Author Question: A client's wife has chronic alcoholism, and the husband is concerned about the possibility that ... (Read 33 times)

daltonest1984 · **on:** Jul 19, 2018

A client's wife has chronic alcoholism, and the husband is concerned about the possibility that their children may develop the disease. He asks the nurse what the risk is. The nurse's best re-sponse is:

1. The risk for developing alcoholism is increased if there is a family history of al-coholism.
2. Studies have confirmed that individuals with dependent personality traits are at high risk for this disease.
3. Cultures that include alcohol as part of the ritualized behavior have a higher rate of alcoholism.
4. Twin studies have indicated that the environment of a person is more important than the biologic influences of parents.

Question 2

For care-planning purposes, the nurse must consider that a client who has abused alcohol and other illicit substance throughout her pregnancy is at high risk for:

1. A difficult labor and delivery
2. Having a normal, but underweight, infant
3. Delivering a baby with facial abnormalities and mental retardation
4. Having a child who will have hyperbilirubinemia and brain damage

Koolkid240 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 1
Problems with alcohol increase with the number of relatives with alcoholism (option 1). No unique personality profile is prone to addiction, so option 2 is incorrect. Ritualized use of alcohol does not predispose to alcoholism (option 3), and twin studies (option 4) indicate a significant genetic contribution to susceptibility to alcoholism.

Answer to Question 2

ANS: 3
Prenatal alcohol consumption can result in fetal alcohol syndrome, which is characterized by mental retardation, facial abnormalities, and growth retardation (option 3). The mother would not necessarily have a difficult labor (option 1) or a normal baby because of substance abuse (option 2). Hyperbilirubinemia (option 4) has not been associated with illicit substance abuse.