Family members of an individual undergoing a residential alcohol rehabilitation program ask, 'How can we help?' Select the nurse's best response.

Correct Answer: D

Rationale: The correct answer is D because making the individual responsible for the consequences of their behavior promotes accountability and aids in their recovery. This approach empowers the individual to take ownership of their actions and understand the impact of their behavior. It also helps in setting boundaries and establishing clear expectations. Choice A is incorrect as it implies acceptance of relapses as inevitable, which can be discouraging for the individual and hinder their progress. Choice B suggests a confrontational approach that may create tension and resistance. Choice C focuses on visitation frequency rather than the effectiveness of support and guidance.

Correct Answer: A

Rationale: Step 1: Substance Abuse and Mental Health Services Administration (SAMHSA) is the correct answer because it is a federal agency dedicated to improving behavioral health outcomes. Step 2: SAMHSA provides comprehensive information on epidemiology, assessment techniques, and best practices for persons with addictions. Step 3: SAMHSA's resources are evidence-based and cover a wide range of topics related to addiction. Step 4: Other choices are incorrect because the Institute of Medicine (IOM) focuses on broader health issues, the National Council of State Boards of Nursing (NCSBN) focuses on nursing regulation, and the American Society of Addictions Medicine has a narrower focus compared to SAMHSA.

Correct Answer: A

Rationale: The correct answer is A: delirium. Delirium is an acute and reversible condition characterized by sudden onset confusion, altered consciousness, inattention, and disorganized thinking. In this case, the patient's symptoms developed rapidly over a short period, suggesting an acute process. Delirium is commonly triggered by medication interactions or underlying medical conditions in older adults. The fluctuating levels of orientation, slurred speech, and unsteady gait are all indicative of delirium. Summary: B: Dementia is a chronic progressive condition with gradual cognitive decline, not sudden onset confusion. C: Amnestic syndrome is characterized by memory impairment, not the range of symptoms seen in delirium. D: Alzheimer's disease is a type of dementia and does not typically present with sudden onset confusion and fluctuating levels of orientation.

Correct Answer: B

Rationale: The correct answer is B because the statement indicates a lack of social support, which is a significant risk factor for worsening depression and potential self-harm. This indicates an immediate need for intervention to address the patient's feelings of isolation and hopelessness. A: This statement shows recognition of needing help, which is a positive sign and may not require immediate intervention. C: This statement refers to a potential additional stressor but does not indicate an immediate need for intervention. D: This statement suggests a history of self-harm but does not indicate a current immediate risk.

Correct Answer: A

Rationale: The correct answer is A because the behavior of stomping away, going to grab a tray aggressively demonstrates physical aggression. This behavior involves a direct and forceful action that could potentially harm someone or indicate a threat. The other choices do not demonstrate the same level of physical aggression. Choice B shows emotional distress but not physical aggression. Choice C involves verbal expression of anger but does not involve physical actions. Choice D shows refusal to take medication but does not involve physical aggression. Therefore, choice A is the best demonstration of aggression in this scenario.