A nurse is admitting a client with a history of alcohol use disorder. The nurse is aware that which of the following are potential physical symptoms of alcohol withdrawal? (Select all that apply.)

Choice A reason:

Rewarding the client for their change in behavior may seem positive, but it is not an appropriate nursing action in this context. It could reinforce the idea that only certain behaviors receive attention, which is not conducive to the therapeutic process.

Choice B reason:

Asking the client why their behavior has changed is not the most appropriate initial action. While understanding the client's perspective is important, it is more crucial to assess the situation for safety concerns, as sudden mood changes can sometimes precede impulsive actions.

Choice C reason:

Encouraging the family to take the client out of the facility for short periods of time is not advisable without a proper assessment of the client's stability and readiness for such activities. It is essential to ensure that the client is safe and that their treatment plan is being followed.

Choice D reason:

Monitoring the client's whereabouts at all times is the most appropriate action. A sudden change in mood can be a warning sign of increased risk for impulsive behavior, including self-harm or suicide. Continuous monitoring ensures the client's safety and allows for immediate intervention if necessary.

Choice A reason:

Notifying the facility chaplain to request scheduling an appointment may be helpful for some clients, but it assumes the client's willingness or desire for spiritual support. It should not be the first action taken without assessing the client's preferences and needs.

Choice B reason:

Confirming that everything will be all right because belongings can be replaced may seem reassuring, but it can also come across as dismissive of the client's emotional distress. Material possessions often have sentimental value, and their loss can be deeply traumatic beyond their monetary worth.

Choice C reason:

Identifying other housing options and sources of transportation is a practical step and may eventually be part of the care plan. However, it should not be the immediate focus when the client is in acute emotional distress and unable to think clearly.

Choice D reason:

Maintaining eye contact with the client and summarizing the client's feelings is an empathetic approach that validates the client's experience. It demonstrates active listening and provides emotional support, which is crucial in the immediate aftermath of a traumatic event.