7. An incomplete patient care report indicates: a. a need

34. A client is brought to the psychiatric clinic by family members, who tell the admitting nurse that the client repeatedly drives while intoxicated despite their pleas to stop. During an interview with the nurse, which statement by the client most strongly supports a diagnosis of psychoactive substance abuse? a. “I’m not addicted to alcohol. In fact, I can drink more than I used to without being affected.” b. “I only spend half of my paycheck at the bar.” c. “I just drink to relax after work.” d. “I know I’ve been arrested three times for drinking and driving, but the police are just trying to hassle me.” 35. A client with borderline personality disorder is admitted to the psychiatric unit. Initial nursing assessment reveals that the client’s wrists are scratched from a recent suicide attempt. Based on this finding, the nurse should formulate a nursing diagnosis of: a. Ineffective individual coping related to feelings of guilt. b. Situational low self-esteem related to feelings of loss of control. c. Risk for violence: Self-directed related to impulsive mutilating acts. d. Risk for violence: Directed toward others related to verbal threats.

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