The treatment team is recommending disulfiram (Antabuse) for a client who has had multiple admissions for alcohol detoxification. Which nursing question directed to the treatment team would protect this client's right to informed consent?

Correct Answer: A

Rationale: Rationale: Option A is correct because it focuses on the client's cognitive ability, crucial for giving informed consent. This question ensures the client understands the risks and benefits of disulfiram. Option B is incorrect as adherence is not directly related to informed consent. Option C is incorrect as it shifts focus to liability rather than the client's understanding. Option D is incorrect as it pertains to the least restrictive means of care, not specifically informed consent.

Correct Answer: B

Rationale: The correct answer is B because inviting a patient to a staff picnic blurs the boundaries of the therapeutic relationship. This action may create confusion for the patient about the professional relationship with the nurse, potentially leading to ethical concerns and compromising the therapeutic alliance. The other choices are incorrect because: A promotes dependency, C assumes a specific therapeutic benefit without evidence, and D assumes integration into community living without proper assessment or planning.

Correct Answer: D

Rationale: The correct answer is D because it demonstrates empathy, respect, and collaboration. By acknowledging the patient's feelings and involving them in the decision-making process, the nurse shows understanding and promotes a sense of control. This approach can help diffuse the patient's anger and improve cooperation during the procedure. A: This option may escalate the patient's anger by implying they are incapable, leading to further resistance. B: Blaming the patient for their injuries can worsen the situation and create a hostile environment. C: Leaving the room without addressing the patient's emotions may exacerbate their feelings of abandonment and escalate the situation.

Correct Answer: C

Rationale: The correct answer is C: Assessment. In the continuum of care, assessment is the first step as it involves gathering information about the patient's condition and needs. This information guides the subsequent decisions and interventions. Referral (choice A) comes after assessment, when specialized care is needed. Transfer (choice B) occurs if the patient needs to move to a different facility or level of care. Discharge planning (choice D) is the final step, ensuring a smooth transition out of the care setting. Therefore, assessment is the initial and crucial step in the continuum of care.

Correct Answer: D

Rationale: The correct answer is D: Agranulocytosis. Clozapine is known to cause agranulocytosis, a serious condition characterized by a decrease in white blood cells, leading to increased susceptibility to infections. The symptoms of fever, sore throat, and mouth sores are indicative of an infection, which could be a result of agranulocytosis. The physician should be notified immediately for further evaluation and management. A: Severe anemia is not typically associated with the symptoms described and is not a common side effect of clozapine. B: Neuroleptic malignant syndrome presents with symptoms such as muscle rigidity, fever, and altered mental status, which are different from the symptoms described. C: Encephalitis is inflammation of the brain and is not directly related to the symptoms reported by the patient.