A client says, "I am so afraid I will become an alcoholic. Both my mom and dad drank heavily throughout my childhood." How should the nurse respond?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. "You are aware of your potential for alcoholism, so you probably will not develop the disorder."
2. "There may be some genetic component to alcoholism, so you should take care."
3. "If it is genetic, there is not much you can do about it."
4. "With your family history of alcoholism, you might consider healthier ways to manage stressors."
5. "You could focus on staying strong and healthy rather on your risk for alcoholism."
2,4,5
Rationale 1: This may or may not be true. If the client never drinks, alcoholism cannot develop. However, many people with family members who are alcoholics also go on to develop the disorder.
Rationale 2: While tendency toward alcoholism is not definitely genetic, many studies show that genetics is a strong factor.
Rationale 3: The nurse should offer helpful suggestions to avoid alcoholism. This statement is neither true nor therapeutic.
Rationale 4: Stress and poor coping mechanisms often lead to substance abuse, including alcoholism. Knowing that a genetic tendency is possible, the client should focus on modifiable factors such as stress management.
Rationale 5: A positive outlook, including stress management techniques and positive coping skills, could make a difference for this client.
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