Author Question: Carol, 32 years old, is in treatment for depression and alcohol abuse. She is unwilling to confront ... (Read 48 times)

ss2343 · **on:** Jul 19, 2018

Carol, 32 years old, is in treatment for depression and alcohol abuse. She is unwilling to confront her substance abuse issues, stating that she uses alcohol to ease her feelings of depression.

Carol's husband, Ted, relates angrily that he often has to care for Carol when she is hung over, calling in sick for her and doing what he can to help her catch up with household or job responsibilities. The nurse diagnoses the client family with Dysfunctional Family Process: Alcoholism related to codependency as evidenced by husband's rescuing behavior. The nurse and clients develop a plan of care. Which of the following goals indicates an understanding of the family situation and the linkages between the diagnosis and the outcomes?
A) Carol and Ted will develop better problem-solving techniques.
B) Carol will admit that she is an alcoholic.
C) Ted will not try to soften the consequences of Carol's drinking behaviors.
D) Ted will work through his anger at Carol.

Question 2

Jim has entered treatment for alcohol dependency at his wife Lisa's insistence; she has threatened to leave him unless he seeks treatment.

He admits that he drinks every day, but insists that his drinking is well controlled, especially compared to the drinking of others whom he knows. The nurse recognizes his comments as denial. What is the best response by the nurse?
A) Jim, what negative consequences have resulted from your drinking?
B) Jim, you're in denial, which is common in the early stages of recovery.
C) Your wife doesn't seem to think your drinking is in control. Do you know why?
D) How much do you drink per day compared to your friends?

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

Answer to Question 1

Ans: C
Feedback:
The codependent also needs attention from staff and counselors to learn to adjust to the sober spouse and to develop a less vigilant, more interdependent relationship. The nurse recommends that family members begin their own recovery by attending support groups such as Al-Anon or Alateen.

Answer to Question 2

Ans: A
Feedback:
To confront denial, the nurse points to the evidence of severe dysfunction that inevitably appears in the substance abuser's life. Job losses, financial problems, possible estrangement from family and friends, and legal problems are common, and the nurse can respectfully but firmly remind the client that many of these problems are a result of alcohol or drug abuse.