The nurse in the mental health unit is caring for a 52-year-old male client.
Day 1
1400:Admitted with low mood and hopelessness. History of major depressive disorder and alcohol use disorder. Last alcoholic drink 2 days before admission.
Day 4
0900:Alcohol withdrawal protocol completed. No tremor, no hallucinations.
Day 12
1000:Smiling and calm for the first time since admission. Gave a guitar to a roommate this morning. Attends group therapy. Tells the nurse, “I have not had a drink in 2 weeks.” Later states, “Soon I won’t be a burden to my family anymore.” Oriented to person, place and time. No tremor.
Drag words from the choices below to fill in each blank in the following sentence.
The client is at highest risk for Word Choice as evidenced by Word Choice and the statement Word Choice
Word Choices
suicide
delirium tremens
the absence of a tremor
attendance at group therapy
an alcohol withdrawal seizure
the gift of a guitar to a roommate
“I have not had a drink in 2 weeks.”
“Soon I won’t be a burden to my family anymore.”