Which of the following approaches should the nurse take when interviewing a client during admission to an alcohol treatment center?

Verbalize disapproval of the client’s substance abuse.

Avoid displaying an emotional response.

Maintain a nonjudgmental attitude.

Offer sympathetic support.

Answer and Explanation

The Correct Answer is C

Choice A reason: Verbalizing disapproval of the client’s substance abuse is not therapeutic and can harm the nurse-client relationship. It may cause the client to feel judged and less likely to be open about their struggles, hindering the treatment process.

Choice B reason: While it is important to maintain professionalism, avoiding any emotional response can make the nurse seem distant and uncaring. A balance between empathy and professional detachment is necessary to build rapport and trust with the client.

Choice C reason: Maintaining a nonjudgmental attitude is essential in the therapeutic setting, especially during the initial interview at an alcohol treatment center. It helps to create a safe environment where the client feels respected and understood, which can facilitate openness and honesty about their issues with substance abuse.

Choice D reason: Offering sympathetic support is a positive approach, but it must be carefully balanced with professional boundaries. Sympathy can sometimes be mistaken for pity, which might not be empowering for the client. Empathy, which involves understanding and sharing the feelings of another, is generally more appropriate in a therapeutic setting.

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Correct Answer is A

Explanation

Choice A Reason:

Increased impulsive behaviors can be a sign of heightened risk for suicide, especially in clients with bipolar disorder. Impulsivity may lead to acting on suicidal thoughts without considering the consequences. It's important for the nurse to monitor such changes closely and take appropriate safety measures.

Choice B Reason:

Expressing a desire to go home to be with family does not typically indicate a risk for suicide. It may reflect a client's natural longing for familiar surroundings and support systems, which can be part of a healthy desire for integration back into their community.

Choice C Reason:

Identifying with the problems of other clients often indicates a level of empathy and understanding, which can be beneficial in group therapy settings. It does not inherently suggest a risk for suicide.

Choice D Reason:

Participation in activities, such as playing basketball, is generally a positive sign indicating engagement and social interaction. It can be a part of the client's recovery process and does not suggest an increased risk for suicide.

A. "I exercise when my neck is tense." B. "I fix myself a pot of coffee when I get anxious." C. "I pray when I begin to breathe fast." D. "I journal when I find it difficult to talk."

Correct Answer is B

Explanation

Choice A Reason:

Exercising when feeling tense is an effective stress management technique. Physical activity helps to reduce stress hormones like cortisol and increases endorphins, which are natural mood lifters. Exercise can also improve sleep, which is often disrupted by stress, and provide a distraction from anxious thoughts.

Choice B Reason:

Fixing a pot of coffee when feeling anxious is the least effective stress management technique. Caffeine is a stimulant that can increase anxiety levels, cause jitteriness, and disrupt sleep patterns. For individuals who are already feeling anxious, consuming caffeine can exacerbate their symptoms and make it harder to manage stress effectively.

Choice C Reason:

Praying when beginning to breathe fast is a beneficial stress management technique for many people. Prayer and other forms of spiritual practice can provide a sense of calm, reduce stress, and offer emotional support. It can also help individuals feel more connected and less isolated during stressful times.

Choice D Reason:

Journaling when finding it difficult to talk is an effective way to manage stress. Writing down thoughts and feelings can help individuals process their emotions, gain insights into their stressors, and find solutions to their problems. Journaling can also serve as a therapeutic outlet for expressing feelings that might be hard to verbalize.

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Which of the following approaches should the nurse take when interviewing a client during admission to an alcohol treatment center?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an acute care mental health facility is assessing a client who has bipolar disorder. The nurse recognizes that which of the following findings indicates the client is at risk for suicide?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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