The nurse works with a client who is struggling with heroin addiction. Which examination should the nurse perform to screen for a comorbidity that is highly associated with substance use disorders?
A) Assessment of blood glucose level
B) Bone marrow aspiration
C) Magnetic resonance imaging of the brain
D) Mental status examination
Ans: D
Feedback:
There is high comorbidity of substance use disorders with major mental illness. The mental status examination is a valuable tool in identifying signs and symptoms of major mental illness that co-occur with substance use. The mental status examination can alert the nurse to cognitive changes that are the result of chronic substance use and can help differentiate symptoms from other medical conditions, such as dementia or delirium.
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