Answer to Question 1
Answer: 2
Explanation: Prior to the patient's admission to an inpatient substance abuse treatment facility, the patient must be completely detoxified from substances of use and dependence. The patient does not need to sign an advance directive or a nurse-patient contract prior to admission to the inpatient treatment facility.
Answer to Question 2
Answer: 3
Explanation: Psychological assessment of the individual with NCDs focuses on cognitive changes revealed through the mental status examination, as well as the resulting behavioral manifestations. In the patient with dementia, a mental status examination may not initially reveal a cognitive deficit, but will show a slow but progressive change if administered at given intervals over time. The mental status examination is not the only way to assess the cognitive decline of a patient with early stage Alzheimer disease; rather, the patient's family is often who notices the cognitive decline first. The nurse will often use the family member's assessment of the patient's cognition, and use this information to further assess the patient's mental state. Rapid and dramatic changes to a mental status exam, often indicates delirium, not dementia. Mental status examinations are not used to assess for depression.
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