The nurse is conducting a holistic assessment of a client diagnosed with alcoholism. Which priority questions should the nurse include in the assessment?
1. "Did you see your parents drink alcohol when you were growing up?"
2. "How old were you when you started drinking?"
3. "Have you ever attended Alcoholic Anonymous meetings?"
4. "Have you been treated with any medications that are designed to discourage consumption of alcohol?"
5. "Have any of your blood relatives been addicted to alcohol?"
Correct Answer: 1,2,3,5
Rationale 1: Environmental questions are valid questions to ask during a holistic assessment.
Rationale 2: This question helps to determine the length of time alcohol has been a problem for this client.
Rationale 3: Participation in Alcoholic Anonymous assesses nonpharmacologic measures the client may have pursued and is relevant to a holistic assessment.
Rationale 4: This question is asking about medical treatment, which is not holistic in nature.
Rationale 5: Biologic questions are valid questions to ask during a holistic assessment.
Global Rationale: Environmental questions are valid questions to ask during a holistic assessment. Asking the age when drinking began helps to determine the length of time alcohol has been a problem for this client. Participation in Alcoholic Anonymous assesses nonpharmacologic measures the client may have pursued and is relevant to a holistic assessment. Biologic questions are valid questions to ask during a holistic assessment. Asking about medical treatment is not holistic in nature.
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