The nurse using the PACE interview guide for persons at risk for substance abuse arrives at a score of 2 for an adolescent patient. How would the nurse interpret this score?
a. Nonindicative of potential substance abuse
b. Normal experimentation of the adolescent
c. Need to schedule another PACE interview in 3 months
d. Indication for referral for counseling
ANS: D
The PACE guide recommends that a score of 2 or higher would suggest the need for a referral for counseling about substance abuse.
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A patient taking tamoxifen to reduce the risk of contralateral breast cancer asks the nurse about adverse effects of the drug. What is an adverse effect of tamoxifen?
A) Stomatitis B) Mucositis C) Thrombocytopenia D) Cerebrovascular accidents
The nurse is planning care for an AIDS patient admitted with chronic severe diarrhea secondary to adverse effects of the antiviral drugs prescribed. What would be the most appropriate goal for this patient?
A) Patient will show improved nutritional status evidenced by weight gain. B) Alleviation or reduction of signs and symptoms of AIDS. C) Patient will be able to demonstrate the effectiveness of the teaching plan. D) Patient will state that comfort and safety measures are effective and show compliance with the regimen.
A pregnant client tells the nurse that she is having leg cramps. Which of these suggestions should the nurse offer?
a. Wear low-heeled shoes. c. Pull toes toward the knees. b. Apply ice packs to the legs. d. Avoid fluids containing caffeine.
The nurse makes the decision to look at alternatives for wound care with a client who has a stasis ulcer that has been treated over the past 2 weeks. The nurse was hoping to see some improvement by this time
This represents which phase of the nursing process? A) Assessment B) Implementation C) Evaluation D) Diagnosis