A patient with a history of alcohol misuse has been admitted for treatment. The essential components of the nursing assessment include:
1. The use of addiction standards to assess for drinking patterns
2. The inclusion of objective and subjective input from the patient including signs of anxiety and patterns of usage
3. The amount of denial that the patient is exhibiting
4. The amount of time spent obtaining, using, and recovering from alcohol
2
Rationale 1: The actual standard for the interview is the CIWA-Ar which is a standardized interview tool that is used for assessment.
Rationale 2: It is important to consider a patient's nonverbal responses, anxiety, and presence or absence of eye contact for clues. The nurse questions the patient and/or family related to current and past alcohol use and family history of alcohol problems.
Rationale 3: Patients typically either deny alcohol use or admit to consumption of a significantly lower amount of alcohol.
Rationale 4: This is not a part of the nursing assessment for alcohol use.
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