A nurse is reviewing the day 5 vital signs and nurses' notes. Exhibits A nurse is evaluating the client's response to treatment. Select the 4 findings that indicate the client is progressing with their plan of care.

Rationale for correct choices: Cognition: The client’s cognition is intact, indicating that alcohol withdrawal symptoms have resolved and the client is no longer experiencing significant cognitive impairment. This reflects positive progress in recovery and stabilization. Client resolves to limit alcohol consumption: The client expresses a desire to limit alcohol consumption and has expressed fear of using alcohol again. This willingness to take responsibility for their recovery indicates progress toward healthier coping mechanisms. Movement through the stages of grief: The client is showing progress in working through their grief, transitioning from guilt to sadness. This indicates emotional processing and movement through the stages of grief, which is important for healing and recovery. Participation in group therapy: The client is attending group therapy twice daily and participating in conversations. Active participation in therapy shows engagement with the recovery process and willingness to work through their issues with support. Rationale for incorrect choices: Appetite: There is no information provided in the notes or vital signs about the client's appetite. While appetite may improve over time, it is not explicitly mentioned here, and the focus should be on more direct recovery indicators. Vital signs: While the vital signs have stabilized since admission, these factors are more indicative of physical recovery rather than progress in the treatment plan. The other findings are stronger indicators of the client’s emotional and psychological progress in recovery.