A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following interventions is the nurse's priority?

Support the client's coping skills.

Prevent the client from harming herself or others.

Identify the use of defense mechanisms.

Develop goals for treatment.

Answer and Explanation

The Correct Answer is B

A. Support the client’s coping skills. While important, safety takes precedence in the acute phase.

B. Prevent the client from harming herself or others. Alcohol withdrawal can lead to agitation, hallucinations, or seizures, making safety the nurse's priority.

C. Identify the use of defense mechanisms. This is part of long-term treatment, not immediate care.

D. Develop goals for treatment. Goal-setting is essential for long-term management but is not the priority during acute withdrawal.

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Correct Answer is C

Explanation

A. Increased irritability towards supervisors, outspokenness regarding work issues, increased attendance at staff meetings: These behaviors may reflect workplace dissatisfaction or burnout rather than substance use.

B. Crying, sharing personal details of relationship problems, monopolizing conversations: These are more indicative of emotional distress or poor boundaries, not necessarily substance use.

C. Volunteering for overtime on a continual basis, avoiding having a witness to wasting narcotics, needing to be alone in the medication room when preparing medications: These behaviors suggest potential access and misuse of medications, a key indicator of substance use disorder in healthcare workers.

D. Increased cheerfulness, increased energy, helping other nurses on the shift: While these behaviors might seem unusual, they are not strong indicators of substance use disorder.

A. Passive personality B. Single status C. Positive self-image D. Being a parent

Correct Answer is C

Explanation

A. Passive personality: This is not protective. Passivity may increase susceptibility to peer pressure and addictive behaviors.

B. Single status: Single status is neutral and does not inherently protect against addiction. Some evidence suggests strong social connections, often found in relationships, act as protective factors.

C. Positive self-image: Positive self-image enhances resilience, reduces the likelihood of engaging in risky behaviors, and supports healthy coping mechanisms.

D. Being a parent: While being a parent may motivate some to avoid addiction, it is not consistently protective since stress related to parenting could also lead to substance use in some cases.

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A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following interventions is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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