A new nurse is planning on working with a client who is admitted for alcohol detox. Which of the following statements indicates the nurse understands alcohol withdrawal?

“I would expect alcohol withdrawal symptoms to begin about 6-8 hours after the client’s last drink.”

“It is important that I give my client vitamin C to prevent cirrhosis or other liver damage.”

“The process of withdrawal should last about 10-12 days once the first symptoms appear.”

“This is the third time the client has gone through detox, so I would expect the symptoms to be less severe.”

Answer and Explanation

The Correct Answer is A

A: This statement is accurate. Alcohol withdrawal symptoms typically begin within 6-8 hours after the last drink. Early symptoms can include anxiety, tremors, and nausea, which can escalate if not properly managed.

B: While vitamins, including thiamine (vitamin B1), are important in managing alcohol withdrawal to prevent complications like Wernicke-Korsakoff syndrome, vitamin C is not specifically used to prevent cirrhosis or liver damage. This statement reflects a misunderstanding of the appropriate vitamin supplementation for alcohol withdrawal.

C: The duration of alcohol withdrawal symptoms can vary, but they usually peak within 24-72 hours and can last up to a week. Severe symptoms like delirium tremens can last longer, but the general withdrawal process does not typically last 10-12 days.

D: The severity of withdrawal symptoms can actually increase with repeated detoxifications due to a phenomenon known as kindling. Therefore, it is incorrect to assume that symptoms would be less severe with subsequent detoxifications.

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Correct Answer is D

Explanation

A: Paranoid personality disorder is characterized by pervasive distrust and suspicion of others, which is not reflected in the client’s statement.

B: Antisocial personality disorder involves a disregard for the rights of others and a lack of remorse, which is not indicated in the client’s statement.

C: Schizoid personality disorder is characterized by a lack of interest in social relationships and emotional coldness, which does not align with the client’s statement.

D: Borderline personality disorder is characterized by intense and unstable relationships, often involving idealization and devaluation of others. The client’s statement reflects this pattern by idealizing one nurse and devaluing another.

A. “When I eat too much, I make myself throw up. It makes me feel better.” B. “I have been calorie counting, which has helped me make healthy food choices.” C. “I have finally lost 20 pounds, so I’m beginning to feel less fat.” D. “I sometimes eat so much, I am uncomfortably full. It’s disgusting.”

Correct Answer is D

Explanation

Choice A:
This statement describes a behavior more closely associated with bulimia nervosa, where individuals engage in compensatory behaviors such as vomiting to prevent weight gain after overeating. Binge eating disorder (BED) does not involve regular purging behaviors.
Choice B:
This statement indicates a focus on healthy eating and calorie counting, which is not characteristic of binge eating disorder. BED involves episodes of eating large quantities of food with a sense of loss of control, not controlled eating habits.
Choice C:
This statement reflects weight loss and improved body image, which does not align with the symptoms of binge eating disorder. BED is characterized by recurrent episodes of eating large amounts of food and feeling a lack of control over eating.
Choice D:
This statement aligns with the diagnostic criteria for binge eating disorder. Individuals with BED often eat large amounts of food and feel uncomfortably full, accompanied by feelings of disgust or guilt. This behavior is a key indicator of BED, as it involves eating beyond the point of fullness and experiencing negative emotions afterward.

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A new nurse is planning on working with a client who is admitted for alcohol detox. Which of the following statements indicates the nurse understands alcohol withdrawal?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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