During the detoxification period, what does the nurse aim to achieve when designing interventions?

Help the patient interact in nonaddictive activities.

Enrol the patient in Alcoholics Anonymous (AA).

Keep the patient safe from aspiration and seizure.

Help the patient gain insight into the addiction.

Answer and Explanation

The Correct Answer is C

A. Help the patient interact in nonaddictive activities. While engaging in nonaddictive activities is important for long-term recovery, the primary concern during the detoxification period is managing withdrawal symptoms and ensuring safety.
B. Enroll the patient in Alcoholics Anonymous (AA). Enrolling in AA or similar support groups is beneficial for ongoing recovery, but the focus during detoxification should be on managing acute withdrawal symptoms and safety.
C. Keep the patient safe from aspiration and seizure. During detoxification, patients are at risk for serious complications such as seizures and aspiration due to withdrawal symptoms. Ensuring patient safety by monitoring for these conditions is a primary goal.
D. Help the patient gain insight into the addiction. Gaining insight into addiction is important for long-term recovery but is not the immediate priority during the detoxification period, which focuses on managing physical withdrawal symptoms and ensuring patient safety.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Speak rapidly can make it harder for someone with hearing difficulties to understand.
B. Raise the tone of the voice can make it harder for older adults to hear, as higher frequencies are typically more difficult for them to hear.
C. Speak very loudly can sometimes distort sound and is not always helpful.
D. Lower the tone of the voice makes it easier for older adults to hear, as they often have difficulty hearing higher frequencies.

A. Assist with reality orientation. B. Coach in deep breathing. C. Assist with rational thought. D. Aid in decision making.

Correct Answer is B

Explanation

A. Assist with reality orientation: Reality orientation is more suitable for psychotic disorders or delirium.

B. Coach in deep breathing: Deep breathing helps to calm the patient and reduce the physiological symptoms of a panic attack.

C. Assist with rational thought: Rational thought is difficult to achieve during a panic attack; calming measures are more appropriate.

D. Aid in decision making: Decision-making assistance is not practical during a panic attack when the patient is highly distressed.

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During the detoxification period, what does the nurse aim to achieve when designing interventions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When communicating with an older adult patient who has difficulty hearing, how should the nurse change her speech?

Correct Answer is D

Explanation

When a patient is experiencing a panic attack, how should the nurse best assist the patient?

Correct Answer is B

Explanation

A nine-year-old patient is being evaluated for a skin rash. The preliminary diagnosis is impetigo contagiosa. The nurse assists with planning care with which fact about impetigo contagiosa in mind?

What is the most common cause of dementia?

The patient talks with his dead brother and arranges furniture so that his brother will have a place to sit. How should the nurse document this behavior?

The patient complains to the nurse about a newly developed intolerance to milk. What should the nurse suggest to fulfill calcium needs?

When a patient is admitted with an overdose of an opioid narcotic, the nurse should anticipate an order for which drug to reverse the effects of the narcotic?

A college student has brought his hallucinating roommate to the college clinic. The young man says his roommate has been experimenting with phencyclidine (PCP). How long should the nurse expect the hallucinations to last?

A patient is preparing to receive electroconvulsive therapy. The nurse caring for this patient identifies which patient problem as the highest priority?

A nurse is caring for an older adult who lives in a long-term care facility on the Alzheimer unit. Every evening around 5:00 p.m., the resident becomes increasingly agitated and more confused, a state that lasts throughout the evening. The nurse recognizes this behaviour as: