A client calls the emergency department of the local hospital reporting that after 16 years of heavy drinking, he is tired and wants to quit "cold turkey." What would be the best response by the nurse?
"It is not safe to stop drinking suddenly without medicine."
"You sound really motivated. Come in and we will help you find a treatment center."
"After a few days of rest, you should feel much better as long as you do not drink anything."
"You will likely feel anxious and get a severe headache. Treat these symptoms with acetaminophen and rest and come in if they do not get better in 3-5 days."
The Correct Answer is A
Choice A reason: This is correct because sudden cessation of alcohol after prolonged heavy use can cause life-threatening withdrawal symptoms such as seizures, delirium tremens, and severe autonomic instability. Medical supervision and pharmacological support (e.g., benzodiazepines) are necessary to ensure safety during detoxification.
Choice B reason: While supportive, this does not address the immediate danger of stopping alcohol suddenly. Motivation is important, but the nurse must prioritize safety and emphasize medical management of withdrawal.
Choice C reason: This is incorrect because withdrawal symptoms can be severe and potentially fatal. Rest alone is not sufficient, and medical intervention is necessary.
Choice D reason: This is incorrect because it minimizes the severity of alcohol withdrawal. Headaches and anxiety are possible, but seizures and delirium tremens are more serious risks. Acetaminophen and rest are inadequate management strategies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Asking about reservations is open-ended but does not directly address the client’s concern. While it may encourage discussion, it does not provide therapeutic education about the role of therapy.
Choice B reason: This is the most therapeutic response because it explains the complementary roles of medication and therapy. Antidepressants correct neurochemical imbalances, but therapy addresses thought patterns, coping skills, and long-term behavioral change. This empowers the client with understanding and emphasizes the importance of combined treatment.
Choice C reason: Referring to insurance coverage is not therapeutic. It focuses on financial logistics rather than the clinical rationale for therapy.
Choice D reason: Suggesting that medication effects will not last forever may increase anxiety and resistance. It does not provide supportive education and may feel dismissive.
Correct Answer is A
Explanation
Choice A reason: Clients with antisocial personality disorder often attempt to manipulate staff by exploiting inconsistencies. Team meetings ensure all staff members are consistent in enforcing rules and boundaries, which prevents manipulation and maintains therapeutic integrity.
Choice B reason: While updating treatment plans is important, it is not the primary reason for frequent team meetings in this context. The main issue is manipulation, not treatment updates.
Choice C reason: Informing rotating staff is helpful, but again, the central concern is manipulation. Consistency across all staff members is more critical than simply updating new staff.
Choice D reason: Processing staff frustrations is valuable for team morale, but it is not the main reason for meetings. The priority is preventing manipulation through consistent approaches.
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