A nurse in an emergency department is preparing to discharge a client who has severe hypertension and requires detoxification for alcohol use disorder. The nurse should recommend a referral to which of the following resources?

A residential rehabilitation program

Intensive outpatient therapy

Alcoholics Anonymous

A halfway house

Answer and Explanation

The Correct Answer is A

Choice A reason: A residential rehabilitation program is the most appropriate referral for a client with severe hypertension who requires detoxification for alcohol use disorder. Residential programs provide 24-hour medical supervision, structured detoxification, and comprehensive support. This level of care is necessary to manage both the medical complications of hypertension and the risks associated with alcohol withdrawal, such as seizures or delirium tremens.

Choice B reason: Intensive outpatient therapy is beneficial for clients who are medically stable and can manage withdrawal symptoms safely outside of a hospital or residential setting. However, this client has severe hypertension and requires detoxification, which necessitates closer monitoring than outpatient care can provide.

Choice C reason: Alcoholics Anonymous is a peer-support group that provides ongoing recovery support but does not offer medical detoxification or structured treatment. While AA can be valuable after stabilization, it is not appropriate as the initial referral for a client requiring medical detox.

Choice D reason: A halfway house provides transitional living arrangements for individuals recovering from substance use disorders. It is useful after detoxification and initial treatment but does not provide the medical supervision or detox services needed at this stage.

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Correct Answer is D

Explanation

Choice A reason: Referring the client to the provider dismisses the client’s immediate concern and does not foster therapeutic communication. While providers can give medical details, the nurse’s role is to explore feelings and provide support. This response blocks communication.

Choice B reason: Telling the client not to worry minimizes their concern and invalidates their feelings. Clients with anorexia nervosa often have significant anxiety about their health and body image. This response is non-therapeutic and does not encourage further discussion.

Choice C reason: Asking “Why” questions can make the client feel defensive and pressured to justify their feelings. Therapeutic communication avoids “Why” phrasing because it can hinder open dialogue.

Choice D reason: Reflecting the client’s concern by restating it in a supportive way acknowledges their fear and invites them to elaborate. This therapeutic response validates the client’s feelings and opens the door for further discussion about their health and emotional state.

A. "A client loses the right to refuse prescribed medications when they are admitted involuntarily." B. "Clients admitted involuntarily are considered to be incompetent to provide informed consent." C. "A provider can write a prescription for restraints to use on a client on an as-needed basis." D. "If a client threatens to seriously harm someone, the provider should notify that person of the threat."

Correct Answer is D

Explanation

Choice A reason: Clients admitted involuntarily still retain the right to refuse medications unless a court order or emergency situation overrides this right. This statement is incorrect.

Choice B reason: Involuntary admission does not automatically mean a client is incompetent. Competency must be legally determined by a court, not assumed based on admission status.

Choice C reason: Restraints cannot be prescribed on an as-needed basis. They require a specific, time-limited order and must be used only when absolutely necessary to protect the client or others.

Choice D reason: Providers have a duty to warn identifiable individuals if a client makes a credible threat of serious harm. This is a legal and ethical responsibility to protect others from danger, making this the correct statement.

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A nurse in an emergency department is preparing to discharge a client who has severe hypertension and requires detoxification for alcohol use disorder. The nurse should recommend a referral to which of the following resources?

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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