TEACH FOR NURSES LESSON PLAN
Chapter 6: Substance Use Assessment
CHAPTER OBJECTIVES
1. Identify current statistics related to alcohol use and abuse.
2. Identify risk factors associated with increased alcohol use.
STUDENT RESOURCES
understand
• Textbook Chapter 6
• Sherpath for Medical-Surgical Nursing*
• Animations (Evolve website)
• Answer Keys: Study Guide & Lab Manual
• Audio glossary (Evolve)
apply
• Case Studies (Evolve)
• Elsevier Adaptive Quizzing*
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synthesize
• SimChart*
• Simulation Learning System*
INSTRUCTOR RESOURCES
before class
• Nursing Curriculum Standards (below)
in class
• PowerPoint Presentations (Evolve)
* Sold separately from textbook.
TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
ALCOHOL USE AND ABUSE
DEFINING ILLICIT DRUG
USE
Show a chart with the
percentage of people who
drink, the amount they
drink and a list of the
medical complications.
• Activity: Discuss “red flags” of substance abuse that can be assessed by the nurse during the social
history assessment.
• Activity: Assign students to groups of four and have them research one type of substance that
currently is being abused by adolescents. Have them present their findings in class or at a
postconference clinical.
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
Adolescents
Screening Aging Adults
OBJECTIVE DATA
class about the current
trends in adolescent
substance use and abuse.
Consider the 4P’s Plus
questionnaire for women.
List the factors that can
increase the risks of
alcohol use in older adults;
explain why these factors
are so difficult to detect.
caused many problems for the individual and family. Learners can use the CAGE assessment tool to
determine the level of abuse.
• Online Activity: Ask students to identify patient teaching websites that would be useful for patients
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
questionnaire.
IN-CLASS/ONLINE CASE STUDY
The emergency department nurse is assessing a 38-year-old man who was in a motor vehicle accident. The patient was an unrestrained driver of
the vehicle. The vehicle was traveling approximately 42 mph Upon impact, the driver collided with the windshield and sustained a head injury.
The patient is now stable, complaining of pain 9/10 in the head, neck, and shoulder region. Neurologic status: cranial nerves 2-12 intact; patient
is awake, alert, and oriented; computed tomography scan was negative for hematoma or hemorrhage. Vital signs: T 97.5, P 68, R 16, BP 130/70.
The patient is asking the nurse for pain medication; however, the nurse smells alcohol on the patient’s breath. Toxicology reports are pending.
1. Based on the information presented, what subjective data will assist the nurse in making a decision to treat this patient’s pain?
2. The nurse is teaching the patient about the standard amount of alcohol in various beverages. How would the nurse explain a standard drink in
the United States?
3. The laboratory findings showed evidence of chronic alcohol abuse. What risk factors are associated with this patient’s alcohol use?
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4. What interventions should the nurse incorporate into the plan of care for this patient?
NURSING CURRICULUM STANDARDS
QSEN/NLN COMPETENCIES
• Patient-Centered Care/Human Flourishing
o Screening Aging Adults
o Table 6.4: Short Michigan Alcoholism Screening Test—Geriatric Version (SMAST–G)
NURSING CONCEPTS
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The following conceptual themes and specific concepts match those presented in Giddens, J. F. (2017). Concepts for nursing practice (2nd ed.).
St. Louis: Elsevier. The specific exemplars chosen and listed below for each concept have been tailored specifically to correspond to the Jarvis
textbook.
A full Concept-Based Curriculum Map covering the entire book can be found in the “Download by Resource Type” folder on Evolve.
THEME: Mood and Cognition
• Concept: Cognition
o Exemplar: The Aging Adult
THEME: Maladaptive Behavior
• Concept: Addiction
BSN ESSENTIALS
• Essential IV: Information Management and Application of Patient Care Technology
o Subjective Data, p. 92
• Essential VII: Clinical Prevention and Population Health
o Defining Illicit Drug Use
ANSWERS TO QUESTIONS IN THE STUDY GUIDE
Note: Answers to these questions can be found on Evolve site. Click here.