A nurse is discussing short and long term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include in the discussion?
You will be taking a once weekly dose of disulfiram to help control withdrawal symptoms during treatment.
Remaining physically active will help to minimize drowsiness and chills associated with initial alcohol withdrawal.
Attending Al-Anon meetings will help you identify a role model to assist you with making needed changes.
You will begin learning functional skills to replace defense mechanisms and behaviors while in treatment.
The Correct Answer is D
Choice A reason: You will not be taking a once weekly dose of disulfiram to help control withdrawal symptoms during treatment. Disulfiram is a medication that causes unpleasant reactions, such as nausea, vomiting, and headache, when alcohol is consumed. It is used to deter relapse, not to treat withdrawal symptoms. It is also taken daily, not weekly.
Choice B reason: Remaining physically active will not help to minimize drowsiness and chills associated with initial alcohol withdrawal. Physical activity may worsen dehydration, electrolyte imbalance, and blood pressure changes that occur during alcohol withdrawal. It may also increase the risk of seizures and delirium tremens. The nurse should monitor the client's vital signs, fluid and electrolyte status, and mental status, and administer medications as prescribed to manage withdrawal symptoms.
Choice C reason: Attending Al-Anon meetings will not help you identify a role model to assist you with making needed changes. Al-Anon is a support group for family members and friends of people with alcohol use disorder. It helps them cope with the effects of living with or caring for someone with alcohol problems. It does not provide role models or guidance for people with alcohol use disorder. The nurse should encourage the client to attend Alcoholics Anonymous (AA) meetings, which are peer support groups for people who want to stop drinking.
Choice D reason: You will begin learning functional skills to replace defense mechanisms and behaviors while in treatment. This is an appropriate statement for the nurse to include in the discussion, as it reflects one of the goals of treatment for alcohol use disorder. The nurse should help the client identify and modify the cognitive, emotional, and behavioral factors that contribute to alcohol use. The nurse should also teach the client coping skills, stress management techniques, and relapse prevention strategies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Chlamydia is a reportable infection to the state health department. Chlamydia is a sexually transmitted infection caused by the bacterium Chlamydia trachomatis. It can cause pelvic inflammatory disease, infertility, ectopic pregnancy, and neonatal complications. Reporting chlamydia cases can help to monitor the prevalence, incidence, and trends of the infection, and to implement prevention and control measures.
Choice B reason: Herpes simplex virus is not a reportable infection to the state health department. Herpes simplex virus is a common viral infection that causes oral or genital lesions. It can be transmitted through direct contact with the lesions or the infected fluids. There is no cure for herpes simplex virus, but antiviral medications can reduce the frequency and severity of the outbreaks.
Choice C reason: Group B Streptococcus B hemolytic is not a reportable infection to the state health department. Group B Streptococcus B hemolytic is a type of bacteria that can be found in the gastrointestinal or genital tract of some people. It can cause serious infections in newborns, pregnant women, and people with weakened immune systems. Screening and treatment of pregnant women can prevent the transmission of the bacteria to their babies.
Choice D reason: Human papillomavirus is not a reportable infection to the state health department. Human papillomavirus is a group of viruses that can cause warts or cancers in different parts of the body. It can be transmitted through sexual contact or skin-to-skin contact. There is no treatment for human papillomavirus, but vaccines can prevent some types of the virus that cause cervical cancer and genital warts.
Correct Answer is D
Explanation
The correct answer is D.
Caffeinated beverages should be replaced with caffeine-free beverages. High levels of caffeine can cause low birth weight and may increase the chance of miscarriage. Pregnant women metabolize caffeine more slowly, which can affect the fetus.
Choice A reason: The need for supplemental folic acid is greatest during the first trimester to prevent neural tube defects. The recommended daily dose is 600 mcg.
Choice B reason: Adolescent pregnancy is associated with a higher risk of low birth weight infants, not high birth weight.
Choice C reason: Pregnant adolescents generally need to gain an appropriate amount of weight, similar to adult mothers, to support the growth and development of the fetus. The weight gain recommendations during pregnancy are based on the mother's pre-pregnancy BMI.
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