The nurse assesses the outcomes of a motivational interview on a patient with a dual diagnosis of alcoholism with delirium tremens (DTs) and determines that the communication was nontherapeutic. What is the nurse's next priority?
a. Encourage the patient to think of ways to change environmental triggers to abuse substances.
b. Ask the patient what methods they think would work and encourage participating in self-help groups.
c. Notify provider to obtain order for oxazepam and vitamin B infusion.
d. Notify provider to obtain order for CT scan and psychologic consult.
ANS: C
The patient will need to be treated for the psychosis prior to conducting the motivational interview, because the patient can become violent and nonreceptive to the interventions. Oxazepam and vitamin B are the two therapies that work for DTs.
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