The client has successfully completed detox and is ready for discharge home. What is the primary reason the nurse refers the client to Alcoholics Anonymous (AA)?
To teach how to manage alcohol use
To provide support for a lifelong addiction
To prevent relapse from occurring
To help the client meet other people who have been successful in treatment.
The Correct Answer is B
A. To teach how to manage alcohol use: AA does not focus on teaching moderation or controlled drinking. Its philosophy promotes complete abstinence and spiritual growth as a foundation for recovery.
B. To provide support for a lifelong addiction: AA offers ongoing, peer-led support and accountability, which is crucial for managing alcohol use disorder long term. It helps individuals maintain sobriety through shared experiences and regular meetings.
C. To prevent relapse from occurring: While AA participation can reduce the likelihood of relapse, it is not a guaranteed prevention method. It is part of a broader recovery plan that includes coping strategies, support, and lifestyle changes.
D. To help the client meet other people who have been successful in treatment: AA does foster social connection, but its primary purpose is to support individuals in recovery, not just to introduce them to others. The program focuses on mutual aid and the 12-step framework.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Metabolic alkalosis: This condition results from excess bicarbonate or loss of acids through vomiting or diuretics. It is not associated with rapid, shallow breathing, especially in the early phase of heart failure.
B. Metabolic acidosis: Typically seen in states of increased acid production or bicarbonate loss, such as in renal failure or diarrhea. It is not the expected initial response to hyperventilation caused by early heart failure.
C. Respiratory alkalosis: Rapid, shallow breathing (tachypnea) leads to excessive exhalation of CO₂, resulting in decreased carbonic acid and increased blood pH. This is the typical early blood gas finding in acute heart failure due to hypoxia-driven hyperventilation.
D. Respiratory acidosis: This occurs when CO₂ is retained due to hypoventilation. Since the client is hyperventilating rather than hypoventilating, respiratory acidosis would not be present initially.
Correct Answer is D
Explanation
A. Encourage the client to practice deep breathing: Deep breathing may be helpful in correcting respiratory acidosis or alkalosis, but it is not needed when the pH is normal. The client’s acid-base balance does not require intervention at this time.
B. Call the health care provider with the report: A pH of 7.4 is within the normal range (7.35–7.45). Reporting a normal pH value in isolation is generally not necessary unless it's part of a trend or if the clinical picture suggests otherwise. The nurse should complete their assessment and consider all findings before contacting the provider.
C. Obtain an ECG: An ECG may be warranted if there are signs of electrolyte imbalances or cardiac symptoms. However, a normal pH level alone does not justify performing an ECG in the absence of additional findings.
D. Finish the head-to-toe assessment: With a normal pH level, the nurse should continue routine care, including completing the assessment. No urgent intervention is required, making this the most appropriate next step.
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