A nurse is planning care for a client who has chronic substance use disorder. Which of the following is the most therapeutic response to help the client cease alcohol consumption?
"Let me tell you how I struggled to stop drinking whiskey over the years, but finally succeeded."
"You have stopped drinking, haven't you?"
"The physician has ordered you to stop drinking all alcoholic beverages. Are you going to make us happy?"
"Let's work together on a plan that includes medication, group support, and counseling."
The Correct Answer is D
Rationale:
A. Sharing personal experiences can be supportive, but it may not be the most therapeutic or professional approach in this situation.
B. This question is leading and doesn't encourage an open dialogue. It may also induce guilt or defensiveness in the client.
C. This statement is authoritative and may come across as coercive, which can be counterproductive in encouraging the client to take responsibility for their recovery.
D. Collaborating with the client on a comprehensive plan that includes medication, group support, and counseling is a therapeutic approach that empowers the client to actively participate in their recovery, offering them the best chance of success.
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Correct Answer is ["C","D","E"]
Explanation
Rationale:
A. Allowing a client to skip therapy may not be promoting mental health effectively and could hinder progress.
B. Administering medications is a necessary task but does not directly relate to mental health promotion strategies.
C. Allowing the use of exercise equipment to manage anxiety supports mental health promotion by encouraging healthy coping mechanisms.
D. Assisting clients in using adaptive coping skills is a key aspect of mental health promotion, helping clients develop effective strategies to manage their condition.
E. Following suicide precautions ensures safety and is a proactive approach to mental health management.
Correct Answer is B
Explanation
Rationale:
A. Pill rolling movements and drooling are more characteristic of Parkinson’s disease rather than serotonin syndrome.
B. Serotonin syndrome can present with autonomic instability such as dilated pupils, hyperthermia, and loss of muscle coordination due to increased serotonin levels.
C. Tinnitus is not a common symptom of serotonin syndrome; jerking movements may occur but are not specific to this condition.
D. Suicidal ideations are not typical of serotonin syndrome; they may be more related to underlying mood disorders or medication effects.