Gladys is a 68-year-old widow admitted voluntarily to the inpatient mental health unit two days ago for depression with thoughts of committing suicide by carbon monoxide poisoning. Gladys was sent for hospitalization after a routine visit with her primary care physician because she expressed thoughts of suicide. She denied abuse of alcohol or other substances on admission. She had a blood alcohol level of 0.07 on admission. Although there is no release of information for her son, he did phone into the unit with the following statement. “I know my mother Gladys Thompson is there. I have some information that you need to know about her. She has been abusing alcohol and I am concerned about the amount she has been drinking.” Gladys has been placed on routine suicide precautions. She denies current suicidal ideation and states, “I might have had too much to drink on the day I was feeling that way. I just wanted to go to sleep and not wake up.” 1. Describe the symptoms and characteristics displayed by Gladys that demonstrate alcohol withdrawal and give examples. List one correctly written nursing diagnosis for alcohol withdrawal and the priority intervention that pertains to the diagnosis. How can alcohol withdrawal be predicted and prevented? Review the pharmacological approach to alcohol withdrawal and alcohol abstinence. What teaching would the nurse do for disulfiram? The role that alcohol or other substances has played (or plays) in the life of the nurse most certainly will affect the way in which he or she interacts with a client who has a substance use disorder. Evaluate your own feelings, attitudes, and response to the problem of alcohol addiction. What did I learn from my parents about drinking? Have my attitudes changed as an adult? What are my feelings about people who become intoxicated? Does it seem more acceptable for some individuals than for others? Do I ever use terms such as “sot,” “drunk,” or “boozer” to describe some individuals who overindulge, yet I overlook it in others? Do I ever overindulge myself? Has the use of alcohol (by me or others) affected my life in any way? Do I see alcohol/drug abuse as a sign of weakness? A moral problem? An illness?
[Answered]: Gladys is a 68-year-old widow admitted…
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