A client admitted with trauma sustained while intoxicated has withdrawal delirium. The client's
sensorium cleared after 5 days.
A few days later, the client tells the nurse that drinking helps her
cope with being a single parent and working mother. Which response by the nurse would help the
client view her drinking more objectively?
a. "Sooner or later your drinking will kill you. Then what will happen to your
child?"
b. "I hear a lot of defensiveness in your voice. Do you really believe this?"
c. "If you were coping so well, what are you doing here again?"
d. "Tell me what happened the last time you drank.".
D
This response will help the client see alcohol as a cause of her problems, not a solution. This
approach can help the client become receptive to the possibility of change. The other responses
directly confront and attack defenses against anxiety that the client still needs. They reflect the
nurse's frustration with the client.
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