A nurse is admitting a client with a history of alcohol use disorder. The nurse is aware that which of the following are potential physical symptoms of alcohol withdrawal? (Select all that apply.)

Choice A reason:

Explaining unit rules and policies regarding unacceptable behaviors is important for maintaining a safe and therapeutic environment, but it does not directly demonstrate the ethical concept of autonomy. Autonomy involves respecting the client's right to make their own decisions.

Choice B reason:

Ensuring that the client understands expectations for client participation is part of providing education and setting boundaries within the therapeutic relationship. While this is important, it is not a direct demonstration of autonomy, which is about the client's right to make choices.

Choice C reason:

Encouraging client feedback about satisfaction with the facility experience is a way to involve clients in the evaluation of services, which can be related to autonomy. However, it is more about gathering information to improve the facility rather than supporting the client's individual rights and choices.

Choice D reason:

Supporting the client's wish to refuse prescribed medications is a direct demonstration of the ethical concept of autonomy. It respects the client's right to self-determination and their ability to make decisions about their own health care, even if those decisions are different from what the healthcare team recommends.

Choice A reason:

Current rehabilitation for opiate addiction, while significant, is not typically associated with Wernicke-Korsakoff syndrome. Opiate addiction primarily affects the brain's reward system and pain pathways and does not usually lead to the specific nutritional deficiencies seen in Wernicke-Korsakoff syndrome.

Choice B reason:

A personal history of alcohol use disorder is strongly associated with Wernicke-Korsakoff syndrome. Chronic alcohol consumption can lead to poor nutritional intake and absorption, particularly of thiamine (vitamin B1), which is crucial for brain function. The deficiency of thiamine is the primary cause of Wernicke-Korsakoff syndrome, leading to damage in the central and peripheral nervous systems.

Choice C reason:

A family history of Alzheimer's disease is not directly related to Wernicke-Korsakoff syndrome. While both conditions affect memory and cognitive function, Wernicke-Korsakoff syndrome is specifically related to thiamine deficiency, often due to alcohol misuse, rather than the genetic factors associated with Alzheimer's disease.

Choice D reason:

Undergoing current treatment for HIV is not an expected history specifically associated with Wernicke-Korsakoff syndrome. Although individuals with HIV may experience cognitive impairments, these are generally related to the virus's effects on the brain rather than the nutritional deficiencies that characterize Wernicke-Korsakoff syndrome.