The nurse is planning the care of a client with bipolar disorder and addiction to heroin who is in a rehabilitation facility. Which outcomes will the nurse assign in the immediate phase after withdrawal symptoms are over? (Select all that apply.)
The client will assess strengths and weaknesses realistically.
The client will verbalize plans to join a community support group.
The client will receive only prescribed medications.
The client will initiate interactions with at least two other people in the facility.
The client will share feelings openly within 48 hours.
Correct Answer : A,B,C,D
Choice A reason: Assessing strengths and weaknesses realistically helps the client to understand their capabilities and limitations post-withdrawal.
Choice B reason: Verbalizing plans to join a community support group indicates the client's commitment to ongoing recovery and support after discharge.
Choice C reason: Receiving only prescribed medications ensures the client does not relapse into drug use and maintains the treatment plan's integrity.
Choice D reason: Initiating interactions with others in the facility can help the client rebuild social skills and integrate into a community, which is beneficial for recovery.
Choice E reason: While sharing feelings is important, setting a specific timeframe such as 48 hours may not be realistic for every client and can vary based on individual readiness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: OCD behaviors are not typically aimed at preventing aggressive and impulsive behaviors but are a response to anxiety-provoking obsessions.
Choice B reason: The repetitive behaviors associated with OCD, such as cleaning, are not intended to manipulate others but are compulsions that the individual feels driven to perform.
Choice C reason: The goal of repetitive cleaning in OCD is not to decrease social interaction time but to alleviate the distress caused by obsessive thoughts, often related to cleanliness or contamination.
Choice D reason: Repetitive cleaning in OCD is a compulsion that aims to decrease the anxiety caused by obsessive thoughts. It is a way for the individual to manage their anxiety and gain a sense of control over their environment.

Correct Answer is C
Explanation
Choice A reason: Informing a therapist about suicidal thoughts is a positive step and indicates good understanding.
Choice B reason: Recognizing the family as a support system shows appropriate understanding of social support in managing somatization disorder.
Choice C reason: This statement indicates a misunderstanding, as caffeine may temporarily alleviate fatigue but does not address the underlying issues of somatization disorder.
Choice D reason: Understanding the need to stop smoking due to its effects on the heart is a correct understanding of managing physical symptoms.
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