A nurse in an emergency department is preparing to discharge a client who has severe hypertension and requires detoxification for alcohol use disorder. The nurse should recommend a referral to which of the following resources?
Explanation & Rationale
Choice A reason: A residential rehabilitation program is the most appropriate referral for a client with severe hypertension who requires detoxification for alcohol use disorder. Residential programs provide 24-hour medical supervision, structured detoxification, and comprehensive support. This level of care is necessary to manage both the medical complications of hypertension and the risks associated with alcohol withdrawal, such as seizures or delirium tremens. Choice B reason: Intensive outpatient therapy is beneficial for clients who are medically stable and can manage withdrawal symptoms safely outside of a hospital or residential setting. However, this client has severe hypertension and requires detoxification, which necessitates closer monitoring than outpatient care can provide. Choice C reason: Alcoholics Anonymous is a peer-support group that provides ongoing recovery support but does not offer medical detoxification or structured treatment. While AA can be valuable after stabilization, it is not appropriate as the initial referral for a client requiring medical detox. Choice D reason: A halfway house provides transitional living arrangements for individuals recovering from substance use disorders. It is useful after detoxification and initial treatment but does not provide the medical supervision or detox services needed at this stage.