The most effective nursing approach to deal with denial in a ...

[eruditmonkey@yahoo.com]

The most effective nursing approach to deal with denial in a client who abuses substances is:
 
  1. Discussing the addictive personality
  2. Confronting the client regarding his or her hopeless life situation
  3. Having the client identify the effects of substance use on his or her life
  4. Describing the physiologic effects of substances on the body

Question 2

Which behaviors would indicate the need for further assessment to consider avoidant personality disorder?
 
  1. Withholding of feelings and low self-esteem
  2. Insistence on others conforming to own methods
  3. Engaging in impulsive acts like unsafe sex
  4. Initial charm dissolving into coldness and blaming others

[kjo;oj]

Answer to Question 1

ANS: 3
It is most helpful for the client to develop an awareness that many life problems are related to substance abuse so option 3 is correct. Learning about the addictive personality (option 1) and the physiologic effects (option 4) are not as helpful with denial. To confront about a hopeless life situation (option 2) is not therapeutic.

Answer to Question 2

ANS: 1
The symptoms in option 1 are indicative of avoidant behaviors. The symptoms in option 2 are more usual in obsessive-compulsive personality disorder, while option 3 describes the behavior of someone with borderline personality disorder. The option 4 response describes some behavior commonly seen in antisocial personality disorders.