A nurse is discussing Alcoholics Anonymous (AA) with a client. What behavior expected of members of AA should the nurse include in the discussion?
Speaking aloud at weekly meetings
Promising to attend at least 12 meetings yearly
Maintaining controlled drinking after 6 months
Acknowledging an inability to control the problem
The Correct Answer and Explanation is:
Correct Answer: Acknowledging an inability to control the problem
Explanation:
When discussing Alcoholics Anonymous (AA) with a client, it is essential for the nurse to explain the core principles and expectations of the program. One of the foundational beliefs of AA is acknowledging an inability to control alcohol use. This admission is central to the recovery process and is the first step of the Twelve Steps program used in AA.
The First Step states: “We admitted we were powerless over alcohol—that our lives had become unmanageable.” This admission is not a sign of weakness, but rather a starting point for healing and change. By acknowledging a lack of control, individuals can begin to seek support, develop accountability, and adopt new coping mechanisms for sobriety.
AA is a mutual support group that promotes total abstinence from alcohol, not controlled or moderate drinking. The program views alcoholism as a chronic disease, and therefore controlled drinking is not considered a viable goal. The emphasis is on complete sobriety and ongoing participation in the recovery process.
Contrary to some misconceptions, speaking aloud at meetings is not a requirement. Members are encouraged to share, but it is completely voluntary. Many individuals begin attending AA meetings simply by listening until they feel comfortable participating verbally.
Additionally, there is no mandated number of meetings members must attend. While frequent attendance is encouraged, the commitment level varies per individual. AA promotes the concept of “90 meetings in 90 days” for new members as a guideline, but there is no formal promise or requirement to attend a specific number per year.
In conclusion, the nurse should emphasize that AA expects members to begin their journey by admitting their inability to control alcohol use. This understanding lays the foundation for recovery, personal growth, and long-term abstinence.
