A nurse in a substance use disorder clinic is explaining the alcohol recovery process to a client's family. Which of the following should the nurse identify as the first step toward successful recovery from alcohol use disorder?

A. Keeping staff interactions to a minimum may not be beneficial as the client might require regular monitoring and interaction to assess their condition and needs.
B. When a client is restrained, it's crucial to prevent complications such as muscle stiffness and joint contractures. Range-of-motion exercises help maintain circulation, prevent discomfort, and preserve joint mobility. However, this is not the most important action.
C. Restraints should only be used when absolutely necessary and prescribed by a provider. In many jurisdictions and healthcare facilities, the use of restraints requires a specific order that must be renewed periodically (often every 24 hours). This practice ensures that the need for restraints is continually reassessed and that they are not used longer than necessary.
D. Accurate and frequent documentation is essential when a client is restrained. Documentation should include the client's behavior, physical assessments, interventions provided (such as medication administration or hygiene care), and responses to interventions. However, this is not the most important action.

A. Helping clients establish long-term goals can provide motivation and direction. However, while setting goals is important, it may not directly address immediate barriers to learning unless the goals are broken down into manageable steps that are relevant to the current learning session.
B. Teaching sessions should not be scheduled right before bedtime because older adults may be fatigued at the end of the day, which can impair their ability to concentrate and retain information. Fatigue can act as a barrier to effective learning.
C. Scheduling teaching sessions for a long duration could lead to cognitive overload and fatigue, which are significant barriers to learning.
D. This can help create a non-threatening learning environment and encourage open communication. This approach can reduce defensiveness and promote a collaborative atmosphere.