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    ATI PN Mental Health Proctored Exam 2023 II
    Select All That Apply

    A nurse is assisting in the admission of a 30-year-old client to an inpatient mental health facility. Exhibits The nurse is assisting in the care of the client who is receiving treatment for substance use disorder. Which of the following interventions should the nurse recommend including in the plan of care? (Select all that apply.)

    Explanation & Rationale

    Choice A rationale: Reinforce teaching on coping strategies Teaching and reinforcing healthy coping mechanisms is essential in substance use recovery. The client has already identified some strategies, but ongoing education helps strengthen their ability to manage cravings, stress, and triggers. Choice B rationale: Administer disulfiram Disulfiram is used for alcohol dependence, but this client primarily uses heroin and methamphetamine—not alcohol. Since disulfiram is ineffective for opioid or stimulant addiction, this intervention is not appropriate. Choice C rationale: Motivational interviewing Motivational interviewing is an effective technique that helps enhance the client’s motivation for change while exploring ambivalence toward recovery. Given the client’s uncertainty about post-discharge living arrangements and social influences, this approach would encourage self-reflection and goal-setting. Choice D rationale: Promote sleep Many individuals undergoing withdrawal struggle with disrupted sleep, which can worsen irritability, anxiety, and relapse risk. Encouraging adequate rest improves emotional stability and overall health. Choice E rationale: Encourage personal hygiene Substance use can lead to neglect of self-care, so promoting personal hygiene reinforces self-respect, routine-building, and overall well-being. This small yet impactful intervention supports mental health recovery. Choice F rationale: Encourage codependence Encouraging codependence is not a recommended practice in substance use recovery. Codependence often leads to unhealthy emotional reliance, enabling behaviors, and difficulty maintaining independence post-rehabilitation.

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