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 A

Explanation

Rationale:

A. Clients with anorexia nervosa often develop a preoccupation with food (collecting recipes, cooking for others, watching others eat) despite restricting their own intake. This is a classic behavioral indicator.

B. Reporting high energy levels is not characteristic of anorexia nervosa, where clients often suffer from fatigue due to inadequate nutrition.

C. Enjoying wearing form-fitting clothes is more indicative of a positive body image, which is not typical of those with anorexia nervosa.

D. Clients with anorexia do not recognize they are underweight; instead, they perceive themselves as “fat.” This statement shows insight into thinness, which is not typical of anorexia.

A. Cognitive behavioral therapy B. Deep-brain stimulation C. Electroconvulsive therapy D. Vagal nerve stimulation

Correct Answer is A

Explanation

Rationale:

A. Cognitive behavioral therapy (CBT) is a noninvasive, evidence-based treatment for depression. It helps clients identify and change negative thought patterns and behaviors that contribute to their depression.

B. Deep-brain stimulation is an invasive procedure used for treatment-resistant depression and other neurological conditions.

C. Electroconvulsive therapy (ECT) is a noninvasive but more intensive treatment often used for severe or treatment-resistant depression. However, it is generally not the first line of treatment.

D. Vagal nerve stimulation is a more invasive treatment, typically reserved for cases where other treatments have failed.

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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

A nurse is caring for a client. Which of the following client statements should the nurse identify as an indication of anorexia nervosa?

Correct Answer is A

Explanation

A nurse is caring for a client who has depression. Which of the following noninvasive treatments should the nurse recommend to the client?

Correct Answer is A

Explanation

A newly hired nurse is providing report to a nurse. The nurse continuously interrupts the newly hired nurse during report. This is an example of which of the following?

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