Question 1

When the adolescent begins to demonstrate lack of energy and motivation and withdraws,complaining of multiple physical problems,it may be that this is the beginning of a stage of schizophrenia called:

Accepted Answer

The prodromal phase often begins in adolescence and begins with lack of energy or motivation and withdrawal.

Question 2

A home health nurse cautions the patient taking lithium that she should be sure to:

Accepted Answer

Lithium has a very narrow therapeutic window.The drug blood levels must be checked monthly.

Question 3

When a patient who introduces herself as a famous movie star and treats everyone and everything in the environment as if it were a movie set,the nurse documents this behavior as:

Accepted Answer

A delusion is a false,fixed belief.

Question 4

The Diagnostic and Statistical Manual,4th edition,text revision (DSM-IV-TR),is used by most hospitals and is the current tool used to examine mental health and illness.This tool is a(n):

Accepted Answer

The Diagnostic and Statistical Manual IV is a multiaxial system.

Question 5

The nurse alters the care plan for a patient with depression to include activities such as a:

Accepted Answer

The quiet,noncompetitive trip to view wildflowers would be the best option.Depressed people should not be put in situations where they must concentrate or compete.

Question 6

The nurse observes a patient's behavior to assess thought process disorders characterized by bizarre,nonreality thinking.This behavior is indicative of the most profound,disabling mental illness,which is:

Accepted Answer

Schizophrenia,a thought process disorder,is one of the most profoundly disabling mental illnesses.

Question 7

When the nurse cautions a patient to watch his step,the nurse assesses evidence of concrete thinking when the patient:

Accepted Answer

Concreteness is an indication of disordered thinking.The patient is unable to translate any words except by a very concrete definition.

Question 8

When all five axes of the Diagnostic and Statistical Manual,4th edition,text revision (DSM-IV-TR)are used,it provides an assessment approach to comprehensive care called:

Accepted Answer

Using all five axes will provide a holistic assessment.

Question 9

A patient believes himself to be the president of the United States and that terrorists are trying to kidnap him.The nurse records these observations as:

Accepted Answer

Prognosis for those exhibiting positive behavior patterns of delusions,hallucinations,and disordered thinking is good.

Question 10

The nurse is caring for a patient with a diagnosis of catatonic schizophrenia.The behavior consistent with this diagnosis is the patient:

Accepted Answer

Maintaining a rigid pose for long periods of time is an example of behavior expected from a catatonic schizophrenic.

Question 11

The nurse discussing the differences between a patient with a neurosis and one with a psychosis explains that the patient experiencing neurosis:

Accepted Answer

An individual with a neurosis has insight that he or she has an emotional problem.

Question 12

When the patient with a psychosis is thought to be a danger to self or others,the admission to the hospital is by:

Accepted Answer

Probating can be done if the individual is thought to be a danger to self or others.

Question 13

For the past 3 weeks,the nurse has observed a patient interacting with staff and other patients,helping decorate the dining room for a party,and leading the singing in the activity room.Today,the patient tearfully refuses to dress or get out of bed.The nurse recognizes these behaviors as evidence of:

Accepted Answer

Mood disorders are also known as affective disorders.Bipolar disorders cause the patient to suddenly shift in emotions from one extreme to the other.

Question 14

A patient admitted for delirium demonstrates increased disorientation and agitation only during the evening and nighttime.The nurse documents this as:

Accepted Answer

A patient with sundowning syndrome displays increased disorientation and agitation only during evening and nighttime.

Question 15

When a young man with malaria spikes a temperature of 105° F and begins to hallucinate,the nurse assesses this as:

Accepted Answer

An organic mental disorder is delirium that is frequently brought on by a severe physical illness.

Question 16

The nurse recognizes that researchers have identified that hereditary factors account for what percentage of mood disorders?

Accepted Answer

Research indicates that hereditary factors account for 60% to 80% of mood disorders.

Question 17

The nurse clarifies that dementia is a slow,progressive loss of brain function,which is an organic mental disease secondary to:

Accepted Answer

Dementia describes an altered mental state secondary to cerebral disease.

Question 18

If the nurse asks a patient with schizophrenia if any visitors came on Sunday,the response that indicates loose association is:

Accepted Answer

Disordered thinking occurs when the individual cannot interpret information and the conversation does not flow.

Question 19

The patient talks with his dead brother and arranges furniture so that his brother will have a place to sit.The nurse documents this behavior as:

Accepted Answer

A hallucination is a sensory experience without a stimulus trigger.

Question 20

The nurse recognizes during her assessment of schizophrenic individuals that they can exhibit positive or negative behaviors.The positive behaviors may be delusions,hallucinations,and disordered thinking.The prognosis for these patients is:

Accepted Answer

Prognosis for individuals exhibiting positive behavior patterns is good.

Quiz 35: Care of the Patient with a Psychiatric Disorder