A client with alcoholism is receiving court-ordered care in a ...

[yoooooman]

A client with alcoholism is receiving court-ordered care in a residential treatment facility. After alcohol is discovered in the client's room, the client states, It is not mine. Which responses by the nurse are appropriate in this situation?
 
  Select all that apply.
  A) You will lose your day pass privileges for this Sunday.
  B) We have a video of you accepting the alcohol from your brother.
  C) What do you think about sharing this at AA tonight?
  D) You won't be allowed to go to dinner tonight.
  E) You have violated our behavior contract.

Question 2

The nurse assesses a client with a history of alcoholism who is hospitalized with anorexia, dysphagia, odynophagia, and chest pressure after eating. Which nursing diagnosis is a priority for this client?
 
  A) Ineffective Coping
  B) Imbalanced Nutrition: Less Than Body Requirements
  C) Disturbed Sensory Perception
  D) Disturbed Thought Processes

[shoemake]

Answer to Question 1

Answer: A, B, C, E

Used with care and a calm attitude, confrontation interferes with the client's ability to use denial or rationalization. Losing privileges is a consequence of violating the behavior contract. Participation in AA will provide peer feedback. Withholding food is inappropriate, particularly for a client with potential nutritional deficits.

Answer to Question 2

Answer: B

An alcoholic client with anorexia is at risk for Imbalanced Nutrition, Less Than Body Requirements. Ineffective Coping is a potential diagnosis used in substance abuse. Disturbed Thought Processes and Disturbed Sensory Perceptions are diagnoses used for delusions, hallucinations, and illusions that may occur during delirium tremens.

[yoooooman]

Thank you

[shoemake]

Happy to help you