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: Oliguria is not a condition that a nurse should expect in a client who has hypoglycemia. Oliguria is a reduced urine output, typically defined as less than 0.5 ml/kg/hour in an adult³. Oliguria can be a sign of dehydration, kidney failure, or urinary obstruction, but it is not related to low blood sugar levels.
Choice B reason: Diplopia is not a condition that a nurse should expect in a client who has hypoglycemia. Diplopia is a double vision, or seeing two images of a single object. Diplopia can be caused by various eye problems, such as strabismus, cataracts, or nerve damage, but it is not a common symptom of low blood sugar levels.
Choice C reason: Hypoglycemia is not a condition that a nurse should expect in a client who has hypoglycemia. Hypoglycemia is the condition itself, not a symptom. Hypoglycemia is a low blood sugar level, usually below 70 mg/dl. Hypoglycemia can result from taking too much insulin or other diabetes medications, skipping or delaying meals, exercising more than usual, or drinking alcohol.
Choice D reason: Dizziness is a condition that a nurse should expect in a client who has hypoglycemia. Dizziness is a feeling of lightheadedness, faintness, or unsteadiness. Dizziness can occur when the brain does not receive enough glucose, which is its main energy source. Dizziness can also be accompanied by other symptoms of hypoglycemia, such as confusion, hunger, sweating, shakiness, or weakness.
Correct Answer is B
Explanation
Choice A reason: Reporting the incident to local authorities is an important action, but it is not the first priority. The nurse should first assess the child's physical condition and provide any necessary care.
Choice B reason: Checking the child for injuries is the first action the nurse should take, as the child may have sustained physical harm from the abuse. The nurse should document any findings and report them to the appropriate authorities.
Choice C reason: Referring the parent to a social service agency is a helpful action, but it is not the first priority. The nurse should first ensure the child's safety and well-being.
Choice D reason: Enrolling the parent in anger management classes is a potential intervention, but it is not the first priority. The nurse should first address the immediate needs of the child and the family.
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