Safety is the nursing priority for a client who is at risk for alcohol withdrawal. A care plan for the client who is in withdrawal must include which nursing interventions?

Seizure precautions and vital signs.

Observation for symptoms, vital signs, seizure and fall precautions, medications as ordered.

Suicide precautions because suicide atempts are frequent during withdrawal.

Vital signs and medications as prescribed.

Answer and Explanation

The Correct Answer is B

Choice A reason: Seizure precautions and monitoring vital signs are important but not comprehensive enough for a complete care plan.
Choice B reason: This is the correct choice. It encompasses a broad range of interventions that are critical for a client undergoing alcohol withdrawal, including monitoring for various symptoms, ensuring safety, and administering medications.
Choice C reason: While suicide precautions are important, they are not the only intervention needed for a client in alcohol withdrawal.
Choice D reason: Monitoring vital signs and administering medications are important but do not cover all necessary precautions such as seizure and fall precautions.

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Correct Answer is ["A","B","C","D","E","F"]

Explanation

Choice A reason: Knowing if the family is aware can help in understanding the client's support system.
Choice B reason: Understanding the method the client is considering can help assess the level of risk and immediacy.
Choice C reason: Knowing the timing can help in immediate risk assessment and prevention planning.
Choice D reason: Assessing access to means is crucial for immediate safety planning.
Choice E reason: Understanding if there is a specific plan can help gauge the seriousness and immediacy of the risk.
Choice F reason: Oﬀering spiritual or emotional support can be an important part of the care plan.

A. A 30-year-old female client who had a baby three months prior. B. A 50-year-old male client who lives on a farm outside the city. C. A 30-year-old male client who is married with a new baby. D. A 25-year-old female client who atends school full time.

Correct Answer is B

Explanation

Choice A reason: This choice is incorrect. While postpartum depression can increase suicide risk, it does not have the highest correlation with completed suicide.

Choice B reason: This is the correct choice. Older male clients, especially those living in rural areas, have a higher risk of completing suicide due to factors like isolation and access to lethal means.

Choice C reason: This choice is incorrect. Being married and having a new baby can be protective factors against suicide.

Choice D reason: This choice is incorrect. While stress from school can contribute to suicide risk, it does not typically pose the highest risk compared to other factors.

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Safety is the nursing priority for a client who is at risk for alcohol withdrawal. A care plan for the client who is in withdrawal must include which nursing interventions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client is being admited with suicidal thoughts. Which questions should the nurse ask the client? Select all that apply.

Correct Answer is ["A","B","C","D","E","F"]

Explanation

When conducting a risk assessment for suicide, the nurse most likely identifies which client as having the greatest risk for completing suicide?

Correct Answer is B

Explanation

The nurse is performing a mental health assessment for a client with schizophrenia. Which statement made by the client demonstrates that the client is having auditory hallucinations?

A 9-year-old patient with atention deficit hyperactivity disorder (ADHD) has been prescribed a stimulant. The nurse knows that the teaching has been eﬀective when the patient's parents make which statement?

For a client diagnosed with obsessive-compulsive disorder (OCD), which strategy should the nurse include in the client's plan of care to address the challenge of coping eﬀectively with daily obsessions and compulsions?

A client recovering from a substance use disorder reports feelings of anxiety. Which activity would the nurse recommend to avoid?

A 6-year-old client who has been diagnosed with autism spectrum disorder would be expected to display which behavior?

Schizophrenia is most often characterized by which assessment finding?

While conducting an admission interview with a client, the nurse suspects the client may be in alcohol withdrawal. Which screening tool can help the nurse identify the severity of withdrawal symptoms?

A 9-year-old client with atention deficit hyperactivity disorder (ADHD) has been placed on a stimulant. The nurse knows that the teaching has been eﬀective when the client's parents make which statement?