You find out that your schizophrenic patient is also using opioids to counteract the frightening hallucinations. What term(s) is used to describe this? (Select all that apply)
A.
Dual diagnosis
B.
Bipolar schizophrenia
C.
Co-occurring disorder
D.
Opioid-related schizophrenia
E.
Schizophrenia: Addiction type
ANS: A, C
Dual diagnosis, also known as co-occurring disorder, is very common in people with psychiatric disorders who self-medicate for uncomfortable symptoms.
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An adolescent has just returned from surgery after spinal fusion surgery. Which assessment finding would take priority at this time?
1. Sleeps when not bothered but arouses easily with stimuli 2. Impaired color, sensitivity, and movement to lower extremities 3. Nausea 4. Pain
In which phase of drinking behavior of an alcoholic would you notice impaired reality testing and emotional disorganization?
a. prealcoholic b. early alcoholic c. true alcoholic d. chronic alcoholic
A client asks, "Why do I have to go to group and sit around and talk? I'd rather read." The nurse can base a reply on knowledge that the purpose of group psychotherapy for clients with paraphil-ias is to deal with cognitive distortions and to:
1. Assist clients in identifying triggers that may affect their behavior 2. Teach clients how to therapeutically interact with others 3. Explain legal implications involved with certain sexual behaviors 4. Explore methods to structure time to assist in relapse prevention
A patient is diagnosed with priapism. What should the nurse include in the plan of care for this patient? Select all that apply.
A. Assess the penis to include color changes and degree of erection. B. Push oral fluids. C. Administer iced saline enemas as prescribed. D. Administer analgesics as prescribed for pain. E. Palpate the penis for firmness and rigidity.