A nurse is caring for a client who is recovering from a substance use disorder and is preparing to be discharged. Which of the following factors should the nurse identify as a barrier to recovery?
Plans to move into a hallway shelter.
Shows signs of restlessness and poor sleep hygiene.
Identifies potential triggers for relapse.
Will stay with a friend who is actively using substances.
The Correct Answer is D
Choice A reason: Living in a hallway shelter may reflect unstable housing, which is a risk factor for relapse, but it is not as direct a barrier as residing with someone actively using substances.
Choice B reason: Restlessness and poor sleep hygiene are symptoms that may complicate recovery but are not primary barriers unless they interfere with treatment adherence.
Choice C reason: Identifying triggers is a protective factor, not a barrier. It shows insight and readiness for relapse prevention planning.
Choice D reason: Staying with someone who is actively using substances creates a high-risk environment for relapse and undermines recovery efforts. This is a direct and significant barrier.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Failure to administer prescribed medication is a medication error and must be documented through an incident report. This ensures accountability, promotes safety, and initiates corrective action to prevent recurrence.
Choice B reason: Aggressive behavior may be part of the client’s psychiatric presentation. Unless it results in harm or requires emergency intervention, it may not meet the threshold for an incident report unless facility policy dictates otherwise.
Choice C reason: Missing a therapy session is not typically considered an incident unless it results in harm or is part of a pattern requiring intervention. It should be documented in progress notes, not an incident report.
Choice D reason: Refusal to leave the room may indicate worsening depression but does not constitute an incident unless it leads to harm or safety concerns. It should be addressed in the care plan.
Correct Answer is B
Explanation
Choice A reason: Distraction is a coping strategy, but it is not mindfulness. Mindfulness involves engaging with the present moment rather than avoiding it.
Choice B reason: This reflects core mindfulness principles—nonjudgmental awareness of present sensations and experiences. It helps reduce PTSD symptoms by grounding the client in the here and now.
Choice C reason: Progressive muscle relaxation is a useful technique but is not the same as mindfulness. It is a relaxation strategy rather than a present-moment awareness practice.
Choice D reason: Using a smartwatch for tracking is a helpful adjunct but does not reflect mindfulness practice. It is a monitoring tool, not a therapeutic intervention.
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