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: This choice is incorrect. Asking questions that can be answered with one-word responses does not facilitate a deep therapeutic relationship.
Choice B reason: While involving the family can be beneficial, it is not a direct strategy for the nurse-client relationship.
Choice C reason: This is the correct choice. Active listening and summarizing are key components of building a therapeutic relationship, as they demonstrate understanding and validation of the client's feelings and thoughts.
Choice D reason: It is important to ask about suicidal behaviors or thoughts when there are indications of such risks; avoiding these questions can be detrimental to client care.
Correct Answer is C
Explanation
Choice A reason: This choice is incorrect. Requesting quiet to sleep does not necessarily support a diagnosis of a manic episode.
Choice B reason: This choice is incorrect. Feeling tired and wanting to rest is not indicative of a manic episode, which is typically characterized by increased energy and activity.
Choice C reason: This is the correct choice. The statement about the purple hat and zebra-striped pants suggests a lack of awareness of social norms and possibly grandiosity or flamboyance, which can be indicative of a manic episode.
Choice D reason: This choice is incorrect. Concern about appearance does not specifically support a diagnosis of a manic episode.
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