Which of the following should the nurse incorporate into the care plan of a client demonstrating symptoms of withdrawal delirium?
1. Encourage group participation.
2. Confront denial of substance abuse.
3. Use restraints on all extremities.
4. Create quiet, nonstimulating environment.
ANS: 4
Group participation and confrontation are not appropriate during withdrawal delirium, so options 1 and 2 are incorrect. Use of restraints is not safe at this time (option 3), and the quiet environ-ment (option 4) is best.
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