A nurse is planning care for a client who has chronic substance use disorder. Which of the following is the most therapeutic response to help the client cease alcohol consumption?

"Let me tell you how I struggled to stop drinking whiskey over the years, but finally succeeded."

"You have stopped drinking, haven't you?"

"The physician has ordered you to stop drinking all alcoholic beverages. Are you going to make us happy?"

"Let's work together on a plan that includes medication, group support, and counseling."

Answer and Explanation

The Correct Answer is D

Rationale:

A. Sharing personal experiences can be supportive, but it may not be the most therapeutic or professional approach in this situation.

B. This question is leading and doesn't encourage an open dialogue. It may also induce guilt or defensiveness in the client.

C. This statement is authoritative and may come across as coercive, which can be counterproductive in encouraging the client to take responsibility for their recovery.

D. Collaborating with the client on a comprehensive plan that includes medication, group support, and counseling is a therapeutic approach that empowers the client to actively participate in their recovery, offering them the best chance of success.

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Correct Answer is A

Explanation

Rationale:

A. Sore throat and muscle aches are common symptoms of agranulocytosis, a serious side effect of clozapine, indicating a potentially dangerous drop in white blood cells.

B. Severe restlessness is not a primary indicator of agranulocytosis but could be related to other side effects or symptoms.

C. Increased anxiety and suicidal ideations are not specific symptoms of agranulocytosis but can be related to psychiatric conditions or medication effects.

D. Respiratory depression and a comatose state are not typical signs of agranulocytosis and would indicate a more severe, different medical emergency.

A. Stage 2 (moderate) B. Stage 3 (severe) C. Stage 1 (mild) D. The client’s manifestations

Correct Answer is B

Explanation

Rationale:

A. Stage 2 (moderate) of alcohol withdrawal involves symptoms such as increased blood pressure and heart rate, mild confusion, and tremors, but does not typically include hallucinations or severe agitation.

B. Stage 3 (severe) alcohol withdrawal includes severe symptoms such as hallucinations (e.g., seeing spiders), severe agitation, and possible delirium tremens, which are consistent with the client's manifestations.

C. Stage 1 (mild) symptoms generally include mild anxiety and tremors but do not include hallucinations or significant changes in mental status.

D. The client’s manifestations indicate severe withdrawal symptoms, not just a general description.

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A nurse is planning care for a client who has chronic substance use disorder. Which of the following is the most therapeutic response to help the client cease alcohol consumption?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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A newly hired nurse is providing report to a nurse. The nurse continuously interrupts the newly hired nurse during report. This is an example of which of the following?

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