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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 B

Explanation

Rationale:

A. While inappropriate clothing might indicate a need for assessment of the client’s awareness or physical comfort, it is not as immediate a concern as the client's behavior.

B. The comment to the nurse is concerning as it may indicate disorganized thinking or potential for inappropriate behavior, which requires immediate attention for safety and therapeutic intervention.

C. A heart rate of 102/min is slightly elevated but not the most urgent issue compared to the client's behavior.

D. Elevated blood pressure should be monitored, but the priority is the client’s inappropriate behavior, which may affect safety.

Correct Answer is C

Explanation

Rationale:

A. Observing the final 2 minutes is not sufficient for detecting acute transfusion reactions, which can occur at any time during the transfusion.

B. Observing the final 15 minutes is also not adequate; reactions can occur earlier.

C. The first 15 minutes is the most critical time for observing for transfusion reactions, as most reactions occur during this period.

D. The first 2 minutes are too brief to detect potential transfusion reactions, which typically manifest within the first 15 minutes.

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