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 B

Explanation

Rationale:

A. While skin color may be an indicator of overall health, it is not the most crucial data point before administering packed RBCs.

B. The hemoglobin level is the most important data to assess before administering packed RBCs, as it provides direct information about the client’s need for the blood transfusion and helps evaluate the effectiveness of the intervention.

C. Fluid intake is important in overall client assessment but is not as immediately relevant as hemoglobin levels when preparing to administer packed RBCs.

D. Temperature should be monitored to check for any signs of infection, but it is not the primary concern when deciding to proceed with a blood transfusion.

A. A. A room with another nonsurgical client B. A room with air exhaust directly to the outdoor environment C. A room in the ICU D. A room that is within view of the nurses' station

Correct Answer is B

Explanation

Rationale:

A. Placing a client with active tuberculosis in a room with another client increases the risk of airborne transmission of the infection, which is inappropriate for infection control.

B. A room with air exhaust directly to the outdoor environment is ideal for a client with active tuberculosis because it provides negative pressure, helping to contain and prevent the spread of the infectious airborne particles.

C. The ICU is typically reserved for critically ill patients requiring intensive monitoring and care, and it may not provide the necessary infection control measures for TB.

D. A room near the nurses' station would not ensure the negative pressure ventilation needed to prevent airborne transmission of tuberculosis.

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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?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following room assignments should the nurse make for the client?

Correct Answer is B

Explanation

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