Chapter 32 Clients with a Dual Diagnosis

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Chapter 32  Clients with a Dual Diagnosis

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

 

1.
The term “dual diagnosis” is used to designate what?
A)
Clients who have two mental illnesses at the same time
B)
Clients who have two forms of substance or drug abuse simultaneously
C)
Clients who are mentally retarded and have a comorbid learning disorder
D)
Clients who have a mental illness with a comorbid substance-related disorder
Ans:
D

Feedback:

The term “dual diagnosis” is used to designate mentally ill clients who also have a comorbid substance-related disorder. It has been estimated that approximately 50% to 75% of severely mentally ill clients have a dual diagnosis.

2.
Two main theories that have been discussed related to the development of a dual diagnosis are which of the following?
A)
The vulnerability model and the self-medication hypothesis
B)
The drug abuse model and the self-efficacy model
C)
The chemical abuse model and the psychological hypothesis
D)
The neuropsychiatric hypothesis and the drug absorption model
Ans:
A

Feedback:

The vulnerability model of dual diagnosis is based on the assumption that drug use causes a mental disorder. 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.

3.
The defining characteristics of clients with a dual diagnosis include which of the following?
A)
Dissatisfaction with life, inadequate support systems, live in nontherapeutic environments, and self-medicating
B)
Higher education coupled with access to drugs of abuse
C)
Low socioeconomic status, access to drugs of abuse, and low self-esteem
D)
Dissatisfaction with family circumstances, strong support systems, and low self-esteem
Ans:
A

Feedback:

Clients with a dual diagnosis exhibit characteristics indicating that they are dissatisfied with life circumstances, have inadequate or ineffective support systems, live in a nontherapeutic home environment, and have a history of self-medication.

4.
Barriers to effective treatment of a client with a dual diagnosis include which of the following?
A)
Transference, finances, and family issues
B)
Countertransference, stigma of mental illness, and underlying health problems
C)
Physical status and financial instability
D)
Comorbid physical illnesses and alcohol intoxication
Ans:
B

Feedback:

Many barriers to treatment of clients with dual diagnoses, such as countertransference, misunderstandings about and the stigmatization of mental illness, and underlying health issues, have been identified.

5.
Which of the following best describes why clients with dual diagnoses are difficult to diagnose?
A)
Nonhomogeneous, poor historians, and noncompliant
B)
Homogeneous group with good supports, but lack of finances
C)
Low social supports and self-esteem
D)
Lack of financial resources and social supports and poor historians
Ans:
A

Feedback:

Clients with a dual diagnosis are difficult to assess because they are not a homogenous group. In addition, clients often are poor historians and noncompliant during the assessment process. They may present for assessment on a voluntary basis because they desire help, they may be adjudicated by the court system to be evaluated prior to sentencing for a crime, or they may be referred by another health care professional to rule out the presence of a comorbid psychiatric disorder.

 

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