A nurse in an alcohol rehabilitation facility is creating a discharge plan for a client who has alcohol use disorder. Which of the following recommendations should the nurse include in the plan?

Teach the client to practice systematic desensitization.

Contact a close relative of the client to discuss the discharge plan.

Request a discharge prescription for buprenorphine for the client.

Refer the client to a self-help group.

Answer and Explanation

The Correct Answer is D

Referring the client to a self-help group, such as Alcoholics Anonymous (AA), is an effective strategy to promote sobriety and prevent relapse after discharge. Self-help groups provide peer support, education, and coping skills for clients who have alcohol use disorder. Systematic desensitization is a behavioral therapy technique that is used to treat phobias, not alcohol use disorder. Contacting a close relative of the client may be helpful, but it is not a recommendation that the nurse can make without the client's consent and involvement. Buprenorphine is a medication that is used to treat opioid use disorder, not alcohol use disorder.

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Correct Answer is D

Explanation

A blood pH of 7.60 indicates alkalosis, which is a life-threatening condition that can result from vomiting, laxative abuse, or diuretic use in clients who have anorexia nervosa. Alkalosis can cause cardiac arrhythmias, seizures, coma, and death if not corrected promptly. The nurse should notify the provider and prepare to administer IV fluids and electrolytes as ordered. The other findings are also concerning, but they are not as urgent as alkalosis.

A. Co-dependents support group B. Dual diagnosis treatment group C. Desensitization therapy D. Dialectical behavior treatment group

Correct Answer is D

Explanation

Dialectical behavior therapy (DBT) is an evidence-based intervention that helps clients who have borderline personality disorder and self-harm behaviors to develop coping skills, emotional regulation, and interpersonal effectiveness.

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A nurse in an alcohol rehabilitation facility is creating a discharge plan for a client who has alcohol use disorder. Which of the following recommendations should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has anorexia nervosa. Which of the following findings requires immediate intervention by the nurse?

Correct Answer is D

Explanation

A nurse is caring for a client who has borderline personality disorder and has been engaging in self-mutilation. The nurse should encourage the client to participate in which of the following groups?

Correct Answer is D

Explanation

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