A client admitted with trauma sustained while intoxicated has ...

[nenivikky]

A client admitted with trauma sustained while intoxicated has withdrawal delirium. The client's
  sensorium cleared after 5 days.
 
  A few days later, the client tells the nurse that drinking helps her
  cope with being a single parent and working mother. Which response by the nurse would help the
  client view her drinking more objectively?
  a. Sooner or later your drinking will kill you. Then what will happen to your
  child?
  b. I hear a lot of defensiveness in your voice. Do you really believe this?
  c. If you were coping so well, what are you doing here again?
  d. Tell me what happened the last time you drank..

Question 2

A client has had a total knee replacement and will need assistance for several weeks after discharge.
  She tells the nurse caring for her I do not intend to assume the sick role.' The nurse knows the
  client is objecting to
 
  a. coordinating various aspects of medical and nursing care.
  b. giving up financial responsibility for hospital and medical care.
  c. giving up independent functioning to assume a dependent role.
  d. using a variety of defense mechanisms to reduce anxiety associated with
  hospitalization.

[bubulittle310@msn.cn]

Answer to Question 1

D
This response will help the client see alcohol as a cause of her problems, not a solution. This
approach can help the client become receptive to the possibility of change. The other responses
directly confront and attack defenses against anxiety that the client still needs. They reflect the
nurse's frustration with the client.

Answer to Question 2

C
Hospitalized clients give up a certain amount of independent functioning. They give up clothing,
customary roles, and occasionally a name, such as when they are referred to as the client with
pneumonia in room 213.. The sick role usually refers to being dependent on others. Orthopedic
surgery often requires the client to assume a more dependent role because of the inability to
ambulate independently. The other options are not associated with the sick role..