A nurse is reviewing the day 5 vital signs and nurses' 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.

Appetite

Movement through the stages of grief

Cognition

Participation in group therapy

Client resolves to limit alcohol consumption

Answer and Explanation

Correct Answer : A,B,D,E

A.   Appetite:
The client has a good appetite, which is a positive sign of progress. A healthy appetite can indicate the resolution of some symptoms related to alcohol withdrawal, as well as an improvement in the client’s general health and nutrition. It also suggests that the client is physically stabilizing and no longer experiencing significant nausea or gastrointestinal issues that are common in alcohol withdrawal.
B.   Movement through the stages of grief:
The client has accepted the news about their parents' death and is moving through the stages of grief.
This is a significant step in emotional healing and demonstrates psychological progress. Acceptance of
the loss is a positive indicator of the client’s ability to cope with the bereavement, which is important for
long-term recovery, particularly given that grief and emotional stress contributed to the relapse.
C.   Cognition:
While cognitive status is important, there is no direct evidence presented that the client's cognition is specifically improving in this case. The nurses' notes do not mention any cognitive deficits or assessments directly related to cognition, and there are no significant changes to indicate cognitive improvement. This would require further assessment to determine if cognitive function is indeed progressing.
D.   Participation in group therapy:
Participation in group therapy is another key indicator of progress. Group therapy is an essential part of recovery for clients with alcohol use disorder, providing a supportive environment where clients can share their experiences and receive feedback from others. The fact that the client is attending group therapy shows engagement in their treatment plan and is likely helping the client with social support and recovery-focused education.
E.   Client resolves to limit alcohol consumption:
The client has resolved to limit alcohol consumption, which is a clear and positive commitment to change. This suggests that the client is taking responsibility for their recovery and recognizes the need for behavioral change to prevent future alcohol use. Such a commitment is a crucial step in overcoming alcohol use disorder and achieving long-term sobriety.

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Correct Answer is B

Explanation

A. Delusions are not characteristic of autism spectrum disorder (ASD). The focus for ASD is on communication, social interaction, and behavior management.
B. Encouraging social interaction is essential for clients with ASD. This goal supports the development of communication and social skills, which are areas often challenging for individuals with ASD.
C. ASD typically involves difficulties with social interactions and communication, not manipulation. The focus should be on helping the adolescent develop appropriate communication strategies.
D. Changing behavior due to peer pressure is not typically a goal for adolescents with ASD, as they often have difficulty understanding and responding to peer pressure. The focus should be on helping them develop skills for independent decision-making and social communication.

A. Discuss the provider's goals for the client's care. B. Request the provider prescribe a second antipsychotic medication to the client. C. Ask the client if the medication is causing adverse effects. D. Tell the client they will be admitted to an inpatient care facility if they do not take the medication.

Correct Answer is C

Explanation

A. Discussing the provider's goals might not address the client’s reasons for non-adherence and could be seen as dismissive.
B. Prescribing another medication without addressing the reasons for non-adherence may not solve the underlying problem.
C. Asking about adverse effects shows empathy and provides an opportunity to address concerns and encourage adherence.
D. Threatening hospitalization is not therapeutic and may make the client more resistant to taking the medication.

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A nurse is reviewing the day 5 vital signs and nurses' 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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A nurse is reviewing the day 5 vital signs and nurses' 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.