Author Question: The spouse of a client who abuses crack cocaine tells the nurse that she has been in the habit of ... (Read 42 times)

Bob-Dole · **on:** Jul 19, 2018

The spouse of a client who abuses crack cocaine tells the nurse that she has been in the habit of
calling her husband's employer to cover for his job absences and has even written reports for him
to keep him out of trouble..

She peevishly states He promises to change but never follows
through.. The nurse should make the assessment that the spouse demonstrates
a. synergism.
b. petulance.
c. codependence.
d. manipulative tendencies.

Question 2

When the nurse assembles assessment data for an elderly client seeking mental health care,

which
risk factors should be identified as predisposing the client to development of geriatric problem
drinking? (More than one option may be correct.)
A. History of alcohol abuse starting in young adulthood
B. Retirement
C. Loss of spouse
D. Mild recent memory impairment

nixon_s · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
Codependent behaviors permit the substance abuser to continue unhealthy behaviors without having
to become accountable for them. Making excuses and covering for the client are ways of condoning
the substance abuse. Option A has no relevance to the spouse's actions. Option B: Petulance does
not explain what is described in the scenario. Option D: The spouse's behaviors are codependent
rather than manipulative.

Answer to Question 2

B, C
Rationale: The geriatric problem drinker begins drinking in later life, often in response to stressors
such as retirement, loss of spouse, and loneliness. Once the demands of job, career, and care of a
family and household are gone, the structure of daily life is disrupted and little impetus remains to
stay sober. Option D: Mild cognitive impairment is not a predisposing factor in the development of
geriatric problem drinking.