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?"

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: Serotonin aﬀects many functions, but metabolism is not directly inﬂuenced by serotonin.
Choice B reason: While serotonin can indirectly aﬀect heart rate, it is not the primary neurological function it aﬀects.
Choice C reason: Serotonin does not primarily aﬀect reﬂexes.
Choice D reason: This is the correct choice. Serotonin is well known for its role in regulating mood, and imbalances can lead to mood disorders.

A. A client with bipolar disorder who is not compliant with the blood testing necessary for lithium therapy. B. A client with a diagnosis of bipolar disorder who has recently begun experiencing a manic episode. C. A client whose recent strange behavior has been atributed to cyclothymic disorder. D. A client whose major depression has not responded appreciably to antidepressants.

Correct Answer is D

Explanation

Choice A reason: This choice is incorrect. Non-compliance with blood testing does not typically indicate a need for ECT.
Choice B reason: This choice is incorrect. A recent onset of a manic episode is usually managed with medication adjustments, not ECT.
Choice C reason: This choice is incorrect. Cyclothymic disorder is a milder form of bipolar disorder and is not typically treated with ECT.
Choice D reason: This is the correct choice. ECT is often considered for clients with severe depression that is resistant to medication.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which neurological function is aﬀected by the action of serotonin?

Correct Answer is D

Explanation

Which client is most likely to benefit from electroconvulsive therapy (ECT)?

Correct Answer is D

Explanation

When providing care to a client who consistently atempts to manipulate the staﬀ, the nurse can best maintain the therapeutic milieu by doing what?

Which goal is appropriate for the client being treated for obsessive-compulsive disorder with response prevention therapy?

The nurse is caring for an assigned group of clients. Which client does the nurse identify as being at the highest risk for the development of delirium and will be closely monitored?

Schizophrenia is most often characterized by which assessment finding?

A 9-year-old client with atention deficit hyperactivity disorder (ADHD) has been placed on a stimulant. The nurse knows that the teaching has been eﬀective when the client's parents make which statement?

A client who suﬀers from bipolar disorder is admited to a mental health unit for a manic episode. Which statement by the client supports this diagnosis?

A client is experiencing a panic atack while in the recreation room. Which intervention(s) would be a priority to promote the client's safety?

A 9-year-old client who has been diagnosed with autism spectrum disorder would be expected to display which behavior?