The nurse suspects that a patient is dependent on alcohol rather than abusing alcohol when what is assessed?

1. Alcohol is taken in larger amounts than planned and there is proof of tolerance.
2. Recurrent legal problems related to substance abuse are present.
3. Despite social and interpersonal problems, the person continues to use alcohol.
4. The person uses alcohol in physically hazardous situations.


1
Rationale 1: This defines dependence. Alcohol dependency (also known alcoholism) is a pattern of maladaptive behavior associated with one or more of the following: withdrawal symptoms; proof of tolerance; relentless desire to cut down or control use; occupational, social, and recreational tasks are given up; alcohol taken in a larger amounts than planned; time is spent obtaining, using, and recovering from the alcohol; and alcohol use continues regardless of physical and psychological troubles.
Rationale 2: Recurrent legal problems are associated with alcohol abuse and not dependency.
Rationale 3: Social and interpersonal problems are associated with alcohol abuse and not dependency.
Rationale 4: Using alcohol in physically hazardous situations is associated with alcohol abuse and not dependency.

Nursing

You might also like to view...

A 4-year-old child is admitted to the critical care unit with fever, chills, headache, vomiting, lethargy, photophobia, and nuchal rigidity. Based on these clinical manifestations, what is the anticipated diagnosis?

a. Status epilepticus c. Head trauma b. Bacterial meningitis d. Septic shock

Nursing

Differences between subacute care and long term care include which of the following? (Select all that apply.)

a. Subacute care is more costly than long term care. b. Patients who receive subacute care have a usual length of stay of 1 month; long term care patients have an indefinite length of stay. c. Medicare covers the costs of both sub-acute and long term care. d. Subacute patients tend to be younger and more cognitively intact. e. Subacute care is usually delivered in a hospital setting and long term care in a nursing home setting.

Nursing

The nurse is teaching a client who sustained an ankle injury about cold application. Which instruction should the nurse include in the teaching plan?

1) Place the cold pack directly on the skin over the ankle. 2) Apply the cold pack to the ankle for 30 minutes at a time. 3) Check the skin frequently for extreme redness. 4) Keep the cold pack in place for at least 24 hours.

Nursing

A nurse is teaching a nursing student about the effects of a sustained drop in systemic blood pressure on the juxtaglomerular cells of the distal tubules in the kidneys

The nurse knows teaching has been effective when the student identifies which type of medication as one that controls systemic blood pressure? 1. angiotensin converting enzyme (ACE) inhibitor 2. cardiac glycoside 3. thiazide diuretic 4. beta blocker

Nursing