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 B

Explanation

A. Withdrawal symptoms will only manifest as physical discomfort and will not affect a person's mental state. Withdrawal can cause both physical and psychological symptoms, including anxiety, depression, and hallucinations.

B. Withdrawal symptoms will manifest differently depending on the type of addictive substance. Different substances (e.g., alcohol, opioids, stimulants) have distinct withdrawal symptoms. For example, alcohol withdrawal can cause seizures, while opioid withdrawal causes flu-like symptoms.

C. Withdrawal symptoms will only occur immediately after the cessation of the addictive substance. Symptoms may be delayed depending on the substance's half-life and duration of use.

D. Withdrawal symptoms will always include severe headache as the primary manifestation. Headaches are not universal in withdrawal and are substance-dependent.

A. Fatigue and depression B. Muscle aches and chills C. Anxiety and diaphoresis D. Arrhythmia and respiratory depression

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.

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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

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Explanation

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Correct Answer is C

Explanation

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