Critical-Thinking Questions about Case Studies
1
.
Refer to Substance Misuse: Part 1
.
The client identified some personal strengths of her faith, spouse, and child as reasons for living. What is one nursing strategy to assist the client to utilize these strengths now?
2
.
Refer to Substance Misuse: Part 1
.
What do you think the prescriber’s rationale was for ordering folic acid and vitamin B12 for this client?
3
.
Refer to Substance Misuse: Part 1
.
Which statement by a client demonstrates an accurate understanding of the nurse’s use of the CIWA scale?
- “It’s to see when I am ready to go home.”
- “It’s to find out if I really drink too much.”
- “It’s so the social worker can decide if this is all my fault.”
- “It’s to know where I am in the withdrawal process.”
4
.
Refer to Substance Misuse: Part 1
.
The nurse recognizes the greatest risk related to which of the client’s vital signs elevations?
- oxygen saturation
- blood pressure
- temperature
- respirations
5
.
Refer to Substance Misuse: Part 2
.
Based on the recognized cues, the nurse determines the client has symptoms that could indicate moderate withdrawal. Designate which condition the cue is associated with.
Cue | ETOH Withdrawal | Anxiety |
Anxiety | ||
Tremors | ||
Sweating | ||
Headache | ||
Restlessness | ||
Altered vitals |
6
.
Refer to Substance Misuse: Part 2
.
The client is anxious, pacing, and difficult to redirect. From prior learning about nursing interventions for anxiety, what could improve the client’s experience?
7
.
Refer to Substance Misuse: Part 3
.
Identify something you learned about nursing evaluation in care of this client.
8
.
Refer to Substance Misuse: Part 3
.
In what ways were you able to integrate learning from this chapter to process this case study?
9
.
Refer to Substance Misuse: Part 3
.
When assessing a client in alcohol withdrawal, what does the nurse expect to find?
- elevated vital signs
- cyanosis
- bradypnea
- drowsiness