Exam 48: Care of Patients with Thought and Personality Disorders

Milieu therapy is a therapeutic application for people with personality disorders.What principle(s)underscore(s)the basis of this method?

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

Which statement causes the nurse to document a schizophrenic patient's delusion of persecution?

Approximately what percentage of the U.S.population is affected with schizophrenia?

What effect does the nurse desire to achieve by using clear,direct communication with patients with borderline personality disorder?

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.How should the nurse respond?

The paranoid schizophrenic who is taking a neuroleptic is brought to the emergency department with acute muscle spasm of the face and neck with eyes that are fixed in an upward stare.The nurse recognizes the condition of ________.

The nurse has asked a catatonic patient,"Where is your hat?" Which response should cause the nurse to document episodes of echolalia?

A student nurse questions the nurse about the frequency of administration of antipsychotics,such as risperidone (Risperdal).Which advantage is true of newer antipsychotics like risperidone (Risperdal)?

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?" Which response is best?

The nurse observes a withdrawn schizophrenic.The patient is sitting alone and moving her lips as if she is talking,but there is no audible sound.The nurse speaks to the patient by name,but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 should the nurse do first?

The nurse explains that neuroleptic drugs such as chlorpromazine (Thorazine)are very effective in treating specific symptoms of schizophrenia.Which effect(s)should chlorpromazine have?

Which psychotic feature(s)is/are characteristic of schizophrenia?

The paranoid schizophrenic patient states that his whole family has conspired to have him put in the hospital and that the medical staff are part of the conspiracy.Which is the nurse's most therapeutic response?

The nurse explains that depression is thought to be the result of a deficit of which neurotransmitter?

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

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?

Which characteristic(s)of personality disorders should the nurse consider?

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 nurse is aware the patient with borderline personality disorder did not have a family visit this week and adds an intervention to address the patient's probable perception of abandonment.Which intervention is most appropriate?