You are evaluating the plan of care for an older adult who is alcohol-dependent. Which patient documentation indicates a need for follow-up nursing interventions by the nurse?
a. Client states that he intends to decrease his alcohol consumption.
b. Client arrived at his group session on time and well-groomed.
c. Client stated, "I am an alcoholic because I drink 10 beers a day."
d. Client states that he understands that he needs continued treatment.
A
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A Correct. This response indicates that the client continues to feel that his alcohol consumption is under his control. This warrants follow-up nursing interventions because the patient remains at risk high for alcohol abuse.
B Incorrect. Taking pride in his appearance and participating in group activity are positive signs.
C Incorrect. Acknowledging that he has a problem is a positive sign because the older adults cannot be helped until the problem is acknowledged.
D Incorrect. Acknowledging the need for continuing treatment is a positive sign.
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