Author Question: Which of the following persons is said to have a dual diagnosis? a. The anorexic adolescent ... (Read 25 times)

leo leo · **on:** Jul 19, 2018

Which of the following persons is said to have a dual diagnosis?

a. The anorexic adolescent suffering from depression
b. The school-aged child suffering from a learning disorder and asthma
c. The older adult suffering from hypertension and diabetes
d. The young adult suffering from psychosis and smokes marijuana regularly

Question 2

An African American patient, originally from Haiti, was admitted for depression. A staff nurse tells a peer, This patient frequently looks down and does not express feelings.

When I observe interactions with other African American patients, however, the patient appears spontaneous. What remark by the peer would be most helpful? a. Most African Americans depend on the church for support. Have you consulted the patient's pastor?
b. Ask the patient to describe feelings in a group setting. It will be less intimidating than one-to-one interaction.
c. Don't take it personally. African Americans often have a resentful attitude that takes a long time to overcome.
d. The patient may have difficulty communicating feelings in English. Have you considered using a cultural broker?

djofnc · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
People with serious mental illness who also are addicted to or use chemicals are said to have a dual diagnosis. It is estimated as many as 75 of the mentally ill population has a dual diagnosis.

Answer to Question 2

D
Society expects a culturally diverse patient to accommodate and use English. Feelings are abstract, which requires a greater command of the language. This may be especially difficult during episodes of high stress or mental illness. Cultural brokers can be helpful with language and helping the nurse to understand the Haitian worldview and cultural nuances.