Health Assessment: alchohal abuse and partner violence

What is the most abused drug in the US

alcohol

DSM-5

Can help to determine alchohal abuse problems

Drug and alchohal screenings start at age

12

AUDIT

Determines less sever alchohal problems as well as alchohal abuse and dependence disorders

CAGE

Alchohal screening tool that asks questions such as how often to you use? Age?

TWEAK

questions help identify at risk drinking in women, especially when pregnant

LFT

liver function test

CBC

Can determine alcohol level in blood stream

Intoxication

Maladaptive behavioral changes due to effects on CNS from substance

Abuse

Daily or recurrent use that impairment and decreased functioning occurs leading to ongoing problems

Dependence

Physiological reliance

Tolerance

Requires more to get the desired effect

Withdrawal

Cessation of substance leads to physiological effects

A nurse is assessing a patient who's been abusing opiates for 4 years. The patient says "I can quick anytime I want" the nurse should interpret this statement as

The patient may be in denial of needing help or having a problem

A nurse is caring for a patient who's been in and out of ER for overdose 2 times this month. The nurse says "here we go again. I don't know why we bother with this guy" The nurse.....

Must find a way at to come to terms with the way he or she feels about these types of issues and work on ways to deal with them

Nurses are

Mandated reported for suspected abuse

The U.S. Preventative Services Task Force (USPSTF) for abuse.

All women of childbearing age should be screened

Screening tools for IPV

Open ended questions, privacy, follow up questions

A nurse is assessing a patient who's admits to being physically abused. The patient says " I wish I would have agreed with my husband because then I wouldn't have been hit" the nurse should respond by saying

It is not your fault that your husband lost control. Changing your actions will not prevent him from abusing you again

In elder adults abuse may be

Financial, material, physical, emotional, and sexual

Danger Assesmenrt (DA)

Assessing risk for homocide. The Morse yes answers the more serious danger the women is in