A Native American client describes having difficulty learning as a child, living on a reservation, and
being sent away to the Native American boarding school.
He began to use alcohol as a teenager to
feel euphoria and escape the feelings of isolation. As an adult he states he feels "stupid and good for
nothing.". Gastritis forced him to give up drinking 10 years ago. Recently, he has found some
comfort in tribal rituals. In planning care for this client the nurse should realize that he should be
offered a program based on
a. treatment for both depression and alcohol abuse.
b. group discussion of posttraumatic stress disorder.
c. holistic principles.
d. psychoanalysis.
ANS: C
Native Americans, because of their beliefs in the interrelatedness of parts and about being in
harmony with nature, respond best to a holistic approach. Option A: No data are present to support
dual diagnosis because the client has resolved the problem of excessive alcohol use. Option B: No
data are present to support a diagnosis of posttraumatic stress disorder. Option D: Psychoanalysis is
a long-term therapy that is very expensive. Cognitive therapy might be a better choice.
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