Some of the nurses in a large, suburban emergency department are exasperated to see that a well-known client with a dual diagnosis has again been brought by ambulance for treatment
Which of the following factors is known to make assessment of clients with dual diagnoses difficult?
A) Clients with dual diagnoses are typically of lower intelligence.
B) Clients with dual diagnoses are often poor historians.
C) Clients with dual diagnoses commonly have overbearing family members.
D) Clients with dual diagnoses frequently have developmental disabilities.
Ans: B
Clients with dual diagnoses are often poor historians, a fact that makes assessment difficult. While they have psychiatric diagnoses, this does not mean that they are of lower intelligence, and developmental disabilities are not among the most common psychiatric diagnoses for this group. They are often isolated, rather than having overbearing family members.
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a. embraces "cook book medicine" and rejects professional autonomy. b. uses a language that is difficult to interpret by legislators. c. is able to communicate with other nurses but not other disciplines. d. facilitates communication of patient needs and promotes accountability.
The nurse reviews the American Nurses Association's Code of Ethics for Nurses. Which of the following is included in this code?
1. Care is provided with compassion and respect. 2. Primary commitment is to the client. 3. Strive to protect the health, safety, and rights of the client. 4. Delegation is not an option. 5. Client needs supercede those of the nurse. 6. Collaboration with other health care professionals is expected.
An otoscope is used to examine the:
a. Nose b. External ear and eardrum c. Eyes d. Mouth, teeth, and throat
A client is to be admitted to a local healthcare facility for protective isolation. What should the nurse make sure is outside the client's room before initiating care?
A) Wash basin B) Soap dish C) Personal protective equipment D) Urinal