Author Question: When intervening with a married couple experiencing relationship discord, which nursing action ... (Read 36 times)

tiara099 · **on:** Jul 19, 2018

When intervening with a married couple experiencing relationship discord, which nursing action reflects an intervention at the secondary level of prevention?

1. Teaching assertiveness skills in order to meet assessed needs
2. Supplying the couple with guidelines related to marital seminar leadership
3. Teaching the couple about various methods of birth control
4. Counseling the couple related to open and honest communication skills

Question 2

A client's wife has been making excuses for her alcoholic husband's work absences. In family therapy, she states, His problems at work are my fault. Which is the appropriate nursing response?

1. Why do you assume responsibility for his behaviors?
2. I think you should start to confront his behavior.
3. Your husband needs to deal with the consequences of his drinking.
4. Do you understand what the term enabler means?

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

Answer to Question 1

4
Rationale: Counseling the couple related to open and honest communication skills is a reflection of a nursing intervention at the secondary level of prevention. Secondary prevention aims at minimizing symptoms and is accomplished through early identification of problems and prompt initiation of effective treatment.

Answer to Question 2

3
Rationale: The appropriate nursing response is to use confrontation with caring. The nurse should understand that the client's wife may be in denial and enabling the husband's behavior. Codependency is a typical behavior of spouses of alcoholics. Partners of clients with substance addiction must come to realize that the only behavior they can control is their own.