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A nurse is meeting with a 15-year-old client who has ADHD. The client and their parent state they would like their medications stopped due to the unpleasant side effects. Which of the following statements should the nurse make?

Tell me more about what unpleasant effects you have been experiencing

Stop taking the medication immediately

I’ll get the physician to discuss this situation

It’s important to take the medication as prescribed

Answer and Explanation

The Correct Answer is A

a. Tell me more about what unpleasant effects you have been experiencing

Explanation of Choices

Choice A Reason: Tell Me More About What Unpleasant Effects You Have Been Experiencing

This response is the most appropriate because it opens a dialogue between the nurse, the client, and the parent. Understanding the specific side effects the client is experiencing allows the nurse to gather detailed information, which is crucial for assessing the situation accurately. This approach shows empathy and concern for the client’s well-being and can help identify whether the side effects are manageable or if an alternative treatment plan is needed. It also ensures that the client feels heard and supported.

Choice B Reason: Stop Taking the Medication Immediately

Advising the client to stop taking the medication immediately is not appropriate without a thorough assessment and consultation with the prescribing physician. Abruptly discontinuing ADHD medication can lead to withdrawal symptoms and a resurgence of ADHD symptoms, which can negatively impact the client’s daily functioning and overall health. Medication changes should always be made under medical supervision to ensure safety and effectiveness.

Choice C Reason: I’ll Get the Physician to Discuss This Situation

While involving the physician is an important step, this response alone does not address the immediate concerns of the client and parent. It is essential for the nurse to first understand the specific issues before referring to the physician. This ensures that the physician has all the necessary information to make an informed decision about the client’s treatment plan. Additionally, this response may come across as dismissive if not coupled with an initial assessment by the nurse.

Choice D Reason: It’s Important to Take the Medication as Prescribed

While it is true that taking medication as prescribed is important, this response does not acknowledge the client’s and parent’s concerns about side effects. It may come across as dismissive and could damage the trust between the client, parent, and healthcare provider. Addressing the side effects and exploring possible solutions or alternatives is crucial for maintaining adherence to the treatment plan and ensuring the client’s well-being.

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Correct Answer is A

Explanation

Choice A Reason:

This statement indicates that the client understands the nature of recovery from alcohol abuse. Recovery is indeed a lifelong process that involves continuous effort and commitment. Recognizing that recovery comes in steps shows that the client is aware of the ongoing nature of the process and the need for sustained effort and support. This understanding is crucial for successful long-term recovery.

Choice B Reason:

This statement is incorrect because it reflects a misunderstanding of the recovery process. Detoxification is just the first step in recovery, and it involves removing alcohol from the body. However, recovery involves much more than just detoxification. It includes ongoing therapy, support groups, lifestyle changes, and coping strategies to maintain sobriety and prevent relapse. Therefore, thinking that recovery is complete after detoxification is a misconception.

Choice C Reason:

This statement is also incorrect because it suggests that the goal of recovery is merely to decrease drinking. The goal of recovery from alcohol abuse is to achieve and maintain sobriety, not just to reduce alcohol consumption. Effective recovery involves abstaining from alcohol, addressing the underlying issues that led to alcohol abuse, and developing healthy coping mechanisms and support systems.

Choice D Reason:

While Al-Anon can indeed assist in the recovery process, this statement alone does not indicate that the client has fully understood the nature of recovery. Al-Anon is a support group for friends and family members of people with alcohol use disorder, and it can provide valuable support and resources. However, recognizing the lifelong and step-by-step nature of recovery is a more comprehensive indication of learning.

A. Promoting activities that encourage self-reflection. B. Conveying an accepting attitude. C. Identifying community resources. D. Providing positive feedback.

Correct Answer is B

Explanation

Choice A Reason:

Promoting activities that encourage self-reflection. While promoting self-reflection is important in the therapeutic process, it is not the most essential aspect initially for establishing a trusting nurse-patient relationship. Self-reflection activities are more effective once a foundation of trust has been established.

Choice B Reason:

Conveying an accepting attitude. This statement is correct. Conveying an accepting attitude is crucial in the initial stages of establishing a trusting nurse-patient relationship. Patients with borderline personality disorder often feel judged and misunderstood. An accepting attitude helps to create a safe and supportive environment, which is essential for building trust and encouraging open communication.

Choice C Reason:

Identifying community resources. Identifying community resources is important for long-term support and management of borderline personality disorder, but it is not the most essential aspect initially for establishing trust. This step is more relevant once the therapeutic relationship has been established and the patient is ready to engage with external support systems.

Choice D Reason:

Providing positive feedback. Providing positive feedback is beneficial in reinforcing positive behaviors and encouraging progress. However, it is not the most essential aspect initially for establishing trust. Positive feedback is more effective when the patient already feels understood and supported by the nurse.

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A nurse is meeting with a 15-year-old client who has ADHD. The client and their parent state they would like their medications stopped due to the unpleasant side effects. Which of the following statements should the nurse make?

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Correct Answer is B

Explanation

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