The nurse is completing a health history with a client who abuses substances. What should the nurse ask the client when completing this history?
1. Does the use of the substance interfere with sleep patterns?
2. Does the use of the substance affect job performance?
3. Is the use of the substance a wise decision?
4. Does the use of the substance cause headaches?
Answer: 2
1. Altered sleep patterns might be the reason for starting the substance abuse.
2. The nurse should assess the client's ability to function on a daily basis and to what level the abuse has affected performance.
3. Since the client is seeking health care the nurse should not confront the client about the abuse in this manner. A statement like this would not build a trusting relationship.
4. Headaches can occur during withdrawal, or could be the reason for the abuse.
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