Which assessment observation is the best support for a patient's diagnosis of alcoholism?
a. Reporting, "I messed up three marriages."
b. Testing positive for hepatitis B virus (HBV)
c. Admission that, "I drink more than I should."
d. A positive response to three items on the CAGE test
ANS: D
The CAGE questionnaire is a well-validated screening instrument. A positive response to two of the four items of the CAGE questionnaire indicates a potential problem with alcoholism. Although the remaining options are recognized red flags for possible alcoholism, they lack the selectivity of the screening tool.
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A father is frustrated that his child frequently disobeys well-established rules and then attempts to excuse the action by stating "Well I just thought . . . ."
The father asks for guidance with discipline. What information is most appropriate for the nurse to provide? A. Ensure the child knows the rules. B. Habitual rule breaking is problematic. C. This is a normal developmental stage. D. Time-outs are ineffective for lying.
A patient is receiving large doses of chlorpromazine (Thorazine) and begins to exhibit extrapy-ramidal signs of involuntary muscle movement. Which classification of drugs should the nurse anticipate will be added to the patient's protocol?
a. Antiparkinsonian b. Antihypertensive c. Anticonvulsant d. Antiemetic
The nurse is teaching a group about coping skills. The clients are asked to make one positive statement about their home life. The nurse notices that one of the clients begins to fidget in the chair and interprets this behavior as:
A) An excuse to avoid answering the question. B) Characteristic when this topic is taught in group format. C) A therapeutic use of space. D) An expression of discomfort.
Which province was the first to propose that the basic entry to nursing practice be the baccalau-reate degree?
a. Ontario b. Alberta c. British Columbia d. New Brunswick