A nurse is screening a group of clients for potential mental health conditions. Which of the following questions should the nurse ask to determine a client's risk for alcohol use disorder?

"Did you experience any childhood trauma?"

"Are you the result of a twin birth?"

"Have you ever purposefully lost a job?"

"Did your parent have a viral infection while pregnant with you?"

Answer and Explanation

The Correct Answer is C

A. "Did you experience any childhood trauma?"
Childhood trauma, such as abuse or neglect, can contribute to various mental health conditions, including post-traumatic stress disorder (PTSD), depression, or anxiety disorders. While trauma can impact a person's mental health, it does not directly assess the risk for alcohol use disorder.

B. "Are you the result of a twin birth?"
Being a twin or the result of multiple births does not inherently indicate a risk for alcohol use disorder. This question is related to an individual's birth status and has no direct connection to the assessment of alcohol-related issues.

C. "Have you ever purposefully lost a job?"
This is the correct choice. Purposefully losing a job might indicate behavioral issues related to alcohol misuse or impairment. Individuals with alcohol use disorder may engage in behaviors that lead to job loss, such as absenteeism, poor performance, or conflict at the workplace due to alcohol consumption.

D. "Did your parent have a viral infection while pregnant with you?"
Prenatal viral infections can potentially affect fetal development and lead to certain health conditions. However, this question is not directly related to the risk of alcohol use disorder. Alcohol use disorder is primarily influenced by environmental factors, genetic predisposition, and individual behaviors related to alcohol consumption. Prenatal viral infections are not a typical indicator of alcohol-related concerns.

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Correct Answer is B

Explanation

A. "You should leave your partner if you feel your life is in danger."
While leaving an abusive relationship is often necessary for safety, this statement might oversimplify a complex situation. Safety planning should be individualized and may involve various steps, not just immediate departure.

B. "You do not deserve to live in fear of your partner."
This statement validates the client's feelings and emphasizes their right to live without fear. It empowers the client and encourages self-worth.

C. "You need to tell your partner that you intend to leave the relationship."
Telling an abusive partner about the intention to leave can escalate the situation and put the client at risk. Safety planning usually involves not disclosing plans until the client is in a safe environment.

D. "It is important to learn to diffuse your partner's anger."
This statement places the responsibility for the abusive behavior on the victim, which is not appropriate. Victims of abuse are not responsible for the actions of their abusers. The focus should be on their safety and well-being.

A. Determine the client's degree of physical dependence. B. Discuss the treatment plan with the client. C. Document the client's alcohol use in the medical record. D. Initiate a referral for treatment for alcohol use disorder.

Correct Answer is C

Explanation

A. Determine the client's degree of physical dependence:
This action is important but usually comes after the initial assessment and documentation. Assessing the degree of physical dependence involves evaluating the client's withdrawal symptoms, tolerance, and other physical health parameters. It helps in planning the appropriate level of care, such as detoxification if needed.

B. Discuss the treatment plan with the client:
While discussing the treatment plan is crucial, it's typically done after gathering essential information about the client's alcohol use, medical history, and current condition. The treatment plan is tailored based on the gathered data, which includes documenting the client's alcohol use.

C. Document the client's alcohol use in the medical record:
This is the first step because it provides a formal record of the client's alcohol use history, including patterns and any associated complications. Documenting this information helps in comprehensive care planning and ensures that all healthcare providers involved in the client's treatment have accurate and up-to-date information.

D. Initiate a referral for treatment for alcohol use disorder:
Referrals are essential, but they usually follow the initial assessment and documentation. The referral process involves connecting the client with appropriate resources, such as addiction specialists, counselors, or support groups, based on the documented information and the client's needs.

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A nurse is screening a group of clients for potential mental health conditions. Which of the following questions should the nurse ask to determine a client's risk for alcohol use disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is counseling a client who is experiencing partner violence. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

A nurse is admitting a client who has an alcohol use disorder. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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