The nurse performing a client assessment will identify which of ...

[rayancarla1]

The nurse performing a client assessment will identify which of the following data as consistent with
  psychodynamic factors associated with chemical addictions (more than one answer may be correct)?
 
  A. High tolerance for frustration and pain
  B. Lack of success in life
  C. Stable mature relationships
  D. Low self-esteem
  E. Propensity for risk taking

Question 2

A client who has been unable to leave his home for more than a month because of symptoms of
  severe anxiety asks the nurse Don't you agree that not being able to go out is pretty stupid? The
  most therapeutic reply is
 
  a. No, I do not think it's stupid..
  b. Many individuals share this situation with you..
  c. You feel stupid because you're afraid to leave home?
  d. I guess some people might say that being housebound is pretty strange..

[nekcihc358]

Answer to Question 1

B, D, E
Rationale: These characteristics commonly coexist with substance dependence and abuse. Other
characteristics include low tolerance for frustration and pain and immature, troubled interpersonal
relationships.

Answer to Question 2

ANS: C
This response will allow the nurse to validate the possibility that the client is dissatisfied with being
unable to control his symptom and suggests openness to listening to feelings of powerlessness. The
nurse should neither agree nor disagree with the client. Clarifying his own thinking is more
important for the client.