A nurse is screening a group of clients for potential mental health conditions

A nurse is screening a group of clients for potential mental health conditions. Which of the following questions should the nurse ask to determine a client’s risk for alcohol use disorder?

A.
“Did you experience any childhood trauma?”

B.
“Are you the result of a twin birth?”

C.
“Have you ever purposefully lost a job?”

D.
“Did your parent have a viral infection while pregnant with you?”

The correct answer and Explanation is :

The correct answer is:

C. “Have you ever purposefully lost a job?”

Explanation

When screening for potential alcohol use disorder (AUD), the nurse should focus on questions that can reveal patterns or behaviors associated with substance abuse. Among the options provided, asking “Have you ever purposefully lost a job?” is the most relevant for assessing risk for AUD.

Alcohol use disorder often impacts various areas of a person’s life, including employment. Individuals with AUD may have difficulties maintaining employment due to absenteeism, poor performance, or behavior issues linked to their drinking habits. By asking if the client has ever purposefully lost a job, the nurse can uncover signs of potential alcohol-related problems, such as intentional job loss as a result of alcohol consumption or related issues.

The other options are less directly related to AUD:

  • A. “Did you experience any childhood trauma?” While childhood trauma can be a risk factor for various mental health conditions, including substance use disorders, it is not a direct indicator of AUD. Trauma may contribute to the development of AUD, but it does not specifically assess current alcohol use or misuse.
  • B. “Are you the result of a twin birth?” This question is not relevant to the screening for alcohol use disorder. Being a twin does not have a direct relationship with the likelihood of developing AUD.
  • D. “Did your parent have a viral infection while pregnant with you?” This question pertains to prenatal factors that could affect health but does not directly relate to current alcohol use or the risk of developing AUD.

In summary, option C is the most appropriate question for assessing potential alcohol use disorder because it targets behavior that may be directly influenced by problematic drinking.

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