After 12 weeks in treatment, a client with a dual diagnosis is ...

[tiffannnnyyyyyy]

After 12 weeks in treatment, a client with a dual diagnosis is scheduled to begin a phased return to the community. Why is the evaluation of treatment in the care of a client with a dual diagnosis an ongoing process?
 
  A) New goals are set every 1 to 2 months for clients with dual diagnoses.
  B) Clients with a dual diagnosis have a high rate of relapse.
  C) The goals of treatment all specify a 36- to 48-month time frame.
  D) Goals and specific outcomes are not normally used in the nursing process with clients who have dual diagnoses.

Question 2

A client with a dual diagnosis has announced to the nurse that he is refusing to attend a group session that is scheduled for that morning. While the session is not mandatory, it is a recommended part of the client's treatment.
 
  Which of the nurse's following responses is most therapeutic?
 
  A) I'm sorry to hear that. Do you want me to tell the leader for you?
  B) If you come, I can let you have an extra cigarette break this afternoon.
  C) You need to be there. We've been over this before.
  D) I'll meet you there. You might be surprised what good comes out of it.

[dominiqueenicolee]

Answer to Question 1

Ans: B
Evaluation of the client's progress is an ongoing process that can be challenging because of the potential for relapse or recidivism. Goals and outcomes are used in the treatment of these clients, and they are not necessarily long term. While goals are not static, they are not normally recreated every 1 to 2 months.

Answer to Question 2

Ans: D
A demeanor that is directive and assertive, yet nonthreatening, is most likely to be effective when communicating with a client who has a dual diagnosis.

[tiffannnnyyyyyy]

Thank you

[dominiqueenicolee]

Happy to help you