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 D

Explanation

Rationale:

A. An inverted P wave is not specifically associated with hypokalemia; it can be seen in various other conditions.

B. An elevated ST segment is not characteristic of hypokalemia; it is more associated with other conditions such as myocardial ischemia.

C. A wide QRS complex can occur with hypokalemia but is also seen in other conditions.

D. An abnormally prominent U wave is a classic sign of hypokalemia and can be seen in EKG changes associated with low potassium levels.

A. Beneficence B. Nonmaleficence C. Justice D. Autonomy

Correct Answer is D

Explanation

Rationale:

A. Beneficence refers to actions that promote the well-being of others, which is not the primary focus of this scenario.

B. Nonmaleficence involves the duty to do no harm, which is important in all nursing actions but is not specifically demonstrated here.

C. Justice involves fairness and equality in providing care, which is not the central ethical principle in this context.

D. Autonomy refers to respecting a client's right to make their own decisions. By asking the client to choose between morning or afternoon group therapy, the nurse is supporting the client's autonomy by allowing them to make decisions about their care.

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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 reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?

Correct Answer is D

Explanation

A nurse asks a client if they prefer to attend the morning or afternoon group therapy session. The nurse should identify that this as an example of which of the following ethical principles?

Correct Answer is D

Explanation

A nurse is assessing a client before administering a unit of packed RBCs. The nurse should identify which of the following data as most important to obtain prior to the infusion?

A nurse is caring for a client. Which of the following client statements should the nurse identify as an indication of anorexia nervosa?

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A nurse is assessing a newly admitted client who states that they do not want to live anymore and plan to end their life. Which of the following actions should the nurse take?

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