A client's wife has been making excuses for her alcoholic husband's work absences. In family therapy, she states, "His problems at work are my fault." Which is the appropriate nursing response?
1. "Why do you assume responsibility for his behaviors?"
2. "I think you should start to confront his behavior."
3. "Your husband needs to deal with the consequences of his drinking."
4. "Do you understand what the term enabler means?"
3
Rationale: The appropriate nursing response is to use confrontation with caring. The nurse should understand that the client's wife may be in denial and enabling the husband's behavior. Codependency is a typical behavior of spouses of alcoholics. Partners of clients with substance addiction must come to realize that the only behavior they can control is their own.
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A patient states, "I feel so sad all of the time. I can't feel happy even doing things I used to like to do." He also states that he is tired, sleeps poorly, and has no energy. To differentiate between a dysthymic disorder and a major depressive disorder,
a. "Have you had any weight changes?" b. "Are you having any thoughts of suicide?" c. "How long have you been feeling this way?" d. "Are you having feelings of worthlessness?"
The nurse is caring for a patient who has just returned from the ERCP removal of gallstones. The nurse should monitor the patient for signs of what complications?
A) Pain and peritonitis B) Bleeding and perforation C) Acidosis and hypoglycemia D) Gangrene of the gallbladder and hyperglycemia
The nurse needs to insert an intravenous access device into a toddler who is crying and scared. The parent asks if the procedure is painful. When practicing veracity, what should the nurse respond to the parent?
1. "I won't lie to you. It may be easier for you if you step out until we get the line in." 2. "We'll take every care not to hurt your child." 3. "It shouldn't be too bad and I'll be quick." 4. "We do this all the time, so don't worry."
Select the accurate statement(s) about differences between bupropion and SSRIs. You may select more than one answer
1. Bupropion is more likely to cause weight gain. 2. Bupropion will increase seizure activity in a patient with epilepsy. 3. Bupropion is less likely to cause sexual dysfunction. 4. SSRIs are an effective aid to smoking cessation. 5. Bupropion is less likely to cause weight gain.