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Zorluk: KolayHigh Risk Behaviors

A practical nurse (PN) is caring for an adolescent client in a community health clinic. The client confides in the nurse, stating, "I usually drink five or six beers at parties every weekend." Which of the following actions by the PN are appropriate to address this high-risk behavior? (Select all that apply.)

  1. Asking the client, "Can you describe how you feel during and after drinking at these parties?"Cevap
  2. B
    Asking the client, "Why do you choose to drink so much alcohol every weekend?"
  3. Reinforcing teaching about the potential physical effects of binge drinking on the body.Cevap
  4. D
    Advising the client, "You need to stop hanging out with friends who encourage you to drink."
  5. E
    Formulating the initial, comprehensive substance misuse care plan for the client.

Cevap

The appropriate actions are to ask the client to describe how they feel during and after drinking, and to reinforce teaching about the physical effects of binge drinking.
The correct actions utilize open-ended exploration to safely discuss the high-risk behavior and apply appropriate PN interventions by reinforcing health promotion teaching about the physical risks of binge drinking.

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1
Identify the high-risk behavior presented in the scenario.
The adolescent client is engaging in weekend binge drinking.
Recognizing the behavior dictates the appropriate health promotion and harm reduction strategies.
2
Evaluate communication techniques for addressing the behavior.
Open-ended questions explore the behavior therapeutically, while asking 'why' or giving advice are non-therapeutic communication blocks.
Therapeutic communication builds trust and encourages the client to share more information.
3
Determine the appropriate PN scope of practice regarding care planning and education.
The PN can reinforce established teaching, but formulating the initial comprehensive care plan is an RN responsibility.
Actions must remain within the legal scope of practice for a practical nurse.

Anahtar Kavram

Addressing High-Risk Behaviors using Therapeutic Communication and Scope of Practice
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Konular

High Risk Behaviors

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