Question

The nurse cares for the client experiencing alcohol withdrawal. The nurse notes that he is increasingly agitated, experiencing hallucinations, and demonstrating hostile behavior. The nurse determines that which diagnosis is most appropriate?

A. Confusion, Acute

B. Denial, Ineffective

C. Coping, Ineffective

D. Acute Substance Withdrawal Syndrome

Answer 1

Answer is

D. Acute substance withdrawal syndrome.

The nurse determines the patient exhibit acute withdrawal symptoms.

Because he is exhibiting signs like agitations, hallucinations and hostile behaviour . TheSe are the signs of withdrawal syndrome.

Acute confusion, denial will arise in the case of substance dependence .

The option ineffective copying also is not applicable , because he is not showing the signs and symptoms of coping mechanism. If he has ineffective coping , he might have exhibited poor attention, sleep disturbance , fatigue, poor concentration , destructive behaviour,drug dependence etc.

So the answer is D . Acute substance withdrawal syndrome. All the other 3 options are related to other conditions. A nurse can diagnose this patient state as withdrawal syndrome.