Some mental health clients have a higher risk of being dually diagnosed with a mental illness and a substance abuse disorder. The client more likely to exhibit substance abuse in an attempt to avoid traumatic memories is the client with:
A) Obsessive-compulsive disorder (OCD).
B) Dissociative fugue.
C) Posttraumatic stress disorder (PTSD).
D) Generalized anxiety disorder.
C
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A client who is concerned that she may have serious heart disease seeks help at the mental health
center after a referral from the internist who told her that she has no physical illness. The client reports she has had tightness in her chest and the sensation of her heart missing a beat. Because of her concern over her symptoms, she has missed much time from work over the past 2 years. Her social life has been severely restricted because she believes she must rest each evening. The client can be assessed as having symptoms consistent with a. somatization disorder. b. dysthymic disorder. c. antisocial disorder. d. hypochondriasis.
The patient's heart rate is 165 beats per minute. His cardiac monitor shows a rapid rate with narrow QRS complexes. The P waves cannot be seen, but the rhythm is regular. The patient's blood pressure has dropped from 124/62 to 78/30
His skin is cold and diaphoretic and he is complaining of nausea. The nurse prepares the patient for: a. administration of beta-blockers. b. administration of atropine. c. transcutaneous pacemaker insertion. d. emergent cardioversion.
Which drug used to treat HIV-AIDS is a nonnucleoside reverse transcriptase inhibitor (NNRTI)?
1. Lamivudine (Epivir, 3TC) 2. Zidovudine (Retrovir, AZT) 3. Indinavir (Crixivan) 4. Efavirenz (Sustiva)
When obtaining a patient's health history, which assessment data would the nurse identify as having the most effect on drug metabolism?
a. History of liver disease b. Intake of a vegetarian diet c. Sedentary lifestyle d. Teacher as an occupation