The nurse is caring for a client with poor self-esteem. What intervention would be important for the nurse to include in the plan of care?

Encourage descriptions of perceived failures

Set limits on manipulative behaviors

Provide activities that can be accomplished

Teach aggressive communication skills

Answer and Explanation

The Correct Answer is C

A.   Encouraging descriptions of perceived failures may further exacerbate the client's poor self- esteem and is not a therapeutic intervention.
B.   While setting limits is important in managing behavior, it may not directly address the underlying issue of poor self-esteem.
C.   Providing activities that can be accomplished can help boost the client's confidence and self- esteem.
D.   Teaching aggressive communication skills is not appropriate and may contribute to further negative self-perception.

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Correct Answer is C

Explanation

A. This response does not directly address the client's concern and may be perceived as dismissive.
B. This response does not provide a clear explanation for the locked door and may not effectively address the client's agitation.
C. This response provides a clear and honest explanation for the locked door, ensuring the client's safety, which is the priority.
D. This response acknowledges the situation but does not provide a clear explanation for the locked door.

A. MAST B. CAGE C. CIWA D. DMSE

Correct Answer is C

Explanation

A. The Michigan Alcohol Screening Test (MAST) is a tool used to screen for alcohol abuse or dependence, but it does not specifically assess withdrawal symptoms.

B. The CAGE questionnaire is used to screen for alcohol abuse, but it does not assess withdrawal symptoms.
C. The Clinical Institute Withdrawal Assessment for Alcohol (CIWA) is a validated tool used to assess the severity of alcohol withdrawal symptoms. It includes various criteria such as agitation, tremor, and hallucinations.
D. The Delirium Rating Scale (DMSE) is used to assess the severity of delirium, which can be caused by various factors including alcohol withdrawal, but it is not specific to alcohol withdrawal.

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The nurse is caring for a client with poor self-esteem. What intervention would be important for the nurse to include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

While conducting an admission interview with a client, the nurse suspects the client may be in alcohol withdrawal. Which screening tool can help the nurse identify the severity of withdrawal symptoms?

Correct Answer is C

Explanation

The nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal delirium. The nurse would monitor for which symptoms?

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