NR 443 CHAPTER 39- CARING FOR PERSONS WITH CO-OCCURRING MENTAL DISORDERS

A client with major depression visits the mental health clinic and tells the nurse that he has recently started using marijuana quite frequently. The nurse determines that the manifestation of the client’s co-occurring disorder reflects which of the following? A) Primary mental illness with subsequent substance use B) Primary substance abuse disorder with psychopathologic sequelae C) Dual primary diagnoses D) A common etiology A) Providers often focus treatment on the 12-step programs for substance abuse treatment. B) They commonly underdiagnose personality disorders in those who take illicit substances. C) Providers commonly ignore the existence of concurrent mental health disorders. D) They have difficulty determining which problem is in most immediate need. 3. The nurse is caring for a female adolescent client diagnosed with depression and substance abuse. Which of the following would be most appropriate for the nurse to do? A) Determine if the client is experiencing hyperactivity. B) Ask her if she is having thoughts of harming herself. C) Determine if the client is exhibiting Wernicke’s syndrome. D) Ask the client if she has had problems with excessive anxiety. 4. A client with schizophrenia and substance abuse disorder is admitted to a detoxification program. The client has been prescribed neuroleptic medications for schizophrenia. When caring for this client, the nurse would implement interventions to reduce the client’s risk for relapse, integrating knowledge that relapse frequently is secondary to which of the following? A) Poor social skills B) Lack of vocational skills C) Medication non-adherence D) Dysfunctional family systems 5. A nurse is teaching a group of hospitalized clients who have co-occurring disorders involving cognitive disorders and alcoholism about the relapse cycle. Which statement would the nurse most likely include during this teaching session?