During an assessment, the nurse uses the CAGE test. The patient answers "yes" to two of the questions. What could this be indicating?
a. The patient is an alcoholic.
b. The patient is annoyed at the questions.
c. The patient should be thoroughly examined for possible alcohol withdrawal symptoms.
d. The nurse should suspect alcohol abuse and continue with a more thorough substance abuse assessment.
ANS: D
The CAGE test is known as the "cut down, annoyed, guilty, and eye-opener" test. If a person answers "yes" to two or more of the four CAGE questions, then the nurse should suspect alcohol abuse and continue with a more complete substance abuse assessment.
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