A client is readmited to the substance use disorder program for the second time in 6 months for alcohol use disorder. Upon admission, the client tells the nurse, "I am so ashamed." What should the nurse reply?
"You have nothing to be ashamed of."
"Tell me what has happened since your last admission."
"I really thought you would make it."
"Why did you start drinking again?"
The Correct Answer is B
Choice A reason: While it's important to provide support, simply telling the client they have nothing to be ashamed of does not address the underlying issues or feelings the client may be experiencing.
Choice B reason: This response opens a dialogue and allows the client to share their experiences and challenges since the last admission, fostering a therapeutic relationship and understanding.
Choice C reason: This statement could be perceived as judgmental and may make the client feel worse, potentially hindering the therapeutic relationship.
Choice D reason: Asking why they started drinking again could come across as accusatory and may cause the client to become defensive or feel guilty, which is not conducive to recovery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: While education is important, it is not the priority for a client with significantly progressed dementia, as their ability to learn new information is likely impaired.
Choice B reason: Support is crucial for clients with dementia, but it is not the immediate priority in the context of safety concerns.
Choice C reason: This is the correct choice. Safety is the priority for clients with significantly progressed dementia due to increased risk of harm from confusion, wandering, and other behaviors.
Choice D reason: Cognitive interventions may be part of the treatment plan, but they are not the priority when compared to ensuring the client's safety.
Correct Answer is B
Explanation
Choice A reason: This choice is incorrect because depressive symptoms alone do not indicate bipolar disorder, which is characterized by episodes of mania and depression.
Choice B reason: This is the correct choice. Major depressive disorder is characterized by depressive episodes without the occurrence of mania.
Choice C reason: This choice is incorrect. Depression can be a recurring disorder and is not typically a one-time incident.
Choice D reason: This choice is incorrect. Hypomania is associated with bipolar disorder, not major depressive disorder.
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