A patient with a history of heavy alcohol use is diagnosed with ...

[Lisaclaire]

A patient with a history of heavy alcohol use is diagnosed with acute gastritis. Which statement by the patient indicates a willingness to stop alcohol use?
 
  a. I am older and wiser now, and I think I can change my drinking behavior.
  b. Alcohol has never bothered my stomach before. I think I likely have the flu.
  c. My drinking is affecting my stomach, but some drugs will help me feel better.
  d. People say that I drink too much, but I really feel pretty good most of the time.

Question 2

A patient who is admitted to the hospital for wound debridement admits to using fentanyl (Sublimaze) illegally. What finding does the nurse expect?
 
  a. Nausea and diarrhea
  b. Tremors and seizures
  c. Lethargy and disorientation
  d. Delusions and hallucinations

[kilada]

Answer to Question 1

ANS: A
The statement I am older and wiser now, and I know I can change my drinking behavior indicates the patient expresses willingness to stop alcohol use and an initial commitment to changing alcohol intake behaviors. In the remaining statements, the patient recognizes that alcohol use is the reason for the gastritis but is not yet willing to make a change.

Answer to Question 2

ANS: A
Symptoms of opioid withdrawal include gastrointestinal symptoms such as nausea, vomiting, and diarrhea. The other symptoms are seen during withdrawal from other substances such as alcohol, sedative-hypnotics, or stimulants.