Which client Information indicates the need for the nurse to use the CAGE questionnaire during the admission interview?

Reports difficulties with short term memory since a traumatic brain injury.

Medical history includes that the client was recently sexually assaulted.

Describes self as a social drinker who drinks alcoholic beverages daily.

Client's medication history includes the frequent use of antidepressants.

Answer and Explanation

The Correct Answer is C

Choice A rationale: Reports difficulties with short-term memory since a traumatic brain injury is not an indication for using the CAGE questionnaire. The CAGE questionnaire is specifically designed to screen for alcohol use disorder.

Choice B rationale: Medical history, including recent sexual assault, does not directly correlate with the need for the CAGE questionnaire. The CAGE questionnaire focuses on identifying problematic alcohol use.

Choice C rationale: Describing self as a social drinker who drinks alcoholic beverages daily is an indication for using the CAGE questionnaire. The client's daily consumption and identification as a social drinker raise concerns about potential alcohol misuse or dependency.

Choice D rationale: Client's medication history, including the frequent use of antidepressants, is not an indication for using the CAGE questionnaire. The CAGE questionnaire is specific to alcohol use and does not address antidepressant use.

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Correct Answer is A

Explanation

Choice A rationale: Providing information about available community resources is crucial during the discharge phase to support the client's transition to the community and ongoing care.

Choice B rationale: Exploring the client's feelings related to discharge is important, but providing practical information about available resources is more immediate and can aid in the client's continuity of care.

Choice C rationale: Asking the client to describe alternative coping mechanisms is relevant, but connecting the client with community resources is a more immediate concern during the discharge phase.

Choice D rationale: Discussing potential medication side effects is important, but linking the client to community resources takes precedence during the discharge process.

A. Feelings of frustration. B. A sense of loss. C. Poor self-esteem. D. A lack of intimate relationships.

Correct Answer is B

Explanation

Choice A rationale: While frustration may contribute to distress, the client's recent life events, such as a breakup and job loss, suggest a stronger link to a sense of loss.

Choice B rationale: Experiencing a divorce, job loss, and recent breakup are significant life events that contribute to a profound sense of loss, which can lead to feelings of depression.

Choice C rationale: Poor self-esteem can contribute to depression, but the client's recent life events are more directly related to the current feelings of depression.

Choice D rationale: While a lack of intimate relationships can impact mental health, the recent breakup is a more immediate factor contributing to the client's depression.

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Which client Information indicates the need for the nurse to use the CAGE questionnaire during the admission interview?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A young woman is preparing to be discharged from the psychiatric unit. Which nursing intervention is most important for the nurse to Include in this phase of the nurse-client relationship?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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