Author Question: A patient diagnosed with bipolar disorder and alcohol abuse has been receiving treatment in a dual ... (Read 76 times)

Diane · **on:** Jul 19, 2018

A patient diagnosed with bipolar disorder and alcohol abuse has been receiving treatment in a dual diagnosis integrated program for three months. What statement would indicate that the patient is in the recovery process?

1. I have things under control now.
2. My girlfriend really wants me to stop drinking.
3. I really appreciate all the help you are giving me.
4. I see how alcohol might make my bipolar symptoms worse.

Question 2

A nurse in a dual diagnosis program has been working with a patient who has been diagnosed with schizophrenia and substance abuse. The patient has been in the program for several months.

What might indicate to the nurse that this program is working effectively for this patient?
1. The patient attends the program regularly.
2. The patient says that the nurse is a good person.
3. The patient reports no longer needing the program.
4. The patient understands that continued sobriety is necessary to stay in the program.

firehawk60 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 4
Explanation: Linking alcohol abuse and mental health symptoms indicates an early stage in recovery of awareness and acknowledgement. The process of recovery is not quick. Motivation that depends on others is not a step in recovery. The focus in recovery needs to be on one's own behavior, not that of others.

Answer to Question 2

Answer: 1
Explanation: Dual diagnosis programs include the principle of long-term retention that keeps treatment, rehabilitation, and support available and easily accessible for as long as necessary. Dual diagnosis programs depend on patient engagement. Continued engagement by a patient with schizophrenia is a sign of program effectiveness. Although a good opinion of the nurse may enhance client engagement, it is not an indication of program effectiveness. A statement that the program is no longer necessary does not provide an evidence of its effectiveness. Treatments should match the patient's level of motivation and stage of recovery.