Which of the following is the most therapeutic response by the nurse when a client states, "I no longer need my medication since I do not hear voices"?

"Why don't you discuss that with your physician?"

"I would rather you reconsider that decision."

"What happened the last time you stopped taking your medication?"

"The physician prescribed that medication to help you."

Answer and Explanation

The Correct Answer is D

A.   This response may be seen as evading the client's statement. It's important to provide a more direct response.
B.   This response may come across as controlling or confrontational, which may not promote open communication.
C.   This response is a good therapeutic technique as it encourages the client to reflect on past experiences with stopping medication.
D.   This response provides a clear and factual statement about the purpose of the prescribed medication, encouraging the client to understand its importance.

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Correct Answer is C

Explanation

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.

A. Within 24 hours B. Within 8 hours C. Within 18 hours D. Within 72 hours

Correct Answer is B

Explanation

A. 24 hours is a long time for alcohol withdrawal symptoms to occur.
B. Alcohol withdrawal symptoms typically begin within 6 to 8 hours after the last drink for
individuals with a history of heavy alcohol use. These symptoms can range from mild anxiety and tremors to more severe symptoms like seizures and delirium tremens. It's crucial for
healthcare providers to monitor and manage alcohol withdrawal symptoms, as they can be life- threatening in severe cases.
C. Alcohol withdrawal symptoms occur within 6 to 8 hours, not 18 hours.
D. Alcohol withdrawal symptoms occur within 6 to 8 hours, not 72 hours.

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Which of the following is the most therapeutic response by the nurse when a client states, "I no longer need my medication since I do not hear voices"?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A client is admitted to the hospital for alcohol intoxication. The family reports that he is a heavy drinker and has been admitted several times for alcohol detoxification. When can the nurse expect to observe the first symptoms of withdrawal?

Correct Answer is B

Explanation

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