Author Question: A client in an alcohol rehabilitation program tells the nurse, I've been such a loser all my life I ... (Read 61 times)

Garrulous · **on:** Jul 19, 2018

A client in an alcohol rehabilitation program tells the nurse, I've been such a loser all my life I feel so ashamed for what I have put my family through Now I am in rehab and I am not sure I can stay sober.

What nursing diagnosis would be most appropriate? 1. Self-Esteem Disturbance
2. High Risk for Violence
3. Powerlessness
4. Alteration in Health Maintenance

Question 2

Which statement made by a nurse indicates an understanding of the basic premises of psychobiology?

1. All mental disorders can now be fully classified and cured with biological interventions.
2. By focusing on the biologic sciences, we will diminish the art of psychiatricmental health nursing.
3. Because of the advances in psychobiology, the role of psychiatricmental health nurses focuses primarily on medication monitoring.
4. Genetics, immunology, biorhythms, brain structure, and brain biochemistry all influence mental disorders.

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

Answer to Question 1

1
Rationale: Self-Esteem Disturbance is indicated when the client views the self as inadequate. Powerlessness would refer to the client's inability to control alcohol use. Alterations in Health Maintenance would refer to a client's inability to adhere to a treatment regimen. High Risk for Violence would refer to a client who is aggressive and a danger to self or others.

Answer to Question 2

4
Rationale: Psychobiologic theory is growing rapidly and encompasses fields such as genetics, immunology, and brain chemistry and structure. Nurses do not give up humanistic, psychosocial, and interactional premises simply because of the breakthroughs being made in psychobiology. The psychobiologic model uses classification but also includes notions that the disease follows a predictable course, not necessarily cure. To bring a contemporary holistic perspective to care, nurses must integrate knowledge of psychobiology with social and humanistic knowledge.