Author Question: During group therapy, a client diagnosed with alcohol use disorder states, I would not have boozed ... (Read 37 times)

james0929 · **on:** Jul 19, 2018

During group therapy, a client diagnosed with alcohol use disorder states, I would not have boozed it up if my wife hadn't been nagging me all the time to get a job. She never did think that I was good enough for her.

How should a nurse interpret this statement? A. The client is using denial by avoiding responsibility.
B. The client is using displacement by blaming his wife.
C. The client is using rationalization to excuse his alcohol dependence.
D. The client is using reaction formation by appealing to the group for sympathy.

Question 2

Upon admission for symptoms of alcohol withdrawal, a client states, I haven't eaten in 3 days. Assessment reveals BP 170/100 mm Hg, P 110, R 28, and T 97F (36C) with dry skin, dry mucous membranes, and poor skin turgor.

What should be the priority nursing diagnosis? A. Knowledge deficit
B. Fluid volume excess
C. Imbalanced nutrition: less than body requirements
D. Ineffective individual coping

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

Answer to Question 1

C
The nurse should interpret that the client is using rationalization to excuse his alcohol use disorder. Rationalization is the defense mechanism by which people avoid taking responsibility for their actions by making excuses for the behavior.

Answer to Question 2

C
The nurse should assess that the priority nursing diagnosis is imbalanced nutrition: less than body requirements. The client is exhibiting signs and symptoms of malnutrition as well as alcohol withdrawal. The nurse should consult a dietitian, restrict sodium intake to minimize fluid retention, and provide small, frequent feedings of nonirritating foods.