Exam 49: Care of Patients With Thought and Personality Disorders

The nurse adds an intervention to the nursing care plan for a patient on neuroleptics to:

The nurse is changing the dressing on self-inflicted cigarette burns on a patient with borderline personality disorder.When providing the care,which action by the nurse would be most therapeutic?

The nurse explains that neuroleptic drugs such as chlorpromazine (Thorazine)are very effective in treating positive symptoms of schizophrenia by: (Select all that apply.)

The nurse is talking with a patient who voices concerns about the incidence of schizophrenia in her family.The patient states that she is worried the condition will be inherited by her teenage daughter.What response by the nurse is most appropriate?

The wife of a patient being treated for a recent diagnosis of schizophrenia asks how long it will be until her husband is cured.What response by the nurse is most appropriate?

The nurse documents a schizophrenic's delusion of persecution when the patient says:

The delusional patient rushes up to the nurse and begins to brush her uniform with his hands,saying,"I must get the weegos off of you!" The nurse recognizes that the word "weegos" is a(n)________.

The CNA reports that a patient has been caught smoking in his room for the third time this week.The behavior has been addressed with a contract indicating that further infractions will result in the patient's smoking materials being taken and locked in the nurse's station and smoking will only be possible with supervision.The nurse should say:

The nurse takes into consideration that the characteristics of personality disorders include: (Select all that apply)

The nurse points out that negative symptoms of schizophrenia are more difficult to modify.Examples of negative symptoms are: (Select all that apply.)

The nurse documents episodes of echolalia when,after the nurse has asked a catatonic patient,"Where is your hat?" the patient:

During report,the nurse is told that a patient has Cluster B group type of personality disorder.When assessing the patient,which type of behaviors can be anticipated?

The delusional patient has become agitated and angry.The patient reports that the cook put tacks in his cereal.He is pacing back and forth in the crowded dining room and cursing the cook.The best intervention by the nurse would be:

By using clear,direct communication with people with borderline personality disorder,the nurse can:

The nurse is aware that it is estimated that approximately _____% of the United States population is affected with schizophrenia.

The manipulative patient approaches the nurse and says,"I know it's too early to give me my pain medication,but you are the only one who seems to care.Could you give me my pain medication now?" The best response would be:

The nurse is aware that interventions for the negative symptoms of schizophrenia are based on:

The nurse is receiving beginning-of-shift report.During report,it is communicated that a schizophrenic patient has been admitted to the unit displaying waxy flexibility.Which behavior can the nurse anticipate finding when assessing the patient?

The family of a patient being treated for a recent diagnosis of schizophrenia voices concerns to the nurse.They report the patient just told them that the pepper flakes on his potatoes were crawling bugs.What response by the nurse is most appropriate?

The nurse observes a withdrawn schizophrenic sitting alone and moving her lips as if she is talking,but there is no audible sound.The nurse speaks to the patient by name,but the patient does not seem to hear.What action by the nurse is indicated initially?