Health Assessment 8TH Edition by Janet R. Weber Exam 3 University of St Thomas. Chapter 6, 23, 24, and 25 Test Bank

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Sample questions from Health Assessment 8TH Edition by Janet R. Weber Exam 3 University of St Thomas. Chapter 6, 23, 24, and 25 Test Bank

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.During a community clinic visit, a client says, "I drink most evenings, but I can stop whenever I want." Which opening question best supports a nonjudgmental substance-use history?

   • A.You know drinking every night is dangerous, don't you?
   • B.How many drinks do you have on a typical day, and how often do you drink?
   • C.Why haven't you stopped drinking?
   • D.Your family is probably worried about your drinking, correct?

   Rationale: Asking about amount and frequency in neutral language invites specific information without presuming a problem. The other questions are judgmental, leading, or assume the client's family response. A positive or concerning history warrants further assessment, not an immediate label.

2. 2.Which statement best describes the meaning of a positive CAGE-AID screen?

   • A.It establishes the client's level of intoxication.
   • B.It confirms a substance use disorder.
   • C.It indicates that diagnostic assessment may be warranted.
   • D.It predicts that withdrawal will occur.

   Rationale: CAGE-AID is a screening tool that identifies concerns meriting further assessment; it does not diagnose a disorder or establish current intoxication. Withdrawal risk depends on the pattern, substance, timing, and clinical findings. Screening results should be interpreted in context and followed by a fuller history when indicated.

3. 3.During an outpatient visit, which questions are appropriate when obtaining a substance-use history? Select all that apply.

   • A.When was the last time you used the substance?
   • B.You are not using drugs while pregnant, are you?
   • C.Have you ever tried to cut down or stop?
   • D.How much do you use, and how often?
   • E.What substances, including alcohol and nonprescription drugs, do you use?

   Rationale: Asking what, how much, how often, last use, and attempts to cut down helps characterize use without judgment. Asking about alcohol, tobacco, prescription medicines, and other drugs supports a complete history. The final option is leading and can discourage honest disclosure; ask neutrally instead.

4. 4.At a primary care appointment, a client's AUDIT score is above the recommended screening threshold. What is the best interpretation?

   • A.The client needs additional assessment of drinking and related risks.
   • B.The client has alcohol use disorder.
   • C.The client is currently intoxicated.
   • D.The score shows that alcohol has caused organ damage.

   Answer and rationale are in the full material.

5. 5.In an emergency department, a client who reports daily heavy alcohol use has hand tremors, sweating, and anxiety 10 hours after the last drink. Which interpretation is most appropriate?

   • A.These findings confirm alcohol intoxication.
   • B.The findings rule out physiologic dependence.
   • C.The client is showing an expected effect of caffeine only.
   • D.These findings may represent early alcohol withdrawal.

   Answer and rationale are in the full material.