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Difficulty: MediumHigh Risk Behaviors

A practical nurse (PN) at a community clinic is caring for a 19-year-old client who discloses frequently mixing large amounts of alcohol with highly caffeinated energy drinks at weekend parties, which recently resulted in a blackout. Which of the following actions by the PN are appropriate? Select all that apply.

  1. State, "Let's discuss strategies to ensure your physical safety when you attend these weekend parties."Answer
  2. Ask, "Can you tell me more about what typically happens during these weekend parties?"Answer
  3. Explain that mixing alcohol with caffeine masks the signs of intoxication and increases the risk of alcohol poisoning.Answer
  4. D
    Ask the client, "Why do you continue to mix alcohol with energy drinks when it has caused you to black out?"
  5. E
    Independently formulate a comprehensive psychosocial risk-reduction care plan for the client.
  6. F
    Discuss the client's high-risk habits with unassigned clinic personnel in the breakroom to seek advice.

Answer

The correct actions include promoting harm reduction, using open-ended questions to gather more data, and providing factual education about the physical risks of mixing alcohol with caffeine.
The correct actions focus on safety, education, and therapeutic communication. Discussing strategies for physical safety is a crucial harm reduction approach. Asking open-ended questions encourages the client to share more about their high-risk environment without feeling judged. Explaining the factual risks of mixing alcohol and caffeine fulfills the nurse's role in health promotion and education.

Step-by-Step Solution

1
Identify the high-risk behaviors reported by the client.
The client mixes large amounts of alcohol with energy drinks, leading to blackouts.
Recognizing the specific high-risk behaviors is essential to provide targeted health promotion and safety education.
2
Select appropriate therapeutic communication techniques.
Open-ended questions and objective statements are chosen over judgmental 'why' questions.
Therapeutic communication fosters trust and encourages the client to share more information without feeling defensive.
3
Determine the appropriate scope of practice for the practical nurse (PN).
The PN reinforces education, gathers data, and collaborates, but does not independently create the initial care plan.
Ensuring actions remain within the PN scope of practice is a critical safety and legal standard.

Key Concept

Addressing high-risk behaviors requires therapeutic communication, harm reduction strategies, and factual education while adhering strictly to scope of practice and confidentiality standards.
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Topics

High Risk Behaviors

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