CNM Certified Nurse Midwife

Category - Primary Care

A nurse midwife is managing the care of a G2P3 client who is in treatment for alcohol abuse. Which of the following interventions is the most appropriate?
  1. Help the client recognize that she cannot be accountable for all of her actions.
  2. Avoid situations that precipitate angry feelings.
  3. Focus the client’s attention on the substance abuse problem.
  4. Acknowledge that some of her behaviors are due to her alcohol problem.
Explanation
Answer: C - The most appropriate intervention is to focus the client’s attention on the substance abuse problem. The nurse midwife should inform the client that she is accountable for all of her actions. Alcohol abuse requires the client to develop her own problem-solving skills. The nurse midwife should help the client to identify situations that precipitate angry feelings and to make her own plan of action to prevent anger. The nurse midwife should set limits on manipulative behaviors.
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