A nurse is assisting in the care of a client following a mastectomy.
Which of the following responses by the client indicates acceptance of their altered body image?

Choice A rationale

Repeated school absences are a common finding in conduct disorder and indicate a disregard for rules and obligations. While important to address, it does not represent an immediate safety risk compared to threats of harm.

Choice B rationale

Threats of injury to others indicate a potential for violence and pose an immediate safety risk to others. This requires the nurse's immediate attention to assess the situation, ensure safety, and implement appropriate interventions to prevent harm.

Choice C rationale

Lack of empathy for others is a core characteristic of conduct disorder, reflecting a difficulty in understanding or sharing the feelings of others. While significant for long-term management, it does not present an immediate safety concern.

Choice D rationale

A history of shoplifting indicates a pattern of rule-breaking and disregard for the rights of others, which is characteristic of conduct disorder. However, it does not represent an immediate threat of harm compared to threats of injury.

Choice A rationale

Diazepam is a benzodiazepine, typically used for anxiety, muscle spasms, and seizures. While it has a calming effect, it does not directly address opioid use disorder and carries a risk of misuse and dependence, potentially exacerbating the client's condition.

Choice B rationale

Phenobarbital is a long-acting barbiturate used to control seizures. It is not a primary treatment for opioid use disorder and has a high potential for dependence and serious withdrawal symptoms if discontinued abruptly.

Choice C rationale

Buprenorphine is a partial opioid agonist that binds to opioid receptors in the brain, reducing cravings and withdrawal symptoms without producing the full euphoric effects of other opioids. It is a key medication in medication-assisted treatment (MAT) for opioid use disorder, helping clients manage their addiction and transition to recovery.

Choice D rationale

Chlordiazepoxide is another benzodiazepine, primarily used for anxiety and alcohol withdrawal. Similar to diazepam, it does not directly treat opioid use disorder and carries a risk of dependence and misuse in individuals with substance use disorders.