A nurse is screening a group of clients for potential mental health conditions. Which of the following questions should the nurse ask to determine a client's risk for alcohol use disorder?

"Did you experience any childhood trauma?"

"Are you the result of a twin birth?"

"Have you ever purposefully lost a job?"

"Did your parent have a viral infection while pregnant with you?"

Answer and Explanation

The Correct Answer is C

A. "Did you experience any childhood trauma?"
Childhood trauma, such as abuse or neglect, can contribute to various mental health conditions, including post-traumatic stress disorder (PTSD), depression, or anxiety disorders. While trauma can impact a person's mental health, it does not directly assess the risk for alcohol use disorder.

B. "Are you the result of a twin birth?"
Being a twin or the result of multiple births does not inherently indicate a risk for alcohol use disorder. This question is related to an individual's birth status and has no direct connection to the assessment of alcohol-related issues.

C. "Have you ever purposefully lost a job?"
This is the correct choice. Purposefully losing a job might indicate behavioral issues related to alcohol misuse or impairment. Individuals with alcohol use disorder may engage in behaviors that lead to job loss, such as absenteeism, poor performance, or conflict at the workplace due to alcohol consumption.

D. "Did your parent have a viral infection while pregnant with you?"
Prenatal viral infections can potentially affect fetal development and lead to certain health conditions. However, this question is not directly related to the risk of alcohol use disorder. Alcohol use disorder is primarily influenced by environmental factors, genetic predisposition, and individual behaviors related to alcohol consumption. Prenatal viral infections are not a typical indicator of alcohol-related concerns.

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Correct Answer is B

Explanation

A. Rambling speech
Rambling speech is not a typical finding associated with depression. It may indicate other conditions or issues.

B. Insomnia
Insomnia, or difficulty sleeping, is a common symptom of depression. Many individuals with depression experience trouble falling asleep, staying asleep, or both.

C. Rapid mood swings
Rapid mood swings are not typically associated with depression. Depression often involves persistent low mood rather than rapid fluctuations.

D. Sundowning
Sundowning refers to a state of confusion and restlessness that occurs in the late afternoon and evening, often seen in individuals with dementia. While it can be related to mood disturbances, it's not specific to depression.

A. Reassure staff members that the debriefing is confidential. B. Have staff members discuss their involvement in the event. C. Ask staff members to describe their most traumatic memories of the event. D. Provide stress-management exercises to the staff members.

Correct Answer is A

Explanation

A. Reassure staff members that the debriefing is confidential:
Explanation: Ensuring confidentiality is crucial in creating a safe space for individuals to express their emotions and thoughts freely. It builds trust among the participants, making them more likely to open up about their experiences during the debriefing session. Confidentiality encourages honest communication and helps individuals feel secure in sharing their feelings without fear of repercussions.

B. Have staff members discuss their involvement in the event:
Explanation: After establishing confidentiality, the next step is to encourage participants to discuss their involvement in the traumatic event. This can help individuals process their experiences, share their perspectives, and express their emotions related to the incident. Sharing their involvement can provide context to their reactions and emotions, facilitating a more comprehensive understanding of their experiences.

C. Ask staff members to describe their most traumatic memories of the event:
Explanation: Encouraging individuals to describe their most traumatic memories of the event is a way to help them confront and process specific experiences that might be causing distress. This step allows participants to verbalize and share their emotions and memories related to the incident. Talking about these specific memories can be therapeutic and can contribute to the overall healing process.

D. Provide stress-management exercises to the staff members:
Explanation: Providing stress-management exercises, such as relaxation techniques or breathing exercises, comes after individuals have had the opportunity to share their experiences. These exercises can help participants manage immediate stress and anxiety during the debriefing session. They provide practical tools for coping with overwhelming emotions and can be beneficial for individuals who are feeling distressed or overwhelmed during the process.

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