University:
West Coast University
Course:
NURS 110 | Introduction to Professional Nursing
Academic year:

2022
Views:

361

Pages:

2
Author:

folclord7m

Section 7 Discharge Planning Addiction treatments and interventions for maintenance are generally based on the idea of addiction as a disease, abstinence from all alcoholic substances, participation in a 12-step program such as Alcoholics Anonymous (AA), and confrontation of denial and other defense mechanisms. After two weeks of hospitalization, the client has detoxed from alcohol and denies current thoughts of suicidal ideation. The nurse knows the client experienced a situational crisis, and the goal is to return to a precrisis level of functioning. Question 22 of 25 Which question should the nurse ask in order to determine whether or not the client is able to return to a precrisis level of functioning? Do you have support and people who can help you? The nurse must determine if the dient has adequate support systems. Morrison-Valfre, M. (2021). Foundations of Mental Health Care. (7th edition). St. Louis, Missouri. Elsevier. Pg. 135. How have you successfully handled past crises? This question is best for the assessment phase of the crisis to identify coping mechanisms, specifically strengths and previous coping ability. Why do you always feel so sad? This is not a therapeutic question that invites insight into level of functioning What are some of your previous strengths? This question is important to consider for the assessment phase and is the first step of crisis intervention. The nurse collaborates with the treatment team to make plans for discharge. Question 23 of 25 Which is the most important consideration for discharge planning? Resources available to the client after discharge. The most important consideration is the availability of resources to the client after discharge. These resources can includ counseling with significant others, group therapy, and self-help groups such as AA. Morrison-Valfre, M. (2021), Foundations of Mental Health Care. (7th edition). St. Louis, Missouri. Elsevier. Pg. 12, 135. Client's knowledge of the ongoing disease process. Knowledge of the disease process can enhance the client's ability to maintain sobriety and motivate to change behaviors, but it is not the most important consideration for discharge planning. Longest period of sobriety and potential for relapse. The longest period of sobriety can provide evidence of past successes or failures, but it is not the most important consideration. Acceptance of AA for abstinence. There are many modalities available to clients for discharge planning, although AA is the most common type of self-help group.