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The nurse is assessing the drinking history of a client being admitted for alcohol abuse. Which statement would the nurse expect the client to make?
- A. I really need some help. My drinking is tearing my family apart.
- B. I have tried so many times to stop drinking. It is so hard.
- C. I don't really have a problem with alcohol. I've just been having a streak of bad luck lately.
- D. I have no intention to stop drinking. I like the way it makes me feel.
Correct Answer: C
Rationale: Clients with alcohol abuse often use denial, minimizing their problem or blaming external factors, rather than admitting the full impact or expressing readiness to quit.
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Which slogans would be used in a 12-step program?
- A. Pull yourself together
- B. Get control of your problem
- C. One day at a time
- D. Easy does it
- E. Let go and let God
Correct Answer: C,D,E
Rationale: 12-step slogans like 'One day at a time,' 'Easy does it,' and 'Let go and let God' support sobriety, unlike 'Pull yourself together' or 'Get control,' which reflect outdated views.
A nurse is working with a couple seeking counseling for marital discord. The history indicates the husband was treated for substance abuse 4 years ago and attends AA meetings occasionally. Which statement made by the recovering husband should alert the nurse for the need for further education?
- A. I still need to go to AA meetings even though I have been sober for years.
- B. After all these years, I just don't have the will power to stop if I started using again.
- C. She gets upset when I hang out with my old buddies on the weekends.
- D. I wish I could be able to handle just one beer with dinner.
Correct Answer: D
Rationale: Wishing to drink socially indicates a misconception about addiction, risking relapse, unlike recognizing the need for AA or avoiding old friends.
A client has been admitted to the inpatient unit after using inhalants recently. Which is an antidote to treat inhalant toxicity?
- A. Ativan
- B. Narcan
- C. Antabuse
- D. There is no antidote
Correct Answer: D
Rationale: No specific antidote exists for inhalant toxicity, unlike Ativan, Narcan, or Antabuse, which treat other conditions.
A client in treatment for drug abuse makes the statement, 'I am a winner. You all are the losers because you can't beat this on your own.' What common characteristic of persons addicted to drugs is revealed in this statement?
- A. Realistic understanding of successful recovery of drug addiction
- B. Indication of an underlying personality disorder
- C. Brain damages resulting from chronic drug use
- D. Defending against a negative self-concept
Correct Answer: D
Rationale: The grandiose statement masks low self-esteem, a common trait in addiction, used to defend against feelings of inadequacy, not personality disorder or brain damage.
The nurse is assessing a client's risk factors for developing a substance abuse disorder. Which family characteristics would the nurse identify as a significant risk factor?
- A. One parent who is an alcoholic
- B. Parents who practiced strict discipline
- C. Overprotective parents
- D. Being raised in an urban area
Correct Answer: A
Rationale: Children of alcoholics are four times more likely to develop alcoholism, a stronger risk factor than strict discipline, overprotection, or urban environments.