This topic contains a solution. Click here to go to the answer

Author Question: A patient admitted with shortness of breath and chest pain who is a pack-a-day smoker tells the ... (Read 142 times)

silviawilliams41

  • Hero Member
  • *****
  • Posts: 560
A patient admitted with shortness of breath and chest pain who is a pack-a-day smoker tells the nurse, I am just not ready to quit smoking yet. Which response by the nurse is best?
 
  a. This would be a really good time to quit.
  b. Your smoking is the cause of your chest pain.
  c. What health problems do you think smoking has caused?
  d. Are you familiar with the various nicotine replacement options?

Question 2

A 75-year-old patient is admitted for pancreatitis. Which tool would be the most appropriate for the nurse to use during the admission assessment?
 
  a. Drug Abuse Screening Test (DAST-10)
  b. Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar)
  c. Screening Test-Geriatric Version (SMAST-G)
  d. Mini-Mental State Examination



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

scrocafella

  • Sr. Member
  • ****
  • Posts: 346
Answer to Question 1

ANS: C
The patient is in the precontemplation stage of change, and the nurse's role is to assist the patient to become motivated to quit. The current Clinical Practice Guidelines indicate that the nurse should ask the patient to identify any negative consequences from smoking. The responses This would be a really good time to quit and Your smoking is the cause of your chest pain express judgmental feelings by the nurse and are not likely to motivate the patient. Providing information about the various nicotine replacement options would be appropriate for a patient who has expressed a desire to quit smoking.

Answer to Question 2

ANS: C
Because the abuse of alcohol is a common factor associated with the development of pancreatitis, the first assessment step is to screen for alcohol use using a validated screening questionnaire. The SMAST-G is a short-form alcoholism screening instrument tailored specifically to the needs of the older adult. If the patient scores positively on the SMAST-G, then the CIWA-Ar would be a useful tool for determining treatment. The DAST-10 provides more general information regarding substance use. The Mini-Mental State Examination is used to screen for cognitive impairment.




silviawilliams41

  • Member
  • Posts: 560
Reply 2 on: Jun 25, 2018
YES! Correct, THANKS for helping me on my review


kswal303

  • Member
  • Posts: 316
Reply 3 on: Yesterday
Great answer, keep it coming :)

 

Did you know?

When Gabriel Fahrenheit invented the first mercury thermometer, he called "zero degrees" the lowest temperature he was able to attain with a mixture of ice and salt. For the upper point of his scale, he used 96°, which he measured as normal human body temperature (we know it to be 98.6° today because of more accurate thermometers).

Did you know?

Congestive heart failure is a serious disorder that carries a reduced life expectancy. Heart failure is usually a chronic illness, and it may worsen with infection or other physical stressors.

Did you know?

It is believed that humans initially contracted crabs from gorillas about 3 million years ago from either sleeping in gorilla nests or eating the apes.

Did you know?

ACTH levels are normally highest in the early morning (between 6 and 8 A.M.) and lowest in the evening (between 6 and 11 P.M.). Therefore, a doctor who suspects abnormal levels looks for low ACTH in the morning and high ACTH in the evening.

Did you know?

Inotropic therapy does not have a role in the treatment of most heart failure patients. These drugs can make patients feel and function better but usually do not lengthen the predicted length of their lives.

For a complete list of videos, visit our video library