A nurse in an alcohol rehabilitation facility is creating a discharge plan for a client who has alcohol use disorder.
Which of the following recommendations should the nurse include in the plan?

Choice A rationale:

The statement, "I might need to be hospitalized to stabilize my physical condition," indicates a good understanding of the severity of the eating disorder. Hospitalization may be necessary in cases of severe malnutrition or other medical complications associated with eating disorders.

Choice B rationale:

The statement, "Psychotherapy and medication can help address the psychological aspects of my disorder," demonstrates an accurate understanding of the treatment options for eating disorders. Psychotherapy and medication are often important components of treatment.

Choice C rationale:

The statement, "Relapse prevention strategies are not necessary once I have recovered," indicates a need for further teaching. Relapse prevention strategies are crucial in maintaining recovery and preventing a recurrence of disordered eating behaviors. It is important to educate the patient about the long-term strategies required for sustained recovery.

Choice D rationale:

The statement, "Social support, such as family involvement or peer support, can be helpful in maintaining recovery," is correct. Social support is an essential part of recovery from eating disorders. It can provide emotional support and help in maintaining progress.

Choice A rationale:

Requesting that the provider renew the prescription for restraints every 8 hours is not the best approach. The nurse should follow the facility's policies and protocols for the use of restraints, and these policies typically require that the provider assess the client within a specific timeframe after applying restraints. The provider's assessment should occur promptly to determine the client's continued need for restraints and to address the client's safety and well-being.

Choice C rationale:

Evaluating the client hourly while the restraints are applied is not sufficient. While it's important to monitor the client, especially in terms of circulation and comfort, the provider's assessment should take place within a shorter timeframe, typically within one hour after applying the restraints. Hourly evaluations alone may not be timely enough to address the client's condition and the necessity of the restraints.

Choice D rationale:

Obtaining a prescription for restraints on an as-needed basis is not an appropriate approach. Restraints should only be used when necessary to ensure the safety of the client or others, and their use should be based on a specific assessment by the provider. Using restraints on an as-needed basis without a clear prescription can lead to ethical and legal issues and should be avoided.