A woman who is well-known to community support workers and law ...

[Yi-Chen]

A woman who is well-known to community support workers and law enforcement has schizophrenia, paranoid type, and is a heavy user of a variety of narcotics and hallucinogens.
 
  According to the self-medication hypothesis of dual diagnosis, the woman's substance use may be motivated by what?
 
  A) Antisocial tendencies
  B) Auditory and command hallucinations
  C) A need to control the symptoms of her schizophrenia
  D) A genetic predisposition for substance use

Question 2

A 33-year-old man has been brought to the emergency department after being found unconscious outside a store.
 
  The man's known schizophrenia and history of heavy cocaine and heroin use are characteristics of a dual diagnosis and the nurse's assessment confirms this fact. After he has stabilized medically, which of the following aspects of care should the nurses caring for the man prioritize?
 
  A) Detoxification
  B) Teaching coping skills
  C) Psychosocial assessment
  D) Nutritional promotion

[raili21]

Answer to Question 1

Ans: C
The self-medication hypothesis of dual diagnosis is based on the assumption that individuals with a psychiatric disorder use drugs to help them feel calmer or to alleviate clinical symptoms to achieve emotional homeostasis. The model does not prioritize the role of genetic factors or the direct influence of hallucinations.

Answer to Question 2

Ans: A
For many clients who have dual diagnoses, detoxification must take place prior to other interventions and assessments.