When doing an admission assessment of a client with a history of alcoholism, the most important factor(s) to assess is/are:

the presence of track marks.

whether the client has had previous treatment.

when the client last had a drink.

previous coping skills.

Answer and Explanation

Correct Answer : B,C,D

B. Knowing whether they have sought treatment previously can help in understanding their treatment history, what interventions have been tried, and their level of engagement with treatment services. It can also indicate whether they might benefit from continuing with previous successful interventions or trying new approaches.
C. This information provides crucial information about the client's current alcohol use and potential withdrawal risks. Understanding when the client last consumed alcohol helps in assessing the severity of their alcohol dependence, the potential for withdrawal symptoms, and the urgency of intervention.
D. Understanding the client's coping skills helps in developing a comprehensive treatment plan tailored to their needs. Clients with effective coping skills may have a better prognosis and be more receptive to certain treatment approaches, while those lacking coping skills may require additional support and skill- building interventions.
A. Track marks typically refer to visible signs of intravenous drug use, often associated with substances like heroin. While individuals with alcoholism may have comorbid substance use disorders, track marks specifically indicate a history of intravenous drug use, not alcoholism.

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Correct Answer is D

Explanation

D. This recognizes that the client's improvement in mood is a typical response to antidepressant medication and does not automatically suggest any negative outcomes such as suicidal ideation or serotonin syndrome.
A. It's important to be vigilant for signs of suicidal ideation but sudden improvements in mood can also occur as a positive response to antidepressant medication.
B. The client's description of feeling better does not align with the symptoms of serotonin syndrome, which include agitation, confusion, rapid heart rate, high blood pressure, and hyperthermia.
C. Antidepressant medications often take several weeks to reach their full therapeutic effect, so it's not unusual for some clients to experience an improvement in mood within the first few weeks of treatment.

A. Open the crash cart. B. Administer oxygen via nonrebreather. C. Administer naloxone. D. Contact the parents.

Correct Answer is C

Explanation

C. Administering naloxone is often the priority action for a client exhibiting symptoms of opiate intoxication, especially if they are experiencing significant respiratory depression or unconsciousness. Naloxone is a medication used to rapidly reverse the effects of opioids, including respiratory depression and sedation.
A. Opening the crash cart is not the priority action for a client exhibiting symptoms of opiate intoxication unless the client's condition deteriorates rapidly, leading to a life-threatening emergency such as respiratory depression or cardiac arrest.
B. This intervention is important for clients experiencing respiratory depression, hypoxemia, or altered mental status due to opiate overdose. However, it may not be the highest priority action if the client's respiratory status is stable
D. Contacting the client's parents or guardians is important for obtaining medical history, consent for treatment (if applicable), and support. However, it may not be the highest priority action in the immediate management of opiate intoxication.

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When doing an admission assessment of a client with a history of alcoholism, the most important factor(s) to assess is/are:

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Naxlex Comprehensive Predictor Exams

A severely depressed, sullen client has been taking fluoxetine for 10 days. During the first outpatient visit, the client smiles excitedly and states, "I feel so much better now." How should the nurse interpret this behavior change? The:

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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