The treatment team discusses the fact that a client diagnosed with paranoid schizophrenia and
cannabis abuse is experiencing increased hallucinations and delusions and has recently used
cannabis on a daily basis.
To plan effective treatment the team must
a. consider each diagnosis primary and provide simultaneous treatment.
b. first treat the schizophrenia, then establish goals for substance use treatment.
c. withdraw the client from cannabis, then treat the symptoms of schizophrenia.
d. hospitalize the client for the longest possible stay permitted by insurance.
A
Dual diagnoses clinical practice guidelines for both outpatient and inpatient settings suggest that the
substance disorder and the psychiatric disorder should both be considered primary and receive
simultaneous treatment. In addition, outcomes should be individualized to support progress in small
steps over a long period of time. Thus options B and C are ruled out as correct answers. Option D: In
today's health care climate, long hospitalizations are rarely allowed by insurers.
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A patient reports taking two 500-mg acetaminophen tablets "at least 3 or 4 times a day" to treat muscle pain in his back. What nursing assessment question is priority?
1. "Do you drink plenty of water when you take these pills?" 2. "What other medications do you take?" 3. "Have you had your back reassessed lately?" 4. "What other measures do you take to relieve your back pain?"
Which conditions or factors in a 64-year-old man diagnosed with head and neck cancer are most likely to have contributed to this health problem?
A. He quit school at age 16 and has worked in a butcher shop for over 40 years. B. He uses chewing tobacco and drinks beer daily. C. His father also had head and neck cancer. D. His hobby is oil painting.
Some workplace strategies that nurses can utilize to help prevent fatigue are listed below. Which is not necessarily correct?
a. Stay up 24 hours when you are switching from a day to night shift. b. Take an uninterrupted 15-minute break every four hours. c. Rotate shift work clockwise when possible: days, evening, nights. d. Share a ride home or use public transportation.
The nurse is assessing the knowledge of new parents with a child born with maple syrup urine disease (MSUD). This is an autosomal recessive inherited disorder, which means that:
a. Both genes of a pair must be abnormal for the disorder to be expressed. b. Only one copy of the abnormal gene is required for the disorder to be expressed. c. The disorder occurs in males and heterozygous females. d. The disorder is carried on the X chromosome.