Question 1

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 2

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 that can lead to death.

Question 3

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

Accepted Answer

If the patient has not arranged for adequate transportation to and from the appointment, the treatment will be canceled because driving after ECT is dangerous. The patient is typically NPO before the procedure. Incontinence and visual disturbances are not common following the procedure.

Question 4

The nurse recognizes that a woman who has experienced physical abuse and has inadequate income to care for herself and her family would be categorized under Axis ______.

Accepted Answer

The answer of The nurse recognizes that a woman who...

Question 5

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

Obsessive-compulsive disorders have two features: thoughts that are recurrent, intrusive, and senseless; and behaviors that are performed repeatedly and ritualistically.

Question 6

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

Agoraphobia is a high level of anxiety in which an anxiety attack could occur in individuals who avoid other people, places, or events.

Question 7

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

Accepted Answer

Coaching in relaxation techniques such as deep breathing is an effective intervention for a patient who is experiencing a panic attack.

Question 8

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 9

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

Psychoanalysis technique was developed by Sigmund Freud and is a long-term and intense therapy.

Question 10

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

Transsexualism is a persistent desire to be the opposite sex and to have the body of the opposite sex.

Question 11

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

Accepted Answer

Somatoform disorder is characterized by recurrent, multiple physical complaints for which there is no organic cause.

Question 12

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

Accepted Answer

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

Question 13

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 14

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 raise blood pressure dramatically in people who are also taking MAOIs.

Question 15

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

Panic can be defined as an attack of acute, intense, and overwhelming anxiety.

Question 16

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

Accepted Answer

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

Question 17

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 18

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 19

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

Post-traumatic stress disorder describes a response to an intense traumatic experience that is beyond the usual range of human experience.

Quiz 34: Care of the Patient with a Psychiatric Disorder