Question 1

What disorder is a severe form of self-starvation that can lead to death?

Accepted Answer

Anorexia nervosa is a severe form of self-starvation where a person restricts their food intake to the point of significant weight loss and malnutrition. It has the highest mortality rate of any mental illness and can lead to death.

Question 2

What are considered warning signs of suicide? (Select all that apply. )

Accepted Answer

Warning signs of suicide include talking about suicide,decreased interactions with friends and family,drug/alcohol abuse,difficulty concentrating on work or school,and personality changes.

Question 3

Adjunctive therapies are used for which reasons? (Select all that apply. )

Accepted Answer

The purpose of adjunctive therapies is to increase self-esteem,promote positive interaction,and enhance reality orientation.

Question 4

What is the typical schedule for electroconvulsive therapy (ECT)?

Accepted Answer

ECT is done as a treatment for depression,mania,and schizoaffective disorders that have not responded to other treatments.The usual protocol is 10 treatments over several weeks.

Question 5

When a patient demonstrates accelerated heart rate,trembling,choking,and chest pain along with acute,intense,and overwhelming anxiety,the nurse should recognize that the patient is most likely experiencing what condition?

Accepted Answer

The symptoms described are consistent with a panic attack, which is characterized by sudden and intense feelings of fear or terror, often accompanied by physical symptoms such as rapid heart rate and chest pain. Fright is similar to fear but is often used to describe a sudden shock or surprise, whereas terror typically refers to a more extreme and prolonged fear response.

Question 6

The nurse explains that an alternative therapy that uses essential oils and scented candles to help a patient relax and focuses on the atmosphere of the moment is ______________.

Accepted Answer

The answer of The nurse explains that an alternative therapy...

Question 7

The patient is concerned about confidentiality and asks the nurse not to tell anyone what is said.What is the best response by the nurse?

Accepted Answer

No secrets are allowed to be kept by a member of the health care team.

Question 8

The nurse recognizes that stress can cause an ulcer,which is classified as a _______________ symptom illness.

Accepted Answer

The answer of The nurse recognizes that stress can cause...

Question 9

A patient who is taking a monoamine oxidase inhibitor (MAOI)asks the nurse about the addition of St.John's wort to help with his depression.What would be the best response of the nurse?

Accepted Answer

St. John's wort can interact negatively with MAOIs, causing a dangerous rise in blood pressure known as hypertensive crisis. The nurse should warn the patient of this potential interaction and advise against the use of St. John's wort while taking an MAOI.

Question 10

The home health nurse assesses a patient who creates elaborate excuses for not leaving home.Further questioning reveals the patient had not left home for 6 months.How should this be documented?

Accepted Answer

The patient's reluctance to leave home and the fact that they have not left home for 6 months suggests agoraphobia, which is a type of anxiety disorder characterized by a fear of open spaces and public places. This is different from mania, which is an elevated mood state, and depression, which is a low mood state. While anxiety may be part of the picture, it doesn't capture the full extent of the patient's behavior.

Question 11

What is the term for a long-term and intense form of psychotherapy developed by Sigmund Freud that allows a patient's unconscious thoughts to be brought to the surface?

Accepted Answer

The term for a long-term and intense form of psychotherapy developed by Sigmund Freud that allows a patient's unconscious thoughts to be brought to the surface is psychoanalysis. The other options (adjunctive, behavior, cognitive) are different forms of psychotherapy that do not specifically focus on unconscious thoughts or Freud's theories.

Question 12

The patient complains of recurrent,multiple physical ailments for which there is no organic cause.How should the nurse assess this?

Accepted Answer

The patient's symptoms of recurrent, multiple physical complaints with no organic cause is characteristic of somatic symptom disorder, which involves physical symptoms that are not fully explained by a medical condition or attributable to another mental disorder. Obsessive-compulsive disorder and phobia anxiety disorder are not indicated as they do not relate to physical symptoms. Delusional disorder involves fixed, false beliefs that are not related to physical symptoms.

Question 13

The nurse instructs a patient who has just been prescribed a protocol of fluoxetine HCl (Prozac)that the drug takes 2 to 4 ____ to take effect.

Accepted Answer

The answer of The nurse instructs a patient who has...

Question 14

What should the nurse preparing a patient for a scheduled appointment for electroconvulsive therapy (ECT)remind the patient to do?

Accepted Answer

The nurse should remind the patient to arrange for transportation to and from the appointment, as the patient may be disoriented or experience temporary memory loss after the treatment and should not drive themselves home. While it is important for the patient to stay hydrated, the nurse does not need to specifically remind the patient to drink fluids before ECT. Incontinence and visual disturbances are not common side effects of ECT, so the nurse does not need to address these issues with the patient.

Question 15

A patient is frequently late for appointments because he goes back to his room numerous times to assure himself that none of his belongings have been stolen.What does this behavior represent?

Accepted Answer

This behavior represents a symptom of obsessive-compulsive disorder (OCD) where the patient feels compelled to check and re-check items or actions repeatedly due to unfounded fears or anxious thoughts. It can cause significant distress and interfere with daily functioning.

Question 16

When a patient is experiencing a panic attack,how should the nurse best assist the patient?

Accepted Answer

When a patient is experiencing a panic attack, the best way to assist them is to help them calm down and control their breathing. Coaching the patient in deep breathing can help them focus on their breath and slow down their heart rate, which can help alleviate the panic symptoms. While reality orientation, decision making, and rational thought may be important in other situations, during a panic attack, the patient's focus should be on controlling their breathing and calming down.

Question 17

A 14-year-old survivor of a school shooting screams and dives under a table when firecrackers go off.What does this behavior represent?

Accepted Answer

The behavior of screaming and diving under a table in response to firecrackers indicates that the 14-year-old survivor is experiencing symptoms of posttraumatic stress disorder (PTSD), which is a mental health condition that can develop after experiencing or witnessing a traumatic event, such as a school shooting. This reaction is a common symptom of PTSD, as individuals who have experienced trauma can become hypervigilant and easily triggered by anything that reminds them of the traumatic event.

Question 18

The nurse is told that a patient believes he was born into the wrong body.What is the correct terminology for the desire to have the body of the opposite sex?

Accepted Answer

The correct terminology for the desire to have the body of the opposite sex is transsexualism. Homosexuality refers to sexual attraction to individuals of the same sex, heterosexuality refers to sexual attraction to individuals of the opposite sex, and bisexuality refers to sexual attraction to individuals of both sexes.

Quiz 35: Care of the Patient With a Psychiatric Disorder