The nurse notices that a client is unable to control anger when ...

[karen]

The nurse notices that a client is unable to control anger when criticized during a group meeting, even though the client had been able to do this effectively for several weeks.
 
  Which of the following interventions would be most appropriate in the nurse's next one-to-one therapeutic session with the client? 1. Encourage the client to express responses to criticism freely.
  2. Insist the client take a time-out until anger is back under control.
  3. Offer the client a PRN dose of ziprasidone (Geodon).
  4. Encourage a detailed exploration of how the client reacts to criticism.

Question 2

A client who abuses alcohol has been placed on naltrexone (Trexan). What information should be included in the client education about the effects of this medication?
 
  1. The client may discontinue its use in alcohol abuse treatment.
  2. If alcohol is ingested, the client may experience a lethal reaction.
  3. The client needs to avoid use of over-the-counter products that contain alcohol.
  4. If alcohol is ingested, the client will feel less high.

[swimkari]

Answer to Question 1

4
Rationale: Encouraging an in-depth exploration of the client's feelings and thoughts can contribute to increased insight. Moving too quickly and incompletely through an exploration of feelings may explain the client's inability to maintain new behaviors. Encouraging the client to express responses to criticism freely is inappropriate because of the risk of harm to self or others. Insisting the client take a time-out, or offering the client a PRN medication for agitation, may be appropriate for immediate action, but would not be necessary during the next one-to-one therapeutic session.

Answer to Question 2

4
Rationale: Naltrexone blocks the craving for alcohol and the pleasure derived from drinking. If alcohol is ingested while taking the medication disulfiram (Antabuse), a potentially lethal reaction can occur. Since naltrexone will not react with alcohol, it is not necessary to limit use of over-the-counter products that contain alcohol. Pharmacological treatment of substance abuse should be utilized in conjunction with a treatment program.

[karen]

Excellent

[tuate]

TYSM