ATI RN
ATI N200 Mental Health Exam 2 Questions
Extract:
Question 1 of 5
The nurse believes that a client being admitted for a surgical procedure may have a drinking problem. Which screening tool should the nurse use to further evaluate this possibility?
Correct Answer: A
Rationale: The correct answer is A: The CAGE Questionnaire. The CAGE Questionnaire is a well-established screening tool specifically designed to assess alcohol misuse. The questionnaire consists of four simple questions that can quickly identify individuals who may have an alcohol use disorder. By using this tool, the nurse can gather crucial information about the client's drinking habits and assess the likelihood of a drinking problem.
Summary of why the other choices are incorrect:
B: The Abnormal Involuntary Movement Scale is used to assess movement disorders such as tardive dyskinesia, not alcohol use disorder.
C: The Clinical Institute Withdrawal Assessment Scale is used to assess alcohol withdrawal symptoms in individuals already known to have alcohol dependence, not for initial screening.
D: Referring the client for physician evaluation is important but does not provide a specific screening tool to assess alcohol use disorder directly.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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