The primary issue in the principles of detoxification is:
safety of patient, staff and others
avoiding excessive use of withdrawal drugs
patient accommodation
patient's denial and projection
The Correct Answer is A
A. safety of patient, staff and others:
Detoxification can involve seizures, hallucinations, or aggressive behavior. Ensuring safety is the highest priority.
B. avoiding excessive use of withdrawal drugs:
While important for preventing dependency on treatment meds, this is secondary to maintaining safety.
C. patient accommodation:
Comfort matters, but safety and medical stability take precedence in detox settings.
D. patient’s denial and projection:
These are psychological defense mechanisms that may impact treatment engagement but are not the most immediate concern during detox.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Multi-disciplinary biological, psychological and social treatment plans
Effective treatment for late-stage addiction requires a comprehensive, integrated approach including detox, therapy, medical support, and social rehabilitation.
B. Self-directed treatment including complete abstinence
This may work for mild cases, but late-stage dependence typically requires professional intervention. Self-treatment is usually insufficient.
C. Punitive (punishment) to stop use of the addictive substance
Punishment alone does not address the underlying causes of addiction and often worsens stigma and resistance to care.
D. Treatment with medications and family support
These are important components but not enough on their own. A full plan must include psychological and social rehabilitation.
Correct Answer is C
Explanation
A. when a mother asks the doctor about sessions the doctor had with her 16-year-old daughter
A 16-year-old may have rights to privacy depending on the state's laws, and privileged communication is protected unless exceptions apply.
B. when a wife asks what her husband said in therapy
Spouses are not entitled to this information unless consent is given.
C. when there is an imminent danger to the patient or others and in cases of suspected child abuse
These are exceptions to confidentiality laws; providers must report imminent danger or abuse.
D. when a daughter of the patient asks about her father and that daughter is not the health care proxy or responsible person for the father
If she is not authorized, the provider cannot disclose information.
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