While obtaining a social history on a male client regarding his patterns of alcohol use, the nurse becomes suspicious of a problem with drinking. The nurse continues assessing the client using the CAGE questionnaire
The nurse would ask, "Have you ever: Select all that apply. 1. Felt the need to cut down on drinking?"
2. Felt annoyed by criticism of your drinking?"
3. Felt guilty about drinking?"
4. Taken a drink first thing in the morning?"
5. Felt the desire to stop drinking?"
1. Felt the need to cut down on drinking?"
2. Felt annoyed by criticism of your drinking?"
3. Felt guilty about drinking?"
4. Taken a drink first thing in the morning?"
Rationale: Felt the need to cut down on drinking?" This question is one of the first four answers because these are considered part of the CAGE questionnaire, which stands for cutting down, annoyance if criticized, guilty feelings, eye-openers. These screening questions are used to help identify alcohol abuse. Felt annoyed by criticism of your drinking?" This question is one of the first four answers because these are considered part of the CAGE questionnaire, which stands for cutting down, annoyance if criticized, guilty feelings, eye-openers. These screening questions are used to help identify alcohol abuse. Felt guilty about drinking?" This question is one of the first four answers because these are considered part of the CAGE questionnaire, which stands for cutting down, annoyance if criticized, guilty feelings, eye-openers. These screening questions are used to help identify alcohol abuse. Taken a drink first thing in the morning?" This question is one of the first four answers because these are considered part of the CAGE questionnaire, which stands for cutting down, annoyance if criticized, guilty feelings, eye-openers. These screening questions are used to help identify alcohol abuse. Felt the desire to stop drinking?" This question is not part of the CAGE questionnaire.
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