A nurse is assisting with the admission of a client who is experiencing acute alcohol intoxication. When working with this client, which of the following approaches should the nurse take?

Maintain a nonjudgmental attitude.

Avoid mentioning alcohol use when collecting client data.

Offer sympathetic support

Verbalize disapproval of substance abuse.

Answer and Explanation

The Correct Answer is A

A. Maintain a nonjudgmental attitude: A nonjudgmental approach promotes trust and encourages the client to disclose pertinent information.

B. Avoid mentioning alcohol use when collecting client data: It is essential to discuss alcohol use openly to guide effective care and intervention.

C. Offer sympathetic support: While empathy is important, over-sympathizing may undermine professional boundaries.

D. Verbalize disapproval of the substance abuse: Expressing disapproval is likely to provoke defensiveness and hinder communication.

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Correct Answer is C

Explanation

A. Fatigue and depression: These symptoms are associated with withdrawal from stimulants, not alcohol.

B. Muscle aches and chills: These are not common symptoms of alcohol withdrawal.

C. Anxiety and diaphoresis: Alcohol withdrawal is characterized by increased autonomic activity, including anxiety, sweating, tremors, and tachycardia.

D. Arrhythmia and respiratory depression: While severe withdrawal can lead to seizures and arrhythmias, respiratory depression is not typical.

A. Support the client's coping skills. B. Prevent the client from harming herself or others. C. Identify the use of defense mechanisms. D. Develop goals for treatment.

Correct Answer is B

Explanation

A. Support the client’s coping skills. While important, safety takes precedence in the acute phase.

B. Prevent the client from harming herself or others. Alcohol withdrawal can lead to agitation, hallucinations, or seizures, making safety the nurse's priority.

C. Identify the use of defense mechanisms. This is part of long-term treatment, not immediate care.

D. Develop goals for treatment. Goal-setting is essential for long-term management but is not the priority during acute withdrawal.

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A nurse is assisting with the admission of a client who is experiencing acute alcohol intoxication. When working with this client, which of the following approaches should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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