Registered Practical Nurse (RPN) Practice Test

What is indicated by a client's failure to take prescribed medication while using marijuana, resulting in manic episodes?

1. Dual primary diagnoses

2. Substance-triggered mood episodes

3. Substance abuse as a coping mechanism

4. Crisis-induced mood instability

The correct answer is: Dual primary diagnoses

The correct response highlights the concept of dual primary diagnoses, which suggests that the client is experiencing two distinct mental health conditions that can present simultaneously. In this case, the client is not only struggling with the effects of marijuana use but also has underlying mood disorder symptoms that manifest as manic episodes. When evaluating this scenario, it's important to recognize that the failure to take prescribed medication indicates a potential lack of adherence due to the influence of substance use. This interaction could exacerbate the underlying mood disorder, leading to episodes that may not be solely attributed to substance use but rather represent a complex interplay between a mood disorder and substance use disorder. This choice reflects the understanding that a comprehensive assessment is necessary to address both the mood disorder and the potential substance use disorder, highlighting the complexity of mental health conditions when influenced by substance use. This approach allows for more effective treatment planning and a better understanding of the client's overall health.