Which of the following best describes why clients with dual diagnoses are difficult to diagnose?
A) Nonhomogeneous, poor historians, and noncompliant
B) Homogeneous group with good supports, but lack of finances
C) Low social supports and self-esteem
D) Lack of financial resources and social supports and poor historians
Ans: A
Clients with a dual diagnosis are difficult to assess because they are not a homogenous group. In addition, clients often are poor historians and noncompliant during the assessment process. They may present for assessment on a voluntary basis because they desire help, they may be adjudicated by the court system to be evaluated prior to sentencing for a crime, or they may be referred by another health care professional to rule out the presence of a comorbid psychiatric disorder.
You might also like to view...
An infant born to a diabetic mother should be closely monitored for the presence of what condition?
a. Hyperglycemia b. Hypercalcemia c. Hypoglycemia d. Cardiac abnormalities
A health care provider is evaluating the results of hematologic studies for a patient with cancer receiving busulfan (Myleran). Which of the following laboratory results would indicate that the patient is tolerating the drug?
a. Absolute neutrophil count (ANC) of 4500/mm3 b. Platelet count of 40,000/mm3 c. Blood urea nitrogen (BUN) of 18 mg/dL d. Hematocrit of 28 mg/dL
The nurse dresses the surgical incision on the client's elbow. Which is the best method of applying a bandage for the nurse to use with this client?
1. Spiral 2. Circular 3. Recurrent 4. Figure eight
The nurse manager is evaluating the use of evidence-based practice guidelines to guide care on a patient care area. Which observation indicates that these guidelines are being used appropriately?
A. Guidelines are accessed through the clinical documentation system by nurses prior to writing patient care plans. B. A guideline is placed in the Kardex to support the use of a nursing diagnosis for a patient's health problem. C. Guidelines are posted on the staff bulletin board in the break room. D. A guideline was referenced prior to implementing skin care interventions for a patient prone to pressure ulcer formation. E. A guideline was quoted in a narrative note in a patient's medical record.