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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?

A.

"Let me tell you how I struggled to stop drinking whiskey over the years, but finally succeeded."

B.

"You have stopped drinking, haven't you?"

C.

"The physician has ordered you to stop drinking all alcoholic beverages. Are you going to make us happy?"

D.

"Let's work together on a plan that includes medication, group support, and counseling."

Answer and Explanation

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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View Related questions

Correct Answer is A

Explanation

Rationale:

A. The psychiatric pharmacist specializes in the management of medications for clients with mental health conditions and would be the most knowledgeable about potential interactions between psychiatric and diabetes medications.

B. A laboratory technician focuses on conducting lab tests and would not be the appropriate team member to consult regarding medication interactions.

C. While the primary provider oversees the overall care of the client, the psychiatric pharmacist is specifically trained to handle questions about medication interactions, making them the best resource in this scenario.

D. A psychologist typically addresses therapeutic interventions and behavioral therapies, not medication management, making them less suited to answer questions about drug interactions.

Correct Answer is A

Explanation

Rationale:

A. Cognitive Behavioral Therapy (CBT) is designed to help individuals manage grief by addressing and altering maladaptive thought patterns and behaviors related to their loss. This approach helps clients adapt to living with the loss and cope with their emotions.

B. Making funeral and burial arrangements is not within the scope of CBT; it focuses on managing emotional and cognitive responses to grief.

C. CBT does not focus on understanding specific events or details of a partner’s medical treatment but rather on the emotional and cognitive processing of grief.

D. CBT does not aim to answer questions about the reasons for a partner’s death but rather helps individuals cope with the emotional impact of the loss.

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