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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Awareness of potential for self-harm is the priority as it directly impacts the safety and immediate well-being of the client with borderline personality disorder.
B. Medication compliance is important but secondary to immediate safety concerns.
C. Information about insurance coverage is relevant but does not address the immediate psychological safety needs.
D. Resources for group therapy are helpful but not as urgent as ensuring the family is aware of and can respond to self-harm risks.
Correct Answer is ["C","D","E"]
Explanation
Rationale:
A. Allowing a client to skip therapy may not be promoting mental health effectively and could hinder progress.
B. Administering medications is a necessary task but does not directly relate to mental health promotion strategies.
C. Allowing the use of exercise equipment to manage anxiety supports mental health promotion by encouraging healthy coping mechanisms.
D. Assisting clients in using adaptive coping skills is a key aspect of mental health promotion, helping clients develop effective strategies to manage their condition.
E. Following suicide precautions ensures safety and is a proactive approach to mental health management.
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