What should a nurse do first when a client expresses a concern about alcohol use?

When a client expresses a concern about their alcohol use, the most appropriate initial action is to ask the client to complete a CAGE questionnaire. This tool is designed to screen for potential alcohol use disorders and helps to assess the severity of the client’s drinking habits. The CAGE questionnaire consists of four straightforward questions that can provide insight into the client's relationship with alcohol, making it a practical first step in determining the need for further intervention.

By using a structured screening tool, the nurse can gather specific information that is critical in understanding the extent of the problem. The results of this assessment can guide subsequent conversations and interventions, whether it leads to referrals, educational discussions, or further evaluation of the client's needs. Engaging the client in this way also promotes their involvement in the assessment process, helping to facilitate an open and honest dialogue about their alcohol use.

While referring the client to a support group, encouraging therapy sessions, or discussing risks are all important components of a comprehensive approach to addressing alcohol use, they are more effective once there is a clearer understanding of the client’s situation based on the initial screening. The CAGE questionnaire serves as a foundational step in this process.