A nurse in a dual diagnosis program has been working with a patient who has been diagnosed with schizophrenia and substance abuse. The patient has been in the program for several months
What might indicate to the nurse that this program is working effectively for this patient?
1. The patient attends the program regularly.
2. The patient says that the nurse is a good person.
3. The patient reports no longer needing the program.
4. The patient understands that continued sobriety is necessary to stay in the program.
Answer: 1
Explanation: Dual diagnosis programs include the principle of long-term retention that keeps treatment, rehabilitation, and support available and easily accessible for as long as necessary. Dual diagnosis programs depend on patient engagement. Continued engagement by a patient with schizophrenia is a sign of program effectiveness. Although a good opinion of the nurse may enhance client engagement, it is not an indication of program effectiveness. A statement that the program is no longer necessary does not provide an evidence of its effectiveness. Treatments should match the patient's level of motivation and stage of recovery.
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