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. 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.

A. Education and interventions in high school during early adolescence when children are more susceptible to peer influence. B. Education and interventions early in childhood when children are more inclined to change. C. Education and interventions in middle school when children are learning about health and nutrition. D. Education and interventions in high school during late adolescence when children are more likely to engage in high-risk behaviors.

Correct Answer is B

Explanation

A. Education and interventions in high school during early adolescence when children are more susceptible to peer influence: Waiting until early adolescence may miss critical formative years when behaviors are more easily influenced.

B. Education and interventions early in childhood when children are more inclined to change: Early intervention is effective because children at this stage are forming habits and values, making it easier to instill healthy behaviors. Early interventions can shape their attitudes and understanding about the risks associated with drug and alcohol use before they are exposed to peer pressure and high-risk situations.

C. Education and interventions in middle school when children are learning about health and nutrition: Middle school interventions are beneficial but may come too late for some children who have already been exposed to risky behaviors.

D. Education and interventions in high school during late adolescence when children are more likely to engage in high-risk behaviors: This approach may be too late to prevent substance use for many children already engaging in risky behaviors.

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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?

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Naxlex Comprehensive Predictor Exams

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