Five years after a major flood, a 52-year-old woman visits the family nurse practitioner (FNP) complaining primarily of inability to sleep but also of trouble concentrating
on her job and household tasks and lack of interest in her former hobbies. What will the nurse probably do?
A. Ask if she has any other menopausal symptoms such as hot flashes.
B. Ask if she has frequent nightmares or intrusive memories about the flood.
C. Suggest ferrous sulfate for anemia, which is probably the physiologic basis for the symptoms.
D. Suggest hot cocoa and relaxation exercises to help the woman sleep and regain her vigor.
Question 2
What is a problem among persons with comorbidity (both substance abuse problems and mental illness)?
A. It is difficult to distinguish which problems are caused by which diagnosis.
B. Many treatment facilities focusing on one problem will reject the client because of the other diagnosis.
C. The symptoms of one problem mask the symptoms of the other.
D. Treatment for one of the problems interferes with treatment for the other.
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