Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)
Psychiatric Nursing
Easy
CAGE questionnaire is used for which of the following behavioral disorders?
Appeared in: Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)
Explanation
- The CAGE questionnaire is a widely used, four-question screening tool specifically designed to identify potential problems with alcohol.
- It is a simple, non-confrontational method used in various healthcare settings to quickly assess for significant alcoholism.
- The acronym CAGE helps healthcare providers remember the key questions related to Cutting down, Annoyance by criticism, Guilt, and Eye-openers (morning drinks).
- A score of 2 or more positive answers is a strong indicator of a potential alcohol use disorder and warrants further investigation.
Why Other Options Were Wrong
- Option B: The CAGE questionnaire is specific to alcohol use. While heroin is a substance of abuse, it is not what the standard CAGE tool screens for.
- Option C: The CAGE tool is designed for alcohol screening, not opioids.
- Option D: Naloxone is not a substance of abuse; it is a medication used to reverse an opioid overdose. There is no screening questionnaire for naloxone use.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Application of the CAGE questionnaire in behavioral health screening as background academic context rather than a clinical decision trigger.
- Nurses frequently use the CAGE questionnaire as a quick, preliminary screening tool during patient admission or routine check-ups to identify at-risk individuals who may need further assessment for alcohol use disorder.
- A positive CAGE screen (two or more 'yes' answers) is a strong indicator for further investigation; it does not diagnose alcoholism but signals the need for a more in-depth assessment.
- What if? If a patient screens positive on the CAGE test but denies having a problem, the nurse's next step is not to confront but to express concern, provide feedback on the health risks of their reported alcohol consumption, and explore the patient's readiness for change using motivational interviewing techniques.
How to Approach the Question
- First, identify the core subject of the question, which is the 'CAGE questionnaire'.
- Recall or deduce the purpose of this specific screening tool. The mnemonic 'CAGE' itself is a clue related to common experiences with problem drinking.
- Evaluate the options provided, which are different types of substance screening.
- Connect the CAGE tool to its well-known application. It is one of the most famous and simple screening tools for alcohol use.
- Eliminate the other options. Heroin and opioids are drugs, not alcohol, and are screened with different tools. Naloxone is a reversal agent, not a substance of abuse, making those options incorrect.
Concept Tested & Keywords
- Concept Tested: Application of the CAGE questionnaire in behavioral health screening.
- Stem keywords: CAGE questionnaire, behavioral disorders
- Lead-in keywords: used for
Question ID
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Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 3618-3620
E6 Pharmacology Nursing Lilley 11e Part 1 pp. 305-307, 304-306
Practise the full Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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