Author Question: A patient tells the nurse that he becomes very angry and abusive to his friends and family when he ... (Read 119 times)

mynx · **on:** Jun 25, 2018

A patient tells the nurse that he becomes very angry and abusive to his friends and family when he is unable to obtain an illegal substance. How should the nurse respond to this patient?

1. Have you considered seeking treatment for this behavior?
2. You must not have many friends left.
3. Are you this argumentative when at work?
4. What does your family say about this?

Question 2

A patient is brought into the emergency department with a gunshot wound obtained while attempting to rob a convenience store. For which health problem should this patient be assessed?

1. drug and alcohol abuse
2. cardiovascular disease
3. respiratory disease
4. mental health disorder

Tabitha_2016 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1

The patient demonstrates anger and abusive behavior when unable to obtain an illegal substance. This information should indicate to the nurse that the patient has a substance abuse problem. The best response for the nurse to make is to ask the patient if he has considered seeking treatment for this behavior. The nurse should not comment on the patient's number of friends. Asking if the patient is argumentative at work could incite the patient's anger and abusiveness. Asking the patient about his family could incite the patient's anger.

Answer to Question 2

Correct Answer: 1

Because drug users are often rebellious against social norms and engage in risky behaviors such as stealing, the nurse should assess the patient for drug and alcohol abuse. Cardiovascular disease and respiratory disease are not usually manifested by engagement in risk-taking behavior. The patient may or may not have a mental health disorder. This type of disorder might be assessed while assessing for drug and alcohol abuse.