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?
Refer the client to a self-help group.
Teach the client to practice systematic desensitization.
Request a discharge prescription for buprenorphine for the client.
Contact a close relative of the client to discuss the discharge plan.
The Correct Answer is A
Refer the client to a self-help group.
Choice B rationale:
Teach the client to practice systematic desensitization. Systematic desensitization is a therapeutic technique primarily used for phobias and anxiety disorders. It is not a standard treatment for alcohol use disorder. While it might help with some aspects of anxiety related to substance abuse, it is not a core recommendation for this condition.
Choice C rationale:
Request a discharge prescription for buprenorphine for the client. Buprenorphine is typically prescribed for opioid use disorder, not alcohol use disorder. It is not an appropriate medication for treating alcohol addiction.
Choice D rationale:
Contact a close relative of the client to discuss the discharge plan. Involving a close relative in the discharge plan can be beneficial for providing social support and ensuring a safer transition. However, it is not the primary recommendation. Referring the client to a self-help group (Choice A) is more focused on addressing the alcohol use disorder directly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is D
Explanation
The correct answer is D. Hyperthermia.
Choice A reason: Hyperglycemia, which is an elevated blood glucose level, is not typically a direct manifestation of alcohol withdrawal. Alcohol withdrawal can sometimes lead to poor oral intake or vomiting, which might indirectly affect blood sugar levels, but hyperglycemia itself is not a primary concern in the context of alcohol withdrawal.
Choice B reason: Decreased blood pressure During alcohol withdrawal, the sympathetic nervous system is often overactive, leading to symptoms such as increased blood pressure, rather than decreased. Therefore, decreased blood pressure is not a common manifestation of alcohol withdrawal. Normal blood pressure ranges for adults are systolic BP of 100-120mmHg and diastolic BP of 70-80mmHg.
Choice C reason: Decreased heart rate Similar to blood pressure, the heart rate typically increases during alcohol withdrawal due to sympathetic nervous system overactivity. A normal resting heart rate for adults ranges from 60 to 100 beats per minute (bpm). Decreased heart rate is not expected during alcohol withdrawal.
Choice D reason: Hyperthermia, or elevated body temperature, is a common symptom of alcohol withdrawal. This occurs as part of the body’s response to the sudden absence of alcohol, and can be a part of the withdrawal syndrome, which includes a range of symptoms from mild anxiety to severe complications like seizures. Normal body temperature ranges from 97°F (36.1°C) to 99°F (37.2°C).
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