A 21-year-old male college student scored 2 on the CAGE screening tool. What does this score indicate?
Further evaluation for alcohol use disorder is needed
A negative result that does not warrant further evaluation for alcohol use disorder
Mild alcohol use disorder
No problems with disordered alcohol use
The Correct Answer is A
Choice A reason: A score of 2 or more on the CAGE screening tool suggests clinically significant alcohol use and warrants further evaluation. The tool is designed to identify potential alcohol problems, and a score of 2 is the threshold for concern.
Choice B reason: A score of 0 or 1 is generally considered negative and may not require further evaluation unless other clinical signs are present. A score of 2 does not fall into this category.
Choice C reason: While a score of 2 may suggest mild alcohol use disorder, the CAGE tool itself does not diagnose severity. It is a screening instrument, and further assessment is needed to determine the level of disorder.
Choice D reason: This choice is incorrect because a score of 2 is not considered normal or indicative of no problems. It signals the need for further assessment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Rheumatic fever can lead to valvular heart disease, particularly affecting the left-sided valves, but it is not the primary pathophysiology in IV drug users with infective endocarditis. It is unrelated to the acute presentation in this case.
Choice B reason: IV drug use introduces pathogens directly into the bloodstream, often leading to infection of the right-sided heart valves, particularly the tricuspid valve. Staphylococcus aureus is the most common causative organism. This pathophysiology is well-documented and explains the development of IE in IV drug users.
Choice C reason: While HIV may increase susceptibility to infections due to immunosuppression, it is not the direct cause of infective endocarditis. The primary mechanism in this case is bacterial seeding of the heart valves via IV drug use.
Choice D reason: This statement is incorrect. IV drug use is a major risk factor for infective endocarditis due to repeated introduction of bacteria into the bloodstream and damage to cardiac valves.
Correct Answer is B
Explanation
Choice A reason: Reflective practice involves self-examination of one’s clinical decisions and experiences to improve future performance. While it supports evidence-based practice, it does not specifically refer to the systematic use of research findings to change clinical practice.
Choice B reason: Research utilization is the process of applying research findings to clinical practice. It involves synthesizing, disseminating, and implementing evidence to improve patient outcomes. This term specifically describes the operational aspect of evidence-based practice where knowledge is translated into action.
Choice C reason: Critical thinking is a cognitive process used to analyze information, make decisions, and solve problems. It is essential in evaluating research but does not encompass the full process of applying research findings to practice.
Choice D reason: Integration refers broadly to combining various elements into a unified whole. In evidence-based practice, it may describe the merging of clinical expertise, patient preferences, and research evidence, but it does not specifically denote the process of applying research findings.
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