The nurse is caring for a client who is receiving prescribed acamprosate. Which of the following statements, if made by the client, would indicate a therapeutic response?
The nurse is caring for a client who is receiving prescribed acamprosate. Which of the following statements, if made by the client, would indicate a therapeutic response?
A. “I no longer hear voices.”
[15%]
B. “I have more motivation during the day.”
[21%]
C. “I am not drinking alcohol anymore.”
[47%]
D. “My anxiety has lessened in public.”
[17%]
Statistics
Subject/Lesson
Subject
Mental Health
Lesson
Substance Abuse and other dependencies
Client Need
Test Plan
Pharmacological and Parenteral Therapies
Related Topic
Adverse Effects/Contraindications/Side Effects/Interactions
Item Type
Item Type
Application
Explanation
Choice C is correct. Acamprosate is a medication used to support alcohol abstinence in individuals who have recently stopped drinking. A therapeutic response to acamprosate would be a significant reduction or cessation of alcohol consumption. Option C indicates a positive therapeutic outcome, as the client reports not drinking alcohol anymore, which aligns with the intended effect of the medication.This medication may be combined with naltrexone to increase the chance of sobriety.
Choice A is incorrect. This statement may indicate improvement in auditory hallucinations, which could be related to other mental health conditions but is not a direct response to acamprosate.
Choice B is incorrect. This statement may suggest improved motivation but is not a specific response to acamprosate, as it does not directly target motivation.
Choice D is incorrect. This statement may indicate reduced anxiety, but this symptom may or may not be related to alcohol use disorder or acamprosate treatment specifically.
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Additional Info
✓ Acamprosate is a prescribed treatment for alcohol use disorder. This medication decreases an individual’s craving for alcohol. It is typically dosed three times a day, with the most common side effect being diarrhea. The client should be encouraged to seek counseling to help enhance their chances of abstinence.
✓ While the exact mechanism is not fully understood, it is believed that Acamprosate interacts with neurotransmitters in the brain, helping to restore the balance that is disrupted by chronic alcohol consumption.
✓ Acamprosate is a GABA agonist/glutamate antagonist. It is used to maintain abstinence from alcohol in clients who are abstinent when starting the drug and who have additional psychosocial support.