A nurse receives blood test results that indicate that a ...

[asd123]

A nurse receives blood test results that indicate that a 14-year-old client has been using cannabis. Based on knowledge of factors that affect rate of cannabis use among youth, which would be the most effective strategy to discourage this behavior?
 
  A) Explain the risks associated with cannabis use
  B) Remind the client that it is still illegal in your state
  C) Refer the client for counseling
  D) Share about your own experience with drug use

Question 2

The nurse screens a woman who is 6 months pregnant for alcohol use. Which screening instrument should be used?
 
  A) AUDIT-C
  B) CAGE
  C) SMAST-G
  D) T-ACE

[rekilledagain]

Answer to Question 1

Ans: A
Feedback:
Past-month cannabis use was 10 times higher in youth who perceived there was moderate, slight, or no risk, compared with their peers who perceived great risk. Thus, explaining the risks of use might dissuade future use. The client likely already knows that it is illegal in his state. Although referring the client to counseling might be appropriate, if he is unaware of the risks associated with cannabis use, he will likely not bother to pursue it. Sharing about your own experience with drug use would not be appropriate in the context of your role as a nurse.

Answer to Question 2

Ans: D
Feedback:
The T-ACE screening instrument has been validated for use with women who are pregnant. All adults in primary care should be routinely screened for alcohol use with the AUDIT-C or CAGE questionnaire. The AUDIT-C, CAGE, and SMAST-G screening instruments are available in a pocket-sized brochure to facilitate use in all primary care settings.