suggests the client is responding to auditory hallucinations, a common symptom in schizophrenia.
The nurse is caring for the client who has methamphetamine toxicity. Which interventions should the nurse include in the client’s plan of care? Select all that apply.
- A. Give olanzapine 10 mg IM q2h prn to treat agitation.
- B. Allow the client to sleep and eat as much as desired.
- C. Administer labetalol 20 mg IV to control hallucinations.
- D. Monitor 1:1 to protect client from harm to self and others.
- E. Encourage involvement in the therapeutic treatment milieu.
Correct Answer: A ,B ,D
Rationale: Olanzapine (A) reduces agitation sleep/eating (B) aids recovery 1:1 monitoring (D) ensures safety. Labetalol (C) is for BP not hallucinations; milieu (E) is premature.
If the nurse documents all of the following information in the database, which finding is probably the most significant source of conflict and anxiety for this client?
- A. The client is facing forced retirement.
- B. The client has 12 grandchildren.
- C. The client is learning to use a computer.
- D. The client wants to sell the family home.
Correct Answer: A
Rationale: Forced retirement is a major life transition that can cause significant stress and anxiety due to loss of role and identity.