A patient comes to an outpatient appointment obviously ...

[folubunmi]

A patient comes to an outpatient appointment obviously intoxicated. The nurse should:
 
  a. explore the patient's reasons for drinking today.
  b. arrange admission to an inpatient psychiatric unit.
  c. coordinate emergency admission to a detoxification unit.
  d. tell the patient, We cannot see you today because you've been drinking.

Question 2

During the third week of treatment, the spouse of a patient in an alcoholism rehabilitation program says, After discharge, I'm sure everything will be just fine. Which remark by the nurse will be most helpful to the spouse?
 
  a. It is good that you're supportive of your spouse's sobriety and want to help maintain it.
  b. Although sobriety solves some problems, new ones may emerge as one adjusts to living without alcohol.
  c. It will be important for you to structure life to avoid as much stress as possible. You will need to provide social protection.
  d. Remember that alcoholism is a disease of self-destruction. You will need to observe your spouse's behavior carefully.

[mmpiza]

Answer to Question 1

ANS: D
One cannot conduct meaningful therapy with an intoxicated patient. The patient should be taken home to recover and then make another appointment.

Answer to Question 2

ANS: B
During recovery, patients identify and use alternative coping mechanisms to reduce their reliance on alcohol. Physical adaptations must occur. Emotional responses, formerly dulled by alcohol, are now fully experienced and may cause considerable anxiety. These changes inevitably have an effect on the spouse and children, who should be given anticipatory guidance and accurate information.