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 C
Explanation
Choice A reason: Administrator is not the role that the nurse is functioning in when arranging for an occupational therapist to visit the client. An administrator is a nurse who is responsible for planning, organizing, directing, and controlling the delivery of health care services within an organization or a unit.
Choice B reason: Nurse consultant is not the role that the nurse is functioning in when arranging for an occupational therapist to visit the client. A nurse consultant is a nurse who provides expert advice and guidance to clients, organizations, or other health care professionals on specific issues or problems.
Choice C reason: Case manager is the role that the nurse is functioning in when arranging for an occupational therapist to visit the client. A case manager is a nurse who coordinates the care of a client across the continuum of health care settings and services. A case manager assesses the client's needs, develops a plan of care, facilitates the delivery of appropriate interventions, and evaluates the outcomes.
Choice D reason: Clinician is not the role that the nurse is functioning in when arranging for an occupational therapist to visit the client. A clinician is a nurse who provides direct care to clients in various settings, such as hospitals, clinics, or homes. A clinician performs assessments, diagnoses, treatments, and evaluations of the client's health status.
Correct Answer is D
Explanation
Choice A reason: Middle Eastern cultural practices do not necessarily include hiding pain from close family members. Some Middle Eastern cultures may express pain openly and seek support from family and friends, while others may prefer to endure pain stoically and privately.
Choice B reason: Native American cultural practices do not always include being outspoken about pain. Some Native American cultures may view pain as a natural part of life and a test of endurance, while others may seek relief from pain through traditional healing methods.
Choice C reason: Puerto Rican cultural practices do not always include the view that outspoken expressions of pain are shameful. Some Puerto Rican cultures may express pain loudly and dramatically, while others may use humor and distraction to cope with pain.
Choice D reason: Asian cultural practices often include suppressing pain to avoid burdening others. Many Asian cultures value harmony, collectivism, and self-control, and may perceive pain as a sign of weakness or dishonor. They may also believe that pain has a spiritual or karmic origin and should be accepted.
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