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    Hesi RN Exit proctored examQuestion 60
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    Hesi RN Exit proctored exam

    A client with a history of alcohol addiction says, "My body feels fine when I abstain from alcohol consumption, but I miss my late night glasses of wine." Which concept should the nurse discuss with the client?

    Explanation & Rationale

    A. Tolerance: Tolerance refers to the need for increasing amounts of a substance to achieve the same effect. The client is not describing a need for more alcohol, but rather a desire for it, so tolerance is not the main concept. B. Craving: Craving is an intense desire or urge to use a substance despite awareness of negative consequences. The client’s statement about missing late-night wine reflects a psychological and physiological urge, making craving the most appropriate concept to discuss. C. Withdrawal: Withdrawal involves physical and psychological symptoms that occur when a person stops using a substance. The client reports feeling fine physically, indicating withdrawal is not occurring. D. Denial: Denial is a defense mechanism in which the person refuses to acknowledge a problem. The client openly admits missing alcohol, so denial is not applicable in this context.

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