A client who has been on the unit for 2 weeks relates a 15-year ...

[jessicacav]

A client who has been on the unit for 2 weeks relates a 15-year history of polysubstance abuse with several detoxifications followed by relapses.
 
  The client mentions that when he is released from the hospital, he tries to get on with my life and put this other stuff in the past. The nurse identifies an appropriate outcome as being that client will:
  1. View recovery is a lifelong process occurring a day at a time
  2. Identify reasons for past episodes of noncompliance
  3. Discuss childhood factors that impact on his drug use
  4. Recognize his need for methadone maintenance

Question 2

A client is seen who has a 10-year history of dependence on alcohol, caffeine, and nicotine. The client is separated from his wife and tells the nurse, I can't get my life together.
 
  I don't eat regular meals, the apartment is a mess, and I forget to pay bills. I'm not managing. The priority nursing diagnosis for this client is:
  1. Ineffective denial
  2. Risk for loneliness
  3. Ineffective coping
  4. Powerlessness

[jlaineee]

Answer to Question 1

ANS: 1
Options 2 and 3 are past issues and not as helpful as a future focus. Methadone maintenance is not appropriate for polysubstance abuse, so option 4 is incorrect. A helpful view of recovery is described in option 1.

Answer to Question 2

ANS: 3
The client is verbalizing that he is not coping well, so option 3 is correct. The client is not denying his problems, so option 1 is incorrect. He does not verbalize an issue with loneliness, so option 2 is incorrect, and he does not describe lack of power, so option 4 is incorrect.

[jessicacav]

TY

[jlaineee]

Happy to Help