Nurse Julie recommends that the family of a client with a substance-related disorder attend a support group, such as Al-Anon. In addition to helping family members understand the problem, what is the purpose of these groups?

Correct Answer: C

Rationale: The correct answer is C: to maintain focus on changing their own behaviors. Rationale: 1. Support groups like Al-Anon are designed to help family members of individuals with substance-related disorders focus on their own behaviors. 2. By attending these groups, family members can work on understanding and changing their own responses to the situation. 3. The primary goal is to provide support, education, and coping strategies for family members, not to change the client's behaviors directly. 4. Choices A, B, and D are incorrect as the main focus of these support groups is on the family members' well-being, not directly addressing the client's behaviors or preventing substance problems in other family members.

Correct Answer: D

Rationale: The correct answer is D: Exhaustion. In the general adaptation syndrome model, developed by Hans Selye, the final stage is exhaustion. This stage occurs when the body can no longer cope with the stressors and resources are depleted. This leads to a breakdown in physical and emotional functioning. The other choices are incorrect because: A: Perception of a threat is the first stage (alarm reaction); B: Use of coping mechanisms occurs in the second stage (resistance); C: Physiologic response is a general term encompassing all stages, not specific to the final stage.

Correct Answer: B

Rationale: The correct answer is B: Catharsis. Catharsis refers to the process of emotional release and purification through expressing feelings and emotions. In this scenario, the patient is engaging in bibliotherapy and expressing his feelings, indicating a release of pent-up emotions. This is a therapeutic process that allows the patient to process and cope with their emotions in a healthy way. Choice A: Insight is incorrect as it refers to gaining a deeper understanding or awareness, which is not explicitly mentioned in the scenario. Choice C: Anxiety reduction is incorrect as the scenario does not specify that the patient's goal is to reduce anxiety, but rather to express feelings associated with the reading material. Choice D: Problem solving is incorrect as the scenario does not involve the patient actively working through a specific problem, but rather expressing emotions related to the reading material.

Correct Answer: D

Rationale: The correct answer is D: Electric wheelchair. This is because anxiety related to falling can impact an older adult's mobility and independence. Providing an electric wheelchair can help the patient move around safely and independently, reducing the fear of falling and promoting personal freedom. Choice A: Yoga and tai-chi may help with relaxation and balance, but they may not address the immediate mobility concerns of the patient with mild dementia and anxiety related to falling. Choice B: Xanax is a medication commonly used to treat anxiety, but it may not address the underlying mobility issues and could potentially cause side effects in older adults. Choice C: Relaxation techniques can be beneficial for managing anxiety, but in this case, addressing the patient's mobility concerns with an electric wheelchair would be more appropriate and effective.

Correct Answer: B

Rationale: The correct answer is B: Rinse the mouth with a mouthwash. Anticholinergic medications can cause dry mouth due to decreased saliva production. Rinsing with a mouthwash can help moisturize the oral mucosa and provide temporary relief. Chewing hard candies (choice A) may provide temporary relief but can also increase the risk of dental caries. Using more seasonings on food (choice C) and drinking decaffeinated beverages often (choice D) do not directly address the dry mouth concern.