Chapter 19 What Would You Do: Critical Thinking Case Studies
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
7. Refer to Substance Misuse: Part 3
8. Refer to Substance Misuse: Part 3
