Author Question: A patient in a detoxification unit asks, What good it will do to go to Alcoholics Anonymous and talk ... (Read 77 times)

penza · **on:** Jul 19, 2018

A patient in a detoxification unit asks, What good it will do to go to Alcoholics Anonymous and talk to other people with the same problem? The nurse's best response would be to explain that self-help groups such as AA provide opportunities for:

a. newly discharged alcoholics to learn about the disease of alcoholism.
b. people with common problems to share their experiences with alcoholism and recovery.
c. patients with alcoholism to receive insight-oriented treatment about the etiology of their disease.
d. professional counselors to provide guidance to individuals recovering from alcoholism.

Question 2

A nurse leads a psychoeducational group for patients in the community diagnosed with schizophrenia. A realistic outcome for group members is that they will:

a. discuss ways to manage their illness.
b. develop a high level of trust and cohesiveness.
c. understand unconscious motivation for behavior.
d. demonstrate insight about development of their illness.

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

Answer to Question 1

ANS: B
The patient needs basic information about the purpose of a self-help group. The basis of self-help groups is sharing by individuals with similar problems. Self-help is based on the belief that an individual with a problem can be truly understood and helped only by others who have the same problem. The other options fail to address this or provide incorrect information.

Answer to Question 2

ANS: A
Patients with schizophrenia almost universally have problems associated with everyday living in the community, so discussing ways to manage the illness would be an important aspect of psychoeducation. Discussing concerns about daily life would be a goal to which each could relate. Developing trust and cohesion is desirable but is not the priority outcome of a psychoeducational group. Understanding unconscious motivation would not be addressed. Insight would be difficult for a patient with residual schizophrenia because of the tendency toward concrete thinking.