A nurse is meeting with a new client at a substance use disorder clinic. During the meeting, the client states that they have been using cocaine at least once daily for the past 6 months. The nurse is collecting which of the following types of data from the client's account?
Historical
Objective
Subjective
Secondary
The Correct Answer is C
A. Historical: Historical data refers to past medical or substance use history but does not specifically relate to the client’s current account of their substance use. While this information is relevant, it is not the primary type of data being collected in this instance.
B. Objective: Objective data consists of measurable and observable information, such as vital signs, physical examination findings, or laboratory results. The client's account of their cocaine use is not an objective measure but rather a personal statement reflecting their experience.
C. Subjective: The client's statement about using cocaine daily for the past 6 months is subjective data. It is based on the client's personal experiences and perceptions, which are important for understanding their substance use pattern and informing treatment planning.
D. Secondary: Secondary data refers to information obtained from sources other than the client, such as family members, previous medical records, or other healthcare providers. Since the information is coming directly from the client, it does not qualify as secondary data.
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Correct Answer is D
Explanation
A. Analyze and interpret laboratory and medical imaging data: The Clinical Opiate Withdrawal Scale (COWS) does not focus on analyzing laboratory or imaging data. Instead, it is a clinical tool designed specifically for assessing withdrawal symptoms in clients experiencing opiate withdrawal.
B. Determine the client's risk of developing severe manifestations: While the COWS can provide insights into the severity of withdrawal symptoms, its primary purpose is not to assess the risk of severe manifestations. It is more focused on current symptoms rather than predicting future complications.
C. Identify genetic factors that influence opiate withdrawal: The COWS does not address genetic factors related to opiate withdrawal. It is a behavioral assessment tool that evaluates observable symptoms rather than delving into the genetic underpinnings of withdrawal responses.
D. Collect data on the severity of manifestations from withdrawal and treat accordingly: The primary function of the COWS is to systematically collect data on the severity of withdrawal symptoms. This information helps healthcare providers determine appropriate treatment interventions based on the client's current condition, ensuring that care is tailored to their specific needs during withdrawal.
Correct Answer is C
Explanation
A. Crying, sharing personal details of relationship problems, monopolizing conversations: While these behaviors may indicate emotional distress or stress, they are not specific red flags for a substance use disorder. Many factors can lead to emotional behaviors that are not necessarily related to substance use.
B. Increased cheerfulness, increased energy, helping other nurses on the shift: Although increased energy might seem positive, it can also be a sign of stimulant use. However, increased cheerfulness and helpfulness alone do not necessarily indicate a substance use disorder and may reflect a temporary mood change.
C. Volunteering for overtime on a continual basis, avoiding having a witness to wasting narcotics, needing to be alone in the medication room when preparing medications: These behaviors are significant red flags for a substance use disorder. Continually volunteering for overtime may indicate a desire to be near controlled substances, while avoiding witnesses during narcotic waste and needing solitude in the medication room suggests potential misuse or diversion of medications.
D. Increased irritability towards supervisors, outspokenness regarding work issues, increased attendance at staff meetings: While increased irritability and outspoken behavior may raise concerns about the nurse's mood or job satisfaction, they are not direct indicators of a substance use disorder. Increased attendance at meetings may even suggest a commitment to the job rather than a problem.
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