Question 1

Which symptom would the nurse expect in a patient diagnosed with dissociative fugue?

Accepted Answer

A)  Worry about having a serious disease 
B)  A feeling of detachment from one's body 
C)  Belief that part of the body is ugly or disproportionate 
D)  Travel away from home and assumption of a new identity 
A)  Worry about having a serious disease 
B)  A feeling of detachment from one's body 
C)  Belief that part of the body is ugly or disproportionate 
D)  Travel away from home and assumption of a new identity

Question 2

Which statement by a patient diagnosed with somatic symptom disorder indicates that goals for treatment are being achieved?

Accepted Answer

A)  "I need to be very careful about what I eat." 
B)  "I can focus on things other than my symptoms." 
C)  "I understand that my doctor is not an expert in everything." 
D)  "I try to figure out my diagnosis by reading articles on the Internet." 
A)  "I need to be very careful about what I eat." 
B)  "I can focus on things other than my symptoms." 
C)  "I understand that my doctor is not an expert in everything." 
D)  "I try to figure out my diagnosis by reading articles on the Internet."

Question 3

A patient diagnosed with PTSD has frequent flashbacks and persistent hyperarousal symptoms. Which nursing interventions should be planned? Select all that apply.

Accepted Answer

A)  Offer empathy and support. 
B)  Encourage relaxation activities. 
C)  Encourage verbalization of anger. 
D)  Set limits when the patient begins to tell of the story of the traumatic incident. 
E)  Help the patient associate current feelings and behaviors with trauma experience. 
A)  Offer empathy and support. 
B)  Encourage relaxation activities. 
C)  Encourage verbalization of anger. 
D)  Set limits when the patient begins to tell of the story of the traumatic incident. 
E)  Help the patient associate current feelings and behaviors with trauma experience.

Question 4

When working with a patient diagnosed with dissociative amnesia, the nurse should begin by:

Accepted Answer

A)  setting mutual goals for behavioral changes. 
B)  instituting measures to prevent identity diffusion. 
C)  identifying and supporting the patient's strengths. 
D)  helping the patient develop a realistic self-concept. 
A)  setting mutual goals for behavioral changes. 
B)  instituting measures to prevent identity diffusion. 
C)  identifying and supporting the patient's strengths. 
D)  helping the patient develop a realistic self-concept.

Question 5

A patient's family member died in the 9/11 World Trade Center explosion. The patient says, "I can't go into tall buildings because I get sweaty, my heart races, and I can't breathe. I get terrifying feelings the building will explode." These symptoms suggest which diagnosis?

Accepted Answer

A)  OCD 
B)  Generalized anxiety disorder 
C)  Acute stress disorder 
D)  Specific phobia 
A)  OCD 
B)  Generalized anxiety disorder 
C)  Acute stress disorder 
D)  Specific phobia

Question 6

A patient is demonstrating severe (+3) anxiety. Nursing interventions will center around:

Accepted Answer

A)  encouraging ventilation and refocusing attention. 
B)  discussing possible sources of anxiety. 
C)  taking control to guide the patient. 
D)  decreasing stimuli and pressure. 
A)  encouraging ventilation and refocusing attention. 
B)  discussing possible sources of anxiety. 
C)  taking control to guide the patient. 
D)  decreasing stimuli and pressure.

Exam 27: Anxiety-Related, Obsessive-Compulsive, Trauma- and Stressor-Related, Somatic, and Dissociative Disorders

Which symptom would the nurse expect in a patient diagnosed with dissociative fugue?

Which statement by a patient diagnosed with somatic symptom disorder indicates that goals for treatment are being achieved?

A patient diagnosed with PTSD has frequent flashbacks and persistent hyperarousal symptoms. Which nursing interventions should be planned? Select all that apply.

When working with a patient diagnosed with dissociative amnesia, the nurse should begin by:

A patient's family member died in the 9/11 World Trade Center explosion. The patient says, "I can't go into tall buildings because I get sweaty, my heart races, and I can't breathe. I get terrifying feelings the building will explode." These symptoms suggest which diagnosis?

A patient is demonstrating severe (+3) anxiety. Nursing interventions will center around:

Me, Meds, Milieu

Historical Issues

Legal Issues

Psychobiologic Bases of Behavior

Cultural Issues

Spiritual Issues

Models for Working with Psychiatric Patients

Learning to Communicate Professionally

Working with an Individual Patient

Working with Groups of Patients

Working with the Family

Introduction to Psychotropic Drugs

Antiparkinsonian Drugs

Antipsychotic Drugs

Antidepressant Drugs

Antimanic Drugs

Antianxiety Drugs

Antidementia Drugs

Over-the-Counter Drugs

Introduction to Milieu Management

Variables Affecting the Therapeutic Environment: Violence and Suicide

Therapeutic Environment in Various Treatment Settings

Introduction to Psychopathology

Schizophrenia Spectrum and Other Psychotic Disorders

Depressive Disorders

Bipolar Disorders

Cognitive Disorders

Personality Disorders

Sexual Disorders

Substance Abuse Disorders

Eating Disorders

Survivors of Violence and Trauma

Children and Adolescents

Mental Disorders of Older Adults

Soldiers and Veterans

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