The nurse is assessing a patient using the CAGE Questionnaire. The patient answers yes to all of the questions. The nurse suspects alcoholism and feels the patient is in denial when the patient makes which statement?

a. "I go to meetings once a day and still drink."
b. "My family and friends have been avoiding me lately."
c. "I don't have a problem with alcohol. I can quit anytime I want to."
d. "I know it will be hard to quit, but I am willing to try."


ANS: C
The patient may need help admitting that there is a problem. The CAGE is designed to objectively assist in assessing problems related to alcohol use. A patient who states they are going to meetings is admitting they have a problem even if they still drink. Admitting that quitting is difficult is acceptance that there is a problem. Reality is setting in for a patient who can see that family and friends are avoiding them.

Nursing

You might also like to view...

The nurse identifies several factors that may contribute to sensory overload in a hospitalized school-age child, including

1. Narcotic medications 2. Being one of several children in a family 3. Diagnosis of chicken pox 4. Having intravenous lines inserted

Nursing

Mr. Q has heart disease, and his wife needs to learn about the cooking methods and recipes she can use to help his condition. Which of the following sources is probably her best source of information?

A) Cardiologist B) General practitioner C) Nurse D) Support group

Nursing

If a study's results are not supported statistically or are only partially supported, research consumers should conclude that the study is what?

a. Irrelevant b. Important to review c. Proven d. Unconfirmed

Nursing

The spouse of a client has just completed tracheostomy care for the first time, with minimal assistance from the nurse. Which statement offers the most constructive feedback from the nurse?

a. "I see that you had a tough time, but you will do better with practice." b. "You were able to clean the inner cannula well. Now, let's change the ties again." c. "You seem to have had a tough time be-cause it was your first attempt." d. "You seem to understand what I said. Is there anything else I can help you with?"

Nursing