Family Nurse Practitioner Exam

Which of the following patients is least likely to become an alcoholic?

1. A patient whose father has a history of alcoholism

2. A patient whose wife complains that he drinks too much

3. A patient who drinks one cup of wine nightly with dinner

4. A patient who feels he drinks all the time

The correct answer is: A patient who drinks one cup of wine nightly with dinner

The rationale behind the selection of this patient as least likely to become an alcoholic is rooted in the pattern and context of their drinking behavior. This patient consumes one cup of wine nightly with dinner, which can be characterized as moderate and socially normative alcohol consumption. Such habits often reflect an established routine rather than a reliance on alcohol, indicating a lower risk for the development of alcohol dependence. In contrast, the other patients present scenarios with varying degree of concern. A patient with a familial history of alcoholism carries a genetic predisposition that significantly increases their risk for developing similar patterns of problematic drinking. A patient whose spouse has voiced concerns about excessive drinking is likely engaged in consumption that could be problematic, suggesting potential issues with control or frequency of alcohol intake. Meanwhile, a patient who feels they are drinking all the time suggests a lack of control or unhealthy coping mechanism associated with alcohol use. All these factors can contribute to a higher likelihood of progressing toward alcohol dependence than the moderate and socially accepted drinking pattern exhibited by the patient who enjoys a glass of wine with dinner.