A client who abuses alcohol states that the client drinks because the client's job is so stressful. Recognizing this as rationalization, the nurse makes a response to the client
The nurse would know treatment was effective when the client says which of the following? 1. "Maybe my ‘just needing a little drink to do my job' has gotten way out of hand."
2. "If I took a less stressful job, I wouldn't have to drink."
3. "I can quit drinking whenever I want."
4. "Listen, I'm not a drunk, and I don't have a problem with alcohol."
1
Rationale: The client's statement that the drinking has become uncontrolled suggests that the client is beginning to become more realistic about alcohol abuse. The statement that a less stressful job would remove the need to drink is a re-escalation of the client's rationalization. Stating that the client does not have a problem with alcohol demonstrates increased anxiety and denial. Expressing that the client can quit drinking whenever the client wants is fantasy, a satisfaction of wishes through non-rational thought.
You might also like to view...
If severe or chronic pelvic inflammatory disease is present, the complication that may result is
a. metrorrhagia. b. menorrhagia. c. infertility. d. incontinence.
A patient with a systemic bacterial infection feels cold and has a shaking chill. Which assessment finding will the nurse expect next?
a. Skin flushing b. Muscle cramps c. Rising body temperature d. Decreasing blood pressure
One purpose of ultrasound imaging during pregnancy is to:
a. Assess the adequacy of placental function. b. Detect genetic chromosomal abnormalities. c. Rule out fetal abnormalities. d. Evaluate fetal lung maturity.
An adolescent tells the nurse that the new diagnosis of diabetes has him "stressed out." Which stress-reduction activities will the nurse recommend to this adolescent? Select all that apply
1. Daily exercise, such as walking 2. Learning more about his illness 3. Practicing deep breathing and other relaxation techniques 4. Not thinking about his diagnosis 5. Allowing the parents control of his disease