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56. A Group of Patients with Substance Use Disorder Were Admitted to Substance Rehabilitation Center. Most of Them Deny Their Problem.

Question

56. A group of patients with substance use disorder were admitted to substance rehabilitation center. Most of them deny their problem. The nurse is preparing a teaching plan for them to help their recovery. What is the most appropriate information to be included in the nursing plan? (A) Communicate one can use substance for their stress relieving effect (B) Focus on change in the patient's motivation probably has the best impact (C) Persons with substance-related problems can recover without formal treatment (D) Communicate that substance use is a problem not related to individual weakness 57. A 67-year-old woman was brought to a hospital due to progressive deterioration of memory and language ability in the last two years. Her son reports that she couldn't stay at home, wandering on the street and often miss to return to home . During examination.she is alert, has memory problem and talks alone appearing as if discussing with someone. What is the most likely outcome of treating this patient? (A) Peaceful death within a short period of time (B) Eventual full return to pre morbid level of functioning (C) Eventual partial return of pre morbid level of functioning (D) Behavioral control with delaying of cognitive deterioration 58.A 50-year-old dementia patient was admitted to a hospital. On assessment, he had forgetfulness, fluctuating mood and impaired decision making ability. His son is struggling to prevent him from removing the TV line. What is the most expected immediate outcome to be achieved after hours of intervention? (A) Improved memory (B) Reduced disturbance (C) Reduced mood fluctuation (D) Improved ability to make own decision

Solution

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Resposta

56. (D) Communicate that substance use is a problem not related to individual weaknessExplanation: The most appropriate information to be included in the nursing plan for patients with substance use disorder is to communicate that substance use is a problem not related to individual weakness. This helps in reducing the shame and guilt associated with substance use disorder and encourages the patients to accept their problem and seek help.57. (D) Behavioral control with delaying of cognitive deteriorationExplanation: The most likely outcome of treating a patient with progressive deterioration of memory and language ability, who wanders on the street and often misses returning home, is behavioral control with delaying of cognitive deterioration. This can be achieved through medications, behavioral therapies, and other interventions that can help in managing the symptoms and slowing down the progression of the disease.58. (B) Reduced disturbanceExplanation: The most expected immediate outcome to be achieved after hours of intervention for a 50-year-old dementia patient with forgetfulness, fluctuating mood, and impaired decision-making ability is reduced disturbance. This can be achieved through medications, behavioral therapies, and other interventions that can help in managing the symptoms and improving the patient's behavior.