A nurse is preparing a presentation about alcohol withdrawal. Which of the following findings should the nurse include in the presentation?

Decreased blood pressure

Respiratory depression

Muscle aches

Hallucinations

Answer and Explanation

The Correct Answer is D

D. Hallucinations, particularly visual hallucinations, are a common manifestation of alcohol withdrawal, typically occurring within 12 to 24 hours after the last drink. These hallucinations can be vivid and may involve seeing objects, people, or animals that are not actually present.

A. Hypertension (high blood pressure) is more commonly associated with alcohol withdrawal, especially during the acute phase.

B. Respiratory depression, characterized by slowed or shallow breathing, is not a typical feature of alcohol withdrawal.

C. Muscle aches are not typically associated with alcohol withdrawal. Instead, symptoms such as tremors, agitation, and insomnia are more common during alcohol withdrawal.

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Correct Answer is C

Explanation

C. Dissociative amnesia is characterized by difficulty remembering important personal information, typically of a traumatic or stressful nature, that is inconsistent with ordinary forgetting. The manifestation of guilt is common in individuals experiencing dissociative amnesia, as they may feel guilty about their inability to recall events or about any actions that occurred during the period of amnesia.

A. Hallucinations involve perceiving sensations that are not present in reality, such as hearing voices or seeing things that others do not. While hallucinations can occur in various psychiatric disorders, they are not a typical manifestation of dissociative amnesia.

B. Delusions are false beliefs that are firmly held despite evidence to the contrary. Like hallucinations, delusions can occur in various psychiatric disorders, but they are not characteristic of dissociative amnesia.

D. Anhedonia refers to a reduced ability to experience pleasure or interest in previously enjoyable activities. It is not directly related to dissociative amnesia.

A. Allow the client to control the conversation. B. Ask the client a series of questions about who assaulted them. C. Insist the client report the incident. D. Touch the client for reassurance.

Correct Answer is A

Explanation

A. Allowing the client to control the conversation empowers them to share their experience at their own pace and in their own way. This approach fosters trust and facilitates open communication between the nurse and the client.

B. While gathering relevant information about the assault may be necessary for documentation and reporting purposes, it's important to approach the topic with sensitivity and respect for the client's emotional well-being.

C. Pressuring the client to report the incident against their will can further traumatize them and undermine their sense of control. Reporting the assault is a personal decision that should be made by the client based on their individual circumstances and preferences.

D. Touch can be a powerful form of nonverbal communication that conveys empathy, support, and reassurance. However, it's important to obtain the client's consent before initiating any form of physical contact, especially considering the sensitive nature of the situation.

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A nurse is preparing a presentation about alcohol withdrawal. Which of the following findings should the nurse include in the presentation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a client is who is recovering from an episode of dissociative amnesia. The nurse should expect the client to exhibit which of the following manifestations?

Correct Answer is C

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Correct Answer is A

Explanation

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