[Verified Answer]: Read the scenario below both the initial…

Read the scenario below both the initial and unfolding. Complete the clinical judgment form attached to this file based on the scenario you have for this client. INITIAL CLINICAL SCENARIO The nurse is caring for Boyd, a 55-year-old male who has been misusing alcohol and substances intermittently for the past 20 years. For the past 5 months, Boyd has increased his use of both alcohol and substances. He states that he does not want to feel any pain since the loss of his spouse five months ago from a cancer diagnosis. In the past, Boyd has been admitted to rehabilitation centers for detox and counselling. Boyd states, “I can get this under control.” He is awake and alert and demonstrates hand tremors and balance issues. When friends have visited Boyd, he has introduced them as his party buddies. There have been no family visits. Discharge plans are to send to a long term intensive inpatient rehabilitation center for intensive substance abuse therapy. Vital Signs: BP 150/78, Temp 98.4deg F orally, HR 76, Resp. 16, O2 Sat 98% on room air Labs: Upon admission blood alcohol >300 mg/dl, Liver enzymes increased, albumin decreased. Orders: The provider has prescribed physical therapy (PT) and group therapy. UNFOLDING CLINICAL SCENARIO INFORMATION Boyd is being discharged to a long term intensive inpatient rehabilitation center for alcohol and substance abuse. Boyd states that he does not need this type of service. He is feeling much better now and can handle it on his own. Vital Signs: BP 140/70, Temp 98.2deg F, HR 72 RR 14, O2 Sat 99% on room air Labs: Blood alcohol 0 mg/dl, liver enzymes remain elevated, albumin slowly increasing.