Exam 61: Psychobiological Disorders

What is a common cause of delirium?

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?

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 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 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 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?

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

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

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.)

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

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

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 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?

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

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