A nurse is caring for a client who reports a history of frequent alcohol consumption. Which of the following questions should the nurse ask when screening for alcohol use disorder?
"Has a family member indicated that you should cut down on your drinking?”
“Have you had a glass of wine in the last week?”
“Do you drink alcohol with your friends?”
"Do you enjoy drinking alcohol?”
The Correct Answer is A
A. "Has a family member indicated that you should cut down on your drinking?”: This question assesses whether there have been any external concerns or criticisms related to the client's alcohol consumption, which is a common feature in alcohol use disorder.
B. “Have you had a glass of wine in the last week?”: While this question assesses recent alcohol consumption, it does not specifically address problematic drinking patterns or consequences associated with alcohol use disorder.
C. “Do you drink alcohol with your friends?”: This question addresses social drinking behavior but does not specifically focus on the potential for alcohol use disorder or problematic drinking patterns.
D. "Do you enjoy drinking alcohol?”: While enjoyment of alcohol may be relevant to the overall assessment, it does not specifically address problematic drinking patterns or consequences associated with alcohol use disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. Delirium often causes disorganized thinking and communication, but speech can be either slow or rapid and incoherent. Slow speech is not a definitive sign of delirium.
B.Rapid mood changes are commonly seen in delirium. Clients may exhibit sudden shifts in mood, such as becoming agitated, anxious, irritable, or euphoric, often without apparent cause.
C.Hallucinations, both visual and auditory, are common manifestations of delirium. Clients may perceive things that are not present, hear voices, or experience other sensory distortions.
D.Delirium typically involves an altered level of consciousness, which can range from hyperalertness to lethargy. An unaltered level of consciousness is not characteristic of delirium.
E.Restlessness, agitation, and an inability to sit still are frequent manifestations of delirium. Clients may exhibit hyperactivity, fidgeting, pacing, or attempting to remove medical devices or clothing.
Correct Answer is C
Explanation
a.Spending equal time with clients regardless of their insurance status: This situation relates more to justice, ensuring fairness and equality in client care, rather than fidelity.
b.This scenario represents the principle of veracity, which involves providing truthful and accurate information to clients. It ensures that clients are fully informed and can give informed consent regarding their treatment.
c.Respecting the decision of clients to refuse to participate in group therapy:Fidelityrefers to the duty to be loyal, faithful, and keep promises. It involves maintaining trust and being reliable in our interactions with clients. This situation aligns with fidelity. Respecting a client's decision to refuse treatment, even if it's something the nurse believes would be beneficial, demonstrates fidelity to the client's autonomy and their right to make choices about their care.
d.This situation reflects the principle of beneficence, which involves taking actions to benefit clients, including continuing education to improve client care and nonmaleficence (avoiding harm).
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