This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A nurse documents: Patient is mute, despite repeated efforts to elicit speech. Makes no eye contact. ... (Read 50 times)

Jramos095

  • Hero Member
  • *****
  • Posts: 528
on: Jul 19, 2018
A nurse documents: Patient is mute, despite repeated efforts to elicit speech. Makes no eye contact. Is inattentive to staff. Gazes off to the side or looks upward rather than at the speaker. Which nursing diagnosis should be considered?
 
  a. Defensive coping
  b. Decisional conflict
  c. Risk for other-directed violence
  d. Impaired verbal communication

Question 2

A nurse performing an assessment interview for a patient with a substance use disorder decides to use a standardized rating scale. Which scales are appropriate? Select all that apply.
 
  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)


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

aloop

  • Sr. Member
  • ****
  • Posts: 315
Reply #1 on: Jul 19, 2018
Answer to Question 1

ANS: D
The defining characteristics are more related to the nursing diagnosis of Impaired verbal communication than to the other nursing diagnoses.

Answer to Question 2

ANS: A, B, E
Standardized scales are useful for obtaining data concerning substance use disorders. The ASI, B-DAST, and RAATE are scales related to substance abuse. The AIMS assesses involuntary movements associated with antipsychotic medications. The CCSE assesses cognitive function.


Jramos095

  • Member
  • Posts: 528
Reply 2 on: Jul 19, 2018
Excellent

kilada

  • Member
  • Posts: 311
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

Your chance of developing a kidney stone is 1 in 10. In recent years, approximately 3.7 million people in the United States were diagnosed with a kidney disease.

Did you know?

Stevens-Johnson syndrome and Toxic Epidermal Necrolysis syndrome are life-threatening reactions that can result in death. Complications include permanent blindness, dry-eye syndrome, lung damage, photophobia, asthma, chronic obstructive pulmonary disease, permanent loss of nail beds, scarring of mucous membranes, arthritis, and chronic fatigue syndrome. Many patients' pores scar shut, causing them to retain heat.

Did you know?

Human stomach acid is strong enough to dissolve small pieces of metal such as razor blades or staples.

Did you know?

The most common treatment options for addiction include psychotherapy, support groups, and individual counseling.

Did you know?

Bisphosphonates were first developed in the nineteenth century. They were first investigated for use in disorders of bone metabolism in the 1960s. They are now used clinically for the treatment of osteoporosis, Paget's disease, bone metastasis, multiple myeloma, and other conditions that feature bone fragility.

During confrontations with others, the mane makes the lion look larger. During confrontations with others, the mane makes the lion look larger.
Critical thinking involves analysis in which the nurse examines patient data available from a variet Critical thinking involves analysis in which the nurse examines patient data available from a variet
Responsibilities of the nurse manager Responsibilities of the nurse manager
"Practice makes perfect" "Practice makes perfect"
Video: Bipolar Disorder

For a complete list of videos, visit our video library