A client diagnosed with alcohol use disorder joins a community 12-step program and states, "My life is unmanageable." How should the nurse interpret this client's statement?
A. The client is using minimization as an ego defense.
B. The client is ready to sign an Alcoholics Anonymous contract for sobriety.
C. The client has accomplished the first of 12 steps advocated by Alcoholics Anonymous.
D. The client has met the requirements to be designated as an Alcoholics Anonymous sponsor.
ANS: C
The first step of the 12-step program advocated by Alcoholics Anonymous is that clients must admit powerlessness over alcohol and that their lives have become unmanageable.
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The nurse recognizes that when a patient is unable to consume adequate nutrition by mouth, an alternative route such as a feeding ostomy may be used. Feeding a patient by this means is called:
a. total parenteral nutrition (TPN). b. nasogastric. c. enteral. d. parenteral.
The patient in the emergency room with a myocardial infarction (MI) becomes pale, diaphoretic, and hypotensive and complains of feeling cold. The nurse recognizes that these signs are which post-MI complication?
a. Cardiogenic shock b. Pleural effusion c. Ventricular fibrillation d. Pulmonary embolus
The nurse observes hematuria in a client receiving IV cyclophosphamide (Cytoxan). After notifying the health care provider, what intervention is the nurse's priority?
a. Obtain a urine specimen. b. Assess laboratory studies. c. Increase hydration. d. Stop the medication.