Author Question: A client tells the nurse that she's not afraid to quit drinking because nothing bad will happen to ... (Read 77 times)

dbose · **on:** Jul 19, 2018

A client tells the nurse that she's not afraid to quit drinking because nothing bad will happen to her.

Which condition, taught by the nurse, describes a serious and potentially fatal complication of alcohol withdrawal of which the client should be aware?
A) Withdrawal delirium
B) Neuroleptic malignant syndrome
C) Tardive dyskinesia
D) Cirrhosis

Question 2

An adolescent patient says to a nurse, I'm so glad you've come in. The nurse manager ordered me to stay in my room until dinner just because I got into another fight An appropriate response from the nurse would be:

a. You're not going to split me from the nurse manager. Please go back in your room until your time-out is finished..
b. I'm wondering why you've left your room, then. Please return to your room until your time-out is completed. I will talk with you after that..
c. I'm sorry to hear that you are being punished. Please return to your room immediately. We can talk about this when your time-out is over..
d. It sounds as if you haven't had a very good day. Return to your room, and complete your time-out. I will speak with you after dinner..

jazzlynnnnn · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A

Answer to Question 2

D
Firm but empathetic limit setting is required in this situation. The patient is splitting, and the nurse needs to set limits and support the consequence that has been administered. By reflecting the patient's psychic distress and providing clear instructions about the behavior that is expected (along with a time limit for that behavior), the nurse is assisting the patient in problem solving more adaptively. In addition, the nurse provides a reward or positive regard when offering a specific time to meet with the patient that occurs after the consequence has been accepted. Although the remaining options also provide similar feedback, they do not provide specific times that the patient can concretely conceptualize. Mutuality and respect for all patients are required from the therapeutic professional nurse, especially for those patients with impulse-control problems; they may try to enter into a regressive struggle with the nurse, who is trying to set limits on behavior.