Which of the following persons is said to have a dual diagnosis?

a. The anorexic adolescent suffering from depression
b. The school-aged child suffering from a learning disorder and asthma
c. The older adult suffering from hypertension and diabetes
d. The young adult suffering from psychosis and smokes marijuana regularly


D
People with serious mental illness who also are addicted to or use chemicals are said to have a dual diagnosis. It is estimated as many as 75% of the mentally ill population has a dual diagnosis.

Nursing

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A patient is started on morphine via patient-controlled analgesia (PCA) to control persistent cancer pain. The nurse knows that to prevent central nervous system (CNS) depression the patient should do which of the following?

a. Monitor IV site for patency. b. Monitor the patient closely for the 15 minutes. c. Record baseline blood pressure and respiratory rates before the start of the medication. d. Give a small dose of naloxone prior to starting the morphine.

Nursing

Which is the best option for raising the white blood cell count in a cancer client who is at risk for congestive failure?

A) Granulocyte transfusion B) Packed red blood cells (PRBCs) C) Whole blood D) Injection of filgrastim (Neupogen)

Nursing

On inspection, the nurse finds the client's anteroposterior diameter of the chest to be the same as the lateral diameter. What other findings, those labeled with numbers ____________________,

would the nurse expect for this client? (Your answer should appear as numbers separated by commas and spaces [e.g., 1, 2, 3, 4].) 1. Inspiratory wheezing found on auscultation 2. Hyperresonance heard on percussion 3. Decreased breath sounds heard on auscultation 4. Deceased diaphragmatic excursion on percussion 5. A sharp, abrupt pain reported when client breathes deeply 6. Decreased to absent vibration on vocal fremitus

Nursing

A mother of three young children who has a 3-year history of myasthenia gravis has had to stop helping in the children's classrooms in the morning because of fatigue. What should the nurse say to help the patient best cope with the problem?

a. "You need to realize that you may not be able to do the things you used to do." b. "Time your medication so that its action is peaking during the time you need the most energy." c. "Getting plenty of sleep the night before you are scheduled to help will give you the stamina you need." d. "If you wait to take your medication after you finish helping in the classroom, you may find that your energy level is better."

Nursing