A nurse is discussing short and long term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include in the discussion?
You will be taking a once weekly dose of disulfiram to help control withdrawal symptoms during treatment.
Remaining physically active will help to minimize drowsiness and chills associated with initial alcohol withdrawal.
Attending Al-Anon meetings will help you identify a role model to assist you with making needed changes.
You will begin learning functional skills to replace defense mechanisms and behaviors while in treatment.
The Correct Answer is D
Choice A reason: You will not be taking a once weekly dose of disulfiram to help control withdrawal symptoms during treatment. Disulfiram is a medication that causes unpleasant reactions, such as nausea, vomiting, and headache, when alcohol is consumed. It is used to deter relapse, not to treat withdrawal symptoms. It is also taken daily, not weekly.
Choice B reason: Remaining physically active will not help to minimize drowsiness and chills associated with initial alcohol withdrawal. Physical activity may worsen dehydration, electrolyte imbalance, and blood pressure changes that occur during alcohol withdrawal. It may also increase the risk of seizures and delirium tremens. The nurse should monitor the client's vital signs, fluid and electrolyte status, and mental status, and administer medications as prescribed to manage withdrawal symptoms.
Choice C reason: Attending Al-Anon meetings will not help you identify a role model to assist you with making needed changes. Al-Anon is a support group for family members and friends of people with alcohol use disorder. It helps them cope with the effects of living with or caring for someone with alcohol problems. It does not provide role models or guidance for people with alcohol use disorder. The nurse should encourage the client to attend Alcoholics Anonymous (AA) meetings, which are peer support groups for people who want to stop drinking.
Choice D reason: You will begin learning functional skills to replace defense mechanisms and behaviors while in treatment. This is an appropriate statement for the nurse to include in the discussion, as it reflects one of the goals of treatment for alcohol use disorder. The nurse should help the client identify and modify the cognitive, emotional, and behavioral factors that contribute to alcohol use. The nurse should also teach the client coping skills, stress management techniques, and relapse prevention strategies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Determining potential funding sources for the program is an important action, but not the first one. The nurse should first assess the needs of the target population, such as the number of older adults who need the service, their nutritional status, their preferences, and their barriers to access food.
Choice B reason: Inquiring about the availability of volunteers is an important action, but not the first one. The nurse should first assess the needs of the target population, and then plan the resources and personnel needed to implement the program.
Choice C reason: Identifying alternative solutions to address concerns is an important action, but not the first one. The nurse should first assess the needs of the target population, and then identify the possible challenges and solutions to deliver the service effectively and efficiently.
Choice D reason: Performing a needs assessment is the first action that the nurse should take, as it provides the basis for planning, implementing, and evaluating the program. A needs assessment involves collecting and analyzing data about the health status, needs, and resources of the target population and the community. It helps to identify the gaps, priorities, and goals of the program.
Correct Answer is B
Explanation
Choice A reason: The Office of the Surgeon General is not responsible for voluntarily reporting cases of Lyme disease to the CDC. The Office of the Surgeon General provides leadership and direction to the U.S. Public Health Service and oversees the operations of the U.S. Public Health Service Commissioned Corps.
Choice B reason: The state health department is responsible for voluntarily reporting cases of Lyme disease to the CDC. The state health department collects and analyzes data on reportable diseases, such as Lyme disease, and submits them to the CDC through the National Notifiable Diseases Surveillance System (NNDSS).
Choice C reason: The hospital infection control department is not responsible for voluntarily reporting cases of Lyme disease to the CDC. The hospital infection control department monitors and prevents nosocomial infections, or infections acquired in the hospital setting, and implements infection control policies and procedures.
Choice D reason: The local Red Cross chapter is not responsible for voluntarily reporting cases of Lyme disease to the CDC. The local Red Cross chapter provides humanitarian services, such as disaster relief, blood donation, health and safety education, and emergency communication.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today