Deck 61: Psychobiological Disorders

Question 1

Which is not considered as a probable cause of mood disorders?

A) Loss of significant others
B) Learned helplessness
C) Neurotransmitter dysregulation
D) Traumatic event in childhood

Answer 1

Traumatic event in childhood

Question 2

When performing a mental status examination, a nurse notes that the patient keeps repeating, "I didn't do it.I didn't do it.I didn't do it." This response would be an example of which one of the components of the mental status examination?

A) Appearance
B) Mood and affect
C) Thought content
D) Memory and attention

Answer 2

Thought content

Question 3

A patient who went away to college in September returns in October, thinking that he is a drummer in a popular rock band.What is this most likely a manifestation of?

A) Dissociative disorder
B) Conversion disorder
C) Schizophrenia
D) Amnesia

Answer 3

Schizophrenia

Question 4

Which combination of medications could be used to treat an anxiety disorder?

A) Librium and Xanax
B) Effexor and Ativan
C) Effexor and Haldol
D) Klonopin and Valium

Question 5

A patient is brought in from the emergency department after telling the physician that he is a relative of the president of the United States.He says that he should not be detained because he has important business to attend to that involves national security.He is dressed in a bright coat with plaid pants and gets very angry when you try to question him.What is this patient is experiencing?

A) Panic attack
B) Hyperactive episode
C) Extrapyramidal effect
D) Manic episode

Question 6

A patient is receiving large doses of chlorpromazine (Thorazine)and begins to exhibit extrapyramidal signs of involuntary muscle movement.Which classification of drugs should the nurse anticipate will be added to the patient's protocol?

A) Antiparkinsonian
B) Antihypertensive
C) Anticonvulsant
D) Antiemetic

Question 7

A patient admitted with a conversion disorder after an automobile accident insists he is paralyzed, although no physical cause for his paraplegia can be found.What is the best nursing response when the patient asks the nurse to push him to his room?

A) "There is nothing wrong with your arms.Roll yourself to your room."
B) "I will help you to walk to your room.I know you can walk."
C) "Let me lift the foot rests so you can move your chair with your feet."
D) "OK.I am going that way myself."

Question 8

A patient is hyperactive with mania and has poor nutritional intake due to hyperactivity.What implementation is most appropriate when considering this diagnosis?

A) Offer nutritious finger foods and high-protein milk shakes to eat on the go.
B) Spoon-feed the patient while the patient is seated at the table.
C) Arrange for one large meal at noon to be eaten in the company of others.
D) Limit fluid intake to make the patient hungry at mealtime.

Question 9

A patient with bipolar disorder is being treated with tricyclic medications.What should the nurse inform the patient to expect when teaching information concerning side effects?

A) Orthostatic hypotension
B) Hypercholesterolemia
C) Fatigue
D) Blurred vision

Question 10

What is the best action for the nurse to implement to effectively listen therapeutically to a patient?

A) Concentrate on the patient and not think of responses to the patient while he or she is speaking.
B) Determine the cause of the patient's problem while the patient is speaking.
C) Ask the patient why he thinks he feels the way he does.
D) Tell the patient that you have had similar experiences.

Question 11

A patient is given anxiolytic medications for a mental disorder.What type of approach is this considered?

A) Analytical
B) Interpersonal
C) Biologic
D) Psychoanalytic

Question 12

A long-time patient with schizophrenia in the inpatient unit has developed involuntary movements of his tongue.What has this patient developed?

A) Acute dystonic reaction
B) Tardive dyskinesia
C) Neuroleptic malignant syndrome
D) Laryngospasm

Question 13

What should a nurse suspect a patient diagnosis might be when the patient states, "I often feel restless, have a tight sensation in my chest, and have an increased heart rate at times"?

A) Anxiety disorder
B) Depressive disorder
C) Agoraphobia
D) Obsessive-compulsive disorder

Question 14

A patient says, "I just don't think I can keep going on.I just want it all to end." The nurse assesses that this patient has suicidal ideation.What is the nurse's best response?

A) "Do you have any thoughts of harming yourself?"
B) "Have you felt like this before?"
C) "You are just depressed.When you feel better, you won't think that way."
D) "We will keep you safe here."

Question 15

A nurse speaking to a patient who is depressed says, "So what you are saying is that you are feeling very sad today." What is this considered?

A) Listening
B) Sharing observations
C) Clarifying
D) Being available

Question 16

Since the summer weather began, a patient taking lithium for manic episodes has been walking daily.What important instruction should the nurse provide to this patient?

A) Stay in the shade when walking.
B) Stop walking.
C) Maintain hydration.
D) Wear sunscreen.

Question 17

While in the dayroom, one of the patients becomes very agitated and begins to threaten to harm the other patients and is directing violence at the other patients and staff.What is the most appropriate nursing implementation?

A) Decrease the stimuli and use restraints if all other measures fail.
B) Offer to call the physician and ask another staff member to call security.
C) Remove harmful objects and try to perform relaxation exercises with the patient.
D) Restrain the patient and do not allow him or her to eat or drink anything by mouth.

Question 18

A patient who is admitted with posttraumatic stress disorder (PTSD)says he had a very stressful experience when in high school and has never really recovered.What is the most appropriate nursing action?

A) Encourage the patient to talk about what caused the traumatic event.
B) Guide the patient in relaxation techniques to distract him when flashbacks occur.
C) Provide sleeping medication so that he can sleep at night.
D) Allow the patient to talk about his condition as often as he likes.

Question 19

A group of nursing students are taking their first major examination.What should the nursing instructor expect the students might experience?

A) Posttraumatic stress disorder
B) Panic disorder
C) Mild anxiety
D) Moderate anxiety

Question 20

A patient states that he feels angry at work for no reason and often yells at his co-workers.The therapist asks the patient to describe events and then tells the patient to try different strategies to cope with these angry outbursts.What type of approach is this considered?

A) Biologic
B) Analytical
C) Cognitive or behavioral
D) Interpersonal

Question 21

A nursing instructor is explaining the difference between illusion and hallucination.Which examples provided by students in the class indicate an illusion? (Select all that apply.)

A) A car backfiring being perceived as gunfire
B) The television news being perceived as someone talking to you
C) Hearing God's voice directing you to drive your car off the road
D) Seeing your dead spouse smile at you from a flower
E) A spot on the wall being perceived as a spider

Question 22

A co-worker is noted to be very organized.However, you see that he is always making lists and citing the rules of the organization.He wants all his projects to be perfect and gets very upset when things happen that make him miss his deadlines.The co-worker is exhibiting signs of which personality disorder?

A) Avoidant
B) Obsessive-compulsive
C) Histrionic
D) Dependent

Question 23

When a nurse asks questions like, "What day is today?" or "What time is it now?" the nurse is testing the patient's ______.

Question 24

A nurse is assessing a patient with an acute stress disorder.What characteristics of this disorder should the nurse assess? (Select all that apply.)

A) Diminished awareness of surroundings
B) Derealization
C) Depersonalization
D) Amnesia
E) Irritability

Question 25

What is a common cause of delirium?

A) Overuse of steroids
B) Liver abnormalities
C) Parkinson disease
D) Neoplasms

Question 26

A patient who has a history of episodes of road rage thinks that she is a very good driver and does not understand why she keeps being told she is a poor driver.She is losing her license now, and she tells the nurse that she is feeling very unhappy and abandoned.She feels like she might hurt herself.The nurse realizes that the patient is exhibiting which personality disorder?

A) Narcissistic
B) Paranoid
C) Schizoid
D) Borderline