Basic Concepts Of Psychiatric Mental Health Nursing 8th Edition by Louise Rebraca Shives
Basic Concepts Of Psychiatric Mental Health Nursing 8th Edition by Louise Rebraca Shives
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Chapter 32- Clients with a Dual Diagnosis
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The term “dual diagnosis” is used to designate what? | |
| A) | Clients who have two mental illnesses at the same time | |
| B) | Clients who have two forms of substance or drug abuse simultaneously | |
| C) | Clients who are mentally retarded and have a comorbid learning disorder | |
| D) | Clients who have a mental illness with a comorbid substance-related disorder | |
| Ans: | D | |
| Feedback: | ||
| The term “dual diagnosis” is used to designate mentally ill clients who also have a comorbid substance-related disorder. It has been estimated that approximately 50% to 75% of severely mentally ill clients have a dual diagnosis. | ||
| 2. | Two main theories that have been discussed related to the development of a dual diagnosis are which of the following? | |
| A) | The vulnerability model and the self-medication hypothesis | |
| B) | The drug abuse model and the self-efficacy model | |
| C) | The chemical abuse model and the psychological hypothesis | |
| D) | The neuropsychiatric hypothesis and the drug absorption model | |
| Ans: | A | |
| Feedback: | ||
| The vulnerability model of dual diagnosis is based on the assumption that drug use causes a mental disorder. The self-medication hypothesis of dual diagnosis is based on the assumption that individuals with a psychiatric disorder use drugs to help them feel calmer or to alleviate clinical symptoms to achieve emotional homeostasis. | ||
| 3. | The defining characteristics of clients with a dual diagnosis include which of the following? | |
| A) | Dissatisfaction with life, inadequate support systems, live in nontherapeutic environments, and self-medicating | |
| B) | Higher education coupled with access to drugs of abuse | |
| C) | Low socioeconomic status, access to drugs of abuse, and low self-esteem | |
| D) | Dissatisfaction with family circumstances, strong support systems, and low self-esteem | |
| Ans: | A | |
| Feedback: | ||
| Clients with a dual diagnosis exhibit characteristics indicating that they are dissatisfied with life circumstances, have inadequate or ineffective support systems, live in a nontherapeutic home environment, and have a history of self-medication. | ||
| 4. | Barriers to effective treatment of a client with a dual diagnosis include which of the following? | |
| A) | Transference, finances, and family issues | |
| B) | Countertransference, stigma of mental illness, and underlying health problems | |
| C) | Physical status and financial instability | |
| D) | Comorbid physical illnesses and alcohol intoxication | |
| Ans: | B | |
| Feedback: | ||
| Many barriers to treatment of clients with dual diagnoses, such as countertransference, misunderstandings about and the stigmatization of mental illness, and underlying health issues, have been identified. | ||
| 5. | Which of the following best describes why clients with dual diagnoses are difficult to diagnose? | |
| A) | Nonhomogeneous, poor historians, and noncompliant | |
| B) | Homogeneous group with good supports, but lack of finances | |
| C) | Low social supports and self-esteem | |
| D) | Lack of financial resources and social supports and poor historians | |
| Ans: | A | |
| Feedback: | ||
| Clients with a dual diagnosis are difficult to assess because they are not a homogenous group. In addition, clients often are poor historians and noncompliant during the assessment process. They may present for assessment on a voluntary basis because they desire help, they may be adjudicated by the court system to be evaluated prior to sentencing for a crime, or they may be referred by another health care professional to rule out the presence of a comorbid psychiatric disorder. | ||
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