A nurse is assisting with the admission of a client who is experiencing acute alcohol intoxication. When working with this client, which of the following approaches should the nurse take?
Maintain a nonjudgmental attitude.
Avoid mentioning alcohol use when collecting client data.
Offer sympathetic support
Verbalize disapproval of substance abuse.
The Correct Answer is A
A. Maintain a nonjudgmental attitude: A nonjudgmental approach promotes trust and encourages the client to disclose pertinent information.
B. Avoid mentioning alcohol use when collecting client data: It is essential to discuss alcohol use openly to guide effective care and intervention.
C. Offer sympathetic support: While empathy is important, over-sympathizing may undermine professional boundaries.
D. Verbalize disapproval of the substance abuse: Expressing disapproval is likely to provoke defensiveness and hinder communication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. “Disulfiram will prevent my cravings for alcohol.” Disulfiram creates an aversion but does not reduce cravings.
B. "I should expect hand tremors to start less than 24 hours after I stop drinking." Tremors typically begin within 6-24 hours of the last drink.
C. "It is important that I take Vitamin C to prevent liver cirrhosis or other liver damage." Thiamine (Vitamin B1), not Vitamin C, is essential to prevent Wernicke’s encephalopathy and other complications.
D. "Withdrawal symptoms should last about 5 to 7 days once they begin." Withdrawal symptoms typically peak in 48-72 hours and subside after 4-5 days, not 7 days.
Correct Answer is D
Explanation
A. Refer client to mental health care provider for evaluation and treatment: While this is important, it is not the immediate priority. Identifying imminent risks, such as suicidal ideation, takes precedence.
B. Assist the client to identify negative effects of chemical dependency: This intervention is more suitable after immediate safety concerns, such as suicide risk, are addressed.
C. Identify support groups in the community for long-term treatment: This is a secondary intervention after immediate risks have been mitigated.
D. Determine the presence and degree of suicidal risk: Ensuring the client’s safety is the priority, as depression and recent stressors (job loss) significantly increase the risk of suicide.
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