A client is readmited to the substance use disorder program for the second time in 6 months for alcohol use disorder. Upon admission, the client tells the nurse, "I am so ashamed." What should the nurse reply?
"You have nothing to be ashamed of."
"Tell me what has happened since your last admission."
"I really thought you would make it."
"Why did you start drinking again?"
The Correct Answer is B
Choice A reason: While it's important to provide support, simply telling the client they have nothing to be ashamed of does not address the underlying issues or feelings the client may be experiencing.
Choice B reason: This response opens a dialogue and allows the client to share their experiences and challenges since the last admission, fostering a therapeutic relationship and understanding.
Choice C reason: This statement could be perceived as judgmental and may make the client feel worse, potentially hindering the therapeutic relationship.
Choice D reason: Asking why they started drinking again could come across as accusatory and may cause the client to become defensive or feel guilty, which is not conducive to recovery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This choice is incorrect. A blood glucose level of 110 mg/dL is within normal range and does not significantly increase the risk of delirium.
Choice B reason: While a fractured femur can be painful and stressful, it does not pose the highest risk for delirium compared to sepsis.
Choice C reason: Preparation for surgery can be a risk factor for delirium, but it is not as high a risk as sepsis in an older adult.
Choice D reason: This is the correct choice. Older adults with sepsis are at a high risk for delirium due to the systemic infection and its impact on overall health.
Correct Answer is D
Explanation
Choice A reason: Engaging in activities might be too demanding during a panic atack and could potentially exacerbate the client's anxiety.
Choice B reason: While medication may be part of the treatment plan, the immediate priority is to ensure the client's safety and comfort, which is best achieved by staying with them.
Choice C reason: Offering therapy in the midst of a panic atack is not practical; the immediate need is to help the client feel safe and manage their acute symptoms.
Choice D reason: Staying with the client to assess their needs is the most appropriate immediate intervention to ensure safety and provide reassurance during a panic atack.
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