A 39-year-old woman was the victim of a violent assault 1 year ago and, in the ensuing period, has developed the symptoms of posttraumatic stress disorder (PTSD).
Additionally, she has become heavily dependent on alcohol and required multiple visits to the emergency department for alcohol poisoning. What category of dual diagnosis does this client exhibit?
A) Primary diagnosis of major mental illness with a subsequent secondary diagnosis of a substance-related disorder
B) Substance-related disorder that results in a secondary mental illness
C) Mental illness and substance-related disorder occurring simultaneously with no apparent etiologic relationship
D) Substance-related disorder and mood disorder occurring due to an underlying traumatic experience
Question 2
Some of the nurses in a large, suburban emergency department are exasperated to see that a well-known client with a dual diagnosis has again been brought by ambulance for treatment.
Which of the following factors is known to make assessment of clients with dual diagnoses difficult?
A) Clients with dual diagnoses are typically of lower intelligence.
B) Clients with dual diagnoses are often poor historians.
C) Clients with dual diagnoses commonly have overbearing family members.
D) Clients with dual diagnoses frequently have developmental disabilities.
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