A nurse is reviewing recent assessments for four older adult clients in a primary care clinic. Based on the data provided, for which client would administering the Alcohol Use Disorders Identification Test (AUDIT) be the most clinically appropriate and evidence-based next step?
Explanation & Rationale
A. A 74-year-old woman experiencing increased falls, poor sleep, and who casually reports drinking 2-3 glasses of wine nightly to "wind down": Regular nightly alcohol use with functional consequences (falls, sleep disturbance) warrants AUDIT screening. B. A 77-year-old man experiencing grief after the loss of his spouse who asks about counseling options and states he drinks socially on holidays: Minimal alcohol use; grief counseling may be more appropriate than AUDIT screening. C. An 83-year-old woman with mild forgetfulness and well-controlled hypertension who denies alcohol use and presents for an annual wellness visit: No alcohol risk factors reported; AUDIT not needed at this visit. D. A 70-year-old man recovering from pneumonia who reports poor appetite, low energy, and recent medication nonadherence, but denies alcohol use: Symptoms likely due to recovery/other causes; alcohol screening is not indicated if use is denied and no risk factors are reported.