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 B

Explanation

B. Tricyclic antidepressants (TCAs) are known to take some time before their full therapeutic effects are realized, which can indeed be up to four weeks. This delay is due to the gradual changes they induce in the brain's biochemistry.
A. TCAs can cause a variety of side effects but hypomania and recent memory impairment are not typically associated with these medications.
C. TCAs do not have a known interaction with antianxiety agents that would prohibit their concurrent use.
D. The restriction on eating strong or aged cheese is associated with another class of antidepressants known as monoamine oxidase inhibitors (MAOIs), not TCAs.

A. "It's just a matter of time and I will be well." B. "I can fight this and lick it." C. "I deserve to be this way." D. "If I ignore this, it will go away."

Correct Answer is C

Explanation

C. This attitude suggests a sense of self-blame or low self-worth commonly seen in individuals with depression. They may feel undeserving of happiness or believe that their suffering is justified. This attitude can hinder the individual's willingness to seek help or engage in treatment, as they may believe that they do not deserve support or that their situation is hopeless.
A. This attitude may reflect optimism or hopefulness which is not a common finding in individuals with depression. Hopelessness is more common in depression.
B. This attitude reflects a sense of determination and agency in overcoming the illness. This is not a typical finding in depression.
D. Some individuals with depression may attempt to cope by minimizing or ignoring their symptoms, hoping that they will resolve on their own. However, untreated depression typically does not improve without intervention and may worsen over time.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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