Which nursing intervention best demonstrates an understanding of ...

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Which nursing intervention best demonstrates an understanding of the relationship be-tween confirmed intravenous drug abuse and specific infections?
 
  a. Screening the patient for hepatitis B virus (HBV)
  b. Assessing the patient for potentially infected injection sites
  c. Determining if the patient has ever been tested for human immunodeficiency vi-rus (HIV)
  d. Evaluating the patient's understanding of the increased risk for developing sex-ually transmitted diseases

Question 2

Which sociological aspect, vital to relapse prevention, is greatly affected when a patient is found to have a dual diagnosis of psychosis and alcoholism?
 
  a. Ability to afford the cost of outpatient services
  b. A supportive, reliable, accessible support system
  c. Protection from both physical and emotional abuse
  d. Access to reasonable housing and employment opportunities

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Answer to Question 1

ANS: A
Injecting drug users have one of the highest HBV rates among all risk groups and account for at least half of all new HCV cases, so screening for such infections demonstrates that the nurse understands the severity of the problem. Although the other options reflect potential infection risks, they are not as commonly seen in patients with this diagnosis.

Answer to Question 2

ANS: B
Often individuals with this type of diagnosis have lost their support systems as a result of chronic mistreatment of their family and friends and an inability to maintain and recognize the importance of this aspect to their treatment plan. Although the remaining options impact relapse prevention, they are generally available when the patient is being supported appropri-ately.