A client is receiving methadone maintenance therapy. After teaching the client about this treatment, the nurse determines that the teaching was successful when the client states which of the following?

Correct Answer: B

Rationale: The correct answer is B: "I should eat small frequent meals if I get nauseated." This is correct because methadone can cause nausea as a side effect, and eating small, frequent meals can help alleviate this symptom. Option A is incorrect because alcohol should be avoided while on methadone therapy. Option C is incorrect as methadone should be taken with food to reduce gastrointestinal side effects. Option D is incorrect as constipation, not diarrhea, is a common side effect of methadone therapy.

Correct Answer: A

Rationale: The correct answer is A because cognitive behavioral therapy focuses on changing thoughts and behaviors, not necessarily on events as the underlying issue. The therapist would be least likely to include this as it does not align with the core principles of CBT. Choice B is correct as CBT acknowledges that beliefs can exist irrespective of their origin. Choice C is correct as CBT emphasizes the role of practice in changing beliefs. Choice D is correct as CBT involves challenging and replacing negative thoughts with more accurate ones.

Correct Answer: B

Rationale: The correct answer is B: the client's cultural background. Before touching the client to offer comfort, the nurse should consider the client's cultural background to ensure that the gesture is appropriate and respectful. Different cultures have varying attitudes towards touch, and what may be comforting in one culture could be inappropriate or invasive in another. Understanding the client's cultural background helps the nurse provide culturally sensitive care. Incorrect choices: A: the client's recent vital signs - Vital signs are important for assessing physical health, but they are not directly relevant to offering comfort through touch in this situation. C: if the doctor should be notified - Notifying the doctor is not necessary before offering comfort through touch. It is more important to consider the client's needs and preferences. D: if the client has been sad recently - While the client's emotional state is important, it is not the primary consideration before offering comfort through touch. Cultural background plays a more crucial role in determining the appropriateness of touch.

Correct Answer: D

Rationale: The correct answer is D. Homeless individuals often display resistance and caution due to past negative experiences or mistrust of authority figures. This behavior is a defense mechanism to protect themselves. A nurse should approach with empathy, patience, and non-judgmental attitude to build trust gradually. Choices A, B, and C are incorrect as they assume the client will be cooperative, talkative, or willing to engage in discussions, which may not be the case for a homeless individual who may have faced trauma or discrimination. It is essential for the nurse to acknowledge the client's feelings and validate their concerns before proceeding with the assessment.

Correct Answer: A

Rationale: The correct answer is A: provide for the patient's safety. This is the highest priority because the patient is exhibiting behaviors that indicate distress and potential harm to themselves or others. Ensuring the patient's safety is the immediate concern to prevent any accidents or dangerous situations. Choice B is incorrect because encouraging clarification of feelings is not the priority when the patient is in a state of distress and potential danger. Choice C is incorrect as respecting personal space is important but not the most critical in this urgent situation. Choice D is also incorrect as offering an outlet for energy is not the immediate need when the patient is displaying alarming behaviors.