The nurse is planning the care of a client with bipolar disorder and addiction to heroin who is in a rehabilitation facility. Which outcomes will the nurse assign in the immediate phase after withdrawal symptoms are over? (Select all that apply.)
The client will assess strengths and weaknesses realistically.
The client will verbalize plans to join a community support group.
The client will receive only prescribed medications.
The client will initiate interactions with at least two other people in the facility.
The client will share feelings openly within 48 hours.
Correct Answer : A,B,C,D
Choice A reason: Assessing strengths and weaknesses realistically helps the client to understand their capabilities and limitations post-withdrawal.
Choice B reason: Verbalizing plans to join a community support group indicates the client's commitment to ongoing recovery and support after discharge.
Choice C reason: Receiving only prescribed medications ensures the client does not relapse into drug use and maintains the treatment plan's integrity.
Choice D reason: Initiating interactions with others in the facility can help the client rebuild social skills and integrate into a community, which is beneficial for recovery.
Choice E reason: While sharing feelings is important, setting a specific timeframe such as 48 hours may not be realistic for every client and can vary based on individual readiness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Dialectical behavior therapy (DBT) is a well-established treatment for borderline personality disorder, focusing on skills like mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness.
Choice B reason: While behavioral contracts can be part of treatment, they are not as central or evidence-based as DBT for borderline personality disorder.
Choice C reason: Bibliotherapy can be a supportive tool but is not a primary intervention for the complex needs of someone with borderline personality disorder.
Choice D reason: A safety plan is important, especially if there are concerns about self-harm or suicidal ideation, but it is not a comprehensive treatment approach like DBT.
Correct Answer is ["A","B"]
Explanation
Choice A reason: Elevated prolactin levels can lead to galactorrhea, which is the production of breast milk in individuals who are not breastfeeding.

Choice B reason: Gynecomastia, the enlargement of breast tissue in males, can also be a symptom associated with high prolactin levels.
Choice C reason: Social withdrawal is a symptom of Schizophrenia but is not directly related to elevated prolactin levels.
Choice D reason: Apathy can be a symptom of Schizophrenia but is not directly related to elevated prolactin levels.
Choice E reason: Anhedonia is a symptom of Schizophrenia but is not directly related to elevated prolactin levels.
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