A nurse is preparing to assess their client for alcohol use or abuse. Which of the following questions should the nurse ask?
Do you feel 12 beers in one night is too much alcohol?
At what age did you begin drinking alcohol?
How often do you have a drink containing alcohol?
Have you received mental health treatment in the past?
The Correct Answer is C
A: This question is judgmental and may not elicit an honest response from the client.
B: While knowing the age of onset of drinking can be useful, it does not directly assess current alcohol use patterns.
C: Asking how often the client has a drink containing alcohol is a direct and non-judgmental way to assess the frequency of alcohol use.
D: Asking about past mental health treatment is important but does not specifically assess current alcohol use or abuse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A: This statement requires follow-up because pretending that hallucinations are real can reinforce the patient’s delusions and is not a therapeutic approach. It is important to acknowledge the patient’s experience without validating the hallucinations as real.
B: This statement is appropriate as it directly assesses the presence of hallucinations in a clear and straightforward manner.
C: This statement is also appropriate as it helps to understand how the patient is managing their symptoms and can guide further interventions.
D: Assessing for command hallucinations is crucial because these types of hallucinations can pose a risk to the patient or others if they involve harmful commands.
Correct Answer is D
Explanation
A: Having the patient eat meals in private is not recommended as it can facilitate purging behaviors without supervision.
B: Educating the patient on the long-term complications of purging is important but not the primary intervention to prevent immediate purging behavior.
C: Weighing the patient at the same time every morning is a standard practice in managing eating disorders but does not directly address the purging behavior.
D: Monitoring the patient during and after meal times is crucial to prevent purging and ensure the patient is following the treatment plan.
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