Examkin

Soru

Zorluk: OrtaHigh Risk Behaviors

A client visits a primary care provider's office for a physical examination. While updating the intake questionnaire, the client casually remarks to the practical nurse (PN), "I usually get pretty drunk on Saturday nights, but I always manage to drive myself home without crashing." In what order should the PN perform the following interventions? Arrange the actions in the correct sequence from first to last.

  1. 1Maintain a neutral, nonjudgmental attitude to preserve therapeutic rapport.
  2. 2Determine the specific frequency, amount, and type of alcohol consumed.
  3. 3Express clear, objective concern regarding the immediate danger of impaired driving.
  4. 4Collaborate with the client to identify safe, alternative transportation methods.
  5. 5Document the client's statements, the risk assessment, and the safety plan discussed.

Cevap

The correct sequence begins with maintaining a nonjudgmental rapport, followed by collecting specific data about the alcohol use, explicitly addressing the danger of driving impaired, planning for safe transportation, and finally documenting the interaction.
When a client discloses a high-risk behavior such as binge drinking and driving impaired, the practical nurse must systematically manage the situation. The sequence must start with preserving the therapeutic relationship (nonjudgmental attitude) so the client does not shut down. Once trust is maintained, the PN collects necessary data regarding the extent of the alcohol use. With the facts established, the PN addresses the immediate threat to life by expressing objective concern about drinking and driving. The PN then moves to harm reduction by helping the client plan alternative transportation. Finally, all data, education, and planning are documented to complete the nursing process.

Adım Adım Çözüm

1
Maintain a neutral, nonjudgmental attitude.
The client feels safe and continues to communicate openly.
Reacting with shock or criticism can destroy trust and cause the client to withhold information.
2
Determine the specific frequency, amount, and type of alcohol consumed.
The nurse obtains a clear picture of the client's substance use habits.
Accurate data collection is required to assess the severity of the risk before an intervention can be tailored.
3
Express clear, objective concern regarding the immediate danger of impaired driving.
The client is made aware of the medical and safety risks associated with their behavior.
Nurses have a responsibility to provide health education and address life-threatening behaviors directly.
4
Collaborate with the client to identify safe, alternative transportation methods.
A harm-reduction strategy is established.
Providing actionable, realistic alternatives helps prevent the high-risk behavior in the future.
5
Document the client's statements, the risk assessment, and the safety plan.
The encounter is officially recorded in the client's health chart.
Accurate documentation ensures continuity of care and provides a legal record of the safety education.

Anahtar Kavram

Nursing Management of High-Risk Behaviors
Tahmini Süre:1m 30s
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High Risk Behaviors

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