Author Question: The nurse is concerned that a patient being seen in the mental health clinic for psychosis is at ... (Read 45 times)

melina_rosy · **on:** Jun 25, 2018

The nurse is concerned that a patient being seen in the mental health clinic for psychosis is at risk for substance abuse. What assessment findings support this nurse's concern?

Select all that apply.
1. age 19
2. male gender
3. younger siblings in high school
4. mother in rehabilitation for heroin
5. recently terminated from employer

Question 2

The nurse is determining a patient's degree of dependence on a substance. Which screening tools should the nurse use to help with this assessment?

Select all that apply.
1. Michigan Alcohol Screening Test
2. CAGE questionnaire
3. Brief Drug Abuse Screening Test
4. Clinical Institute Withdrawal Assessment of Alcohol-Revised
5. Clinical Opiate Withdrawal Scale

Sarahjh · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 2, 4, 5

Patients with co-occurring disorders are more likely to be unemployed younger males living in unstable conditions with more than one psychiatric diagnosis and a personality disorder. There is no evidence to support having younger siblings in high school increases the risk for substance abuse.

Answer to Question 2

Correct Answer: 1, 2, 3

These screening tools provide a nonjudgmental, brief, and easy method to determine patterns of substance abuse behaviors. The Clinical Institute Withdrawal Assessment of Alcohol, Revised and the Clinical Opiate Withdrawal Scale are assessment tools for withdrawal from alcohol and drugs and can indicate the need for pharmacologic treatment to manage withdrawal.