A nurse is planning care for a client who has chronic substance use disorder. Which of the following is the most therapeutic response to help the client cease alcohol consumption?

"Let me tell you how I struggled to stop drinking whiskey over the years, but finally succeeded."

"You have stopped drinking, haven't you?"

"The physician has ordered you to stop drinking all alcoholic beverages. Are you going to make us happy?"

"Let's work together on a plan that includes medication, group support, and counseling."

Answer and Explanation

The Correct Answer is D

Rationale:

A. Sharing personal experiences can be supportive, but it may not be the most therapeutic or professional approach in this situation.

B. This question is leading and doesn't encourage an open dialogue. It may also induce guilt or defensiveness in the client.

C. This statement is authoritative and may come across as coercive, which can be counterproductive in encouraging the client to take responsibility for their recovery.

D. Collaborating with the client on a comprehensive plan that includes medication, group support, and counseling is a therapeutic approach that empowers the client to actively participate in their recovery, offering them the best chance of success.

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Correct Answer is C

Explanation

Rationale:

A. Somatic symptom disorder involves physical symptoms without a clear medical cause, but the client's intention to be the center of attention is more characteristic of factitious disorder.

B. Functional neurological symptom disorder involves neurological symptoms with no identifiable neurological basis, which does not align with the client’s motivations.

C. Factitious disorder involves the intentional production of symptoms to assume the sick role and gain attention, which aligns with the client's desire to be the center of a dramatic medical situation.

D. Illness anxiety disorder involves preoccupation with having a serious illness despite a lack of symptoms but does not involve intentionally causing harm.

A. Evaluate the infant’s pain level using the FACES Scale. B. Offer the infant small, frequent feedings of thickened liquids. C. Measure the infant’s head circumference. D. Implement contact precautions. E. Weigh the infant. F. Plan to administer a plain water enema to the infant.

Correct Answer is ["C","E"]

Explanation

Choice A rationale:

Evaluating the infant’s pain level using the FACES Scale is not appropriate for infants. The FACES Scale is typically used for children aged 3 years and older.

Choice B rationale:

Offering the infant small, frequent feedings of thickened liquids is not recommended in this scenario. The infant is on NPO (nothing by mouth) status due to the forceful vomiting and risk of aspiration.

Choice C rationale:

Measuring the infant’s head circumference is important to assess for any signs of increased intracranial pressure or hydrocephalus, which can be associated with vomiting.

Choice D rationale:

Implementing contact precautions is not necessary unless there is a known or suspected infectious cause for the vomiting.

Choice E rationale:

Weighing the infant is crucial to monitor for any significant weight loss, which can indicate dehydration or other underlying issues.

Choice F rationale:

Planning to administer a plain water enema to the infant is not appropriate in this scenario. The primary concern is the forceful vomiting, and an enema would not address this issue.

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A nurse is planning care for a client who has chronic substance use disorder. Which of the following is the most therapeutic response to help the client cease alcohol consumption?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is caring for an infant whose guardian reports intermittent vomiting for several days in the pediatric unit. Exhibits Which of the following actions should the nurse take? (Select all that apply)

Correct Answer is ["C","E"]

Explanation

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