During the admission assessment, the client tells the nurse "Sure I smoke a little weed (marijuana) to manage my stress. Doesn't everyone?" What is the best assessment question for the nurse to ask?
1. "What other ways do you think you might use to help you to manage your stress?"
2. "That is a Schedule I drug; aren't you afraid of going to jail for a long time?"
3. "Do you really believe that everyone smokes marijuana to manage stress?"
4. "How often do you smoke marijuana, and how much each time?"
Correct Answer: 4
Rationale: The nurse must assess the amount and frequency of any drug the client uses, including illegal drugs. Asking the client if he really believes something is not an assessment question, and can lead to an argument with the client. Stress management is not the main concern during the admission assessment. Asking the client if he is afraid of going to jail is not an assessment question, and is not the issue during the admission assessment.
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