When the CAGE questionnaire is used to guide the assessment of alcohol misuse, the nurse would ask which questions?
1. Have you ever crashed overnight in an unfamiliar area, arrived late for work, given up family and friends, or escaped arrest by the law?
2. Have you ever felt the need to cut down on drinking, felt annoyed by criticism of your drinking, ever had guilty feelings about your drinking, or ever had an eye opener first thing in the morning to get rid of a hangover?
3. Have you ever had a big crisis that led to arrest and grief from your family and friends and tried to explain away your actions?
4. Have you called off or were absent from work because you had too much to drink and needed to sleep it off?
2
Rationale 1: This is an example of behavior that is considered maladaptive. This type of behavior could be related to dependency but is not necessarily indicative of dependency.
Rationale 2: The acronym helps the clinician to recall these four questions. Have you ever felt the need to CUT down on drinking? Have you ever felt ANNOYED by criticism of your drinking? Have you ever had GUILTY feelings about your drinking? Have you ever had an EYE opener first thing in the morning to steady your nerves or get rid of a hangover?
Rationale 3: This is an example of a situational crisis and not necessarily of dependency.
Rationale 4: This is not an appropriate question to ask when utilizing the CAGE questionnaire.
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