The nurse is receiving report on a patient who will be ...

[TFauchery]

The nurse is receiving report on a patient who will be transferred to the inpatient substance abuse treatment facility to be treated for heroin addiction. Prior to the patient's admission, what must occur?
 
  1. The patient must be at least 48 hours from last use of substances of dependence.
  2. The patient must be completely detoxified from substances of use and dependence.
  3. The patient must sign an advance directive.
  4. The patient must sign a nurse-patient contract.

Question 2

The nurse is performing a mental status examination when caring for a patient with a neurocognitive disorder (NCD). The patient's spouse asks why a mental status examination is necessary. How will the nurse respond?
 
  1. The mental status exam is the only way to assess the cognitive decline of a patient with early stage Alzheimer disease.
  2. The mental status exam is used to assess depression in a patient with early stage Alzheimer disease.
  3. The mental status exam will reveal slow and progressive cognitive decline of a patient with early stage Alzheimer disease.
  4. The status exam will reveal rapid and dramatic changes in cognition of a patient with early stage Alzheimer disease.

[mcarey591]

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.

[TFauchery]

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[mcarey591]

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