A nurse is reviewing the day 5 vital signs and nurse’s notes.

Exhibits

A nurse is evaluating the client’s response to treatment. Select the 4 findings that indicate the client is progressing with their plan of care.

Client reports limiting alcohol consumption

Participation in group therapy

Appetite

Cognition

Vital signs

Movement through the stages of grief

Answer and Explanation

Correct Answer : B,C,D,E

Choice A: Client reports limiting alcohol consumption
While reporting a reduction in alcohol consumption is a positive sign, it is not as strong an indicator of progress as actual participation in structured treatment programs like group therapy. Self-reported data can sometimes be unreliable, especially in individuals with a history of substance use disorders.
Choice B: Participation in group therapy
Participation in group therapy is a significant indicator of progress. Group therapy provides a supportive environment where clients can share experiences, gain insights, and receive encouragement from peers. It also helps in building coping strategies and reducing feelings of isolation.
Choice C: Appetite
Improvement in appetite is a good indicator of physical recovery and overall well-being. Alcohol use disorder often leads to poor nutrition and weight loss, so an increase in appetite suggests that the client’s body is beginning to recover and that they are likely consuming more nutritious food.
Choice D: Cognition
Improved cognition indicates that the client is recovering from the neurological effects of alcohol intoxication. This includes better clarity of thought, improved memory, and the ability to respond coherently to questions. Cognitive recovery is crucial for the client to engage effectively in therapy and other treatment activities.
Choice E: Vital signs
Stabilized vital signs are a clear indicator of physical recovery. On admission, the client had a high blood
Choice F: Movement through the stages of grief
While moving through the stages of grief is important for emotional recovery, it is a more subjective measure and can vary greatly among individuals. It is not as directly measurable as the other indicators listed.

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Correct Answer is D

Explanation

Choice A reason: A client who is experiencing stimulant withdrawal may exhibit symptoms such as fatigue, depression, and increased appetite. While these symptoms can be distressing, they do not typically include seizures. Stimulant withdrawal does not usually necessitate seizure precautions because the risk of seizures is low.

Choice B reason: A client who is experiencing opioid withdrawal may suffer from symptoms like anxiety, muscle aches, sweating, and nausea. Although opioid withdrawal can be very uncomfortable and distressing, it is not commonly associated with seizures. Therefore, seizure precautions are generally not required for opioid withdrawal.

Choice C reason: A client who is experiencing cannabis withdrawal might experience irritability, sleep disturbances, and decreased appetite. Cannabis withdrawal is not typically associated with seizures, so seizure precautions are not necessary for these clients.

Choice D reason: A client who is experiencing alcohol withdrawal is at a significant risk for seizures. Alcohol withdrawal can lead to severe complications such as delirium tremens, which includes symptoms like confusion, hallucinations, and seizures. Implementing seizure precautions for clients undergoing alcohol withdrawal is crucial to prevent injury and manage potential seizures effectively.

A. Writes a detailed daily activity schedule. B. Refuses to engage in conversation. C. Isolates self from others. D. Reports a lack of sleep.

Correct Answer is D

Explanation

Choice A reason:
Writing a detailed daily activity schedule is not typically associated with acute mania. In fact, individuals experiencing mania often have difficulty maintaining structured routines due to their heightened energy levels and racing thoughts.

Choice B reason:
Refusing to engage in conversation is more indicative of depressive episodes rather than manic episodes. During mania, individuals are usually more talkative and may have pressured speech.

Choice C reason:
Isolating oneself from others is another behavior more commonly associated with depression. In contrast, those experiencing mania often seek out social interactions and may be overly sociable.

Choice D reason:
Reporting a lack of sleep is a hallmark symptom of acute mania. Individuals in a manic state often feel little need for sleep and may go for days with minimal rest without feeling tired. This lack of sleep can exacerbate other manic symptoms, such as irritability, impulsivity, and grandiosity.

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A nurse is reviewing the day 5 vital signs and nurse’s notes. Exhibits A nurse is evaluating the client’s response to treatment. Select the 4 findings that indicate the client is progressing with their plan of care.

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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A nurse is reviewing the day 5 vital signs and nurse’s notes.

Exhibits

A nurse is evaluating the client’s response to treatment. Select the 4 findings that indicate the client is progressing with their plan of care.