Author Question: A nurse assessing a patient with a substance use disorder decides to use a standardized rating ... (Read 29 times)

kamilo84 · **on:** Jul 19, 2018

A nurse assessing a patient with a substance use disorder decides to use a standardized rating scale. Which scale(s) are appropriate? More than one answer is correct.

a. Addiction Severity Index (ASI)
b. Brief Drug Abuse Screen Test (B-DAST)
c. Abnormal Involuntary Movement Scale (AIMS)
d. Cognitive Capacity Screening Examination (CCSE)
e. Recovery Attitude and Treatment Evaluator (RAATE)

Question 2

A nurse works with an adolescent who is moody and withdrawn because the teen's parents are divorcing. Establishing a therapeutic alliance is a priority because:

a. focusing on the strengths of an individual increases the individual's self-esteem.
b. the adolescent should express feelings and not keep them internalized.
c. acceptance and trust convey feelings of security to the adolescent.
d. therapeutic activities provide an outlet for tension.

djpooyouma · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A, B, E
Standardized scales are useful for obtaining data about substance use disorders. The Addiction Severity Index (ASI), Brief Drug Abuse Screen Test (B-DAST), and Recovery Attitude and Treatment Evaluator (RAATE) are scales related to substance abuse. Abnormal Involuntary Movement Scale (AIMS) assesses involuntary movements associated with antipsychotic medications. The Cognitive Capacity Screening Examination (CCSE) assesses cognitive function.

Answer to Question 2

C
Trust is frequently an issue because the child or adolescent may never have had a trusting relationship with an adult. In this patient's situation, the trust she once had in her parents has been shattered, robbing her of feelings of security. Only the key relates to the therapeutic alliance.