Police bring a patient to the emergency department after an ...

[kshipps]

Police bring a patient to the emergency department after an automobile accident. The patient is ataxic and has slurred speech and mild confusion. The blood alcohol level is 0.4 mg.
 
  Considering the relationship between the behavior and blood alcohol level, which conclusion is most probable? The patient: a. rarely drinks alcohol.
  b. has a high tolerance to alcohol.
  c. has been treated with disulfiram (Antabuse).
  d. has ingested both alcohol and sedative drugs recently.

Question 2

A patient cries as the nurse explores the patient's relationship with a deceased parent and says, I shouldn't be crying like this. It happened a long time ago.
 
   Which response(s) by the nurse will facilitate communication? (Select all that apply.) a. Why do you think you are so upset?
  b. I can see that you feel sad about this situation.
  c. The loss of your parent is very painful for you.
  d. Crying is a way of expressing the hurt you're experiencing.
  e. Let's talk about something else, since this subject is upsetting you.

[fatboyy09]

Answer to Question 1

B
A nontolerant drinker would be in coma with a blood alcohol level of 0.40 mg. The fact that the patient is moving and talking shows a discrepancy between blood alcohol level and expected behavior and strongly indicates that the patient's body is tolerant. If disulfiram and alcohol are ingested together, an entirely different clinical picture would result. The blood alcohol level gives no information about ingestion of other drugs.

Answer to Question 2

B, C, D
Reflecting and giving information are therapeutic techniques. Why questions often imply criticism or seem intrusive or judgmental. They are difficult to answer. Changing the subject is a barrier to communication.

[kshipps]

TY

[fatboyy09]

Happy to Help