Exam 55: Psychiatric Disorders

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.This patient is experiencing a(n):

A patient states that he feels angry at work for no reason and often yells at his coworkers.The therapist asks the patient to describe events,and then tells the patient to try different strategies to cope with these angry outbursts.This would be an example of a(n)___________________ approach.

For a patient who is hyperactive with mania and has a nursing diagnosis of "Nutrition,altered,less than body requirements,related to hyperactivity," the nurse would add to the implementations:

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?

The patient says,"I just don't think I can keep going on.I just want it all to end." The nurse assesses that this patient has suicidal ideation.Your best response is:

Your coworker 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.Your coworker is exhibiting signs of which personality disorder?

To listen therapeutically to the patient,the nurse should try to:

The combination of medications that could be used to treat an anxiety disorder is:

The patient who went away to college in September returns in October,thinking that he is a drummer in a popular rock band.The nurse assesses this as a manifestation of:

When a patient says that he often feels restless,has a tight sensation in his chest,and has an increased heart rate at times,the nurse suspects that the patient has:

When the patient asks the nurse to touch him,the nurse asks why he needs this.The patient replies,"I just need to know that I am real." The nurse assesses that response as a primary sign of ____________________.

When the patient who is receiving large doses of chlorpromazine (Thorazine)began to exhibit extrapyramidal signs of involuntary muscle movement,the nurse anticipates that _________ drugs will be added to the protocol.

The nurse instructor assures students taking their first major examination that many of them are experiencing:

When performing a mental status examination,the 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 admitted with a conversion disorder after an automobile accident insists he is paralyzed,although no physical cause for his paraplegia can be found.When the patient asks the nurse to push him to his room,the nurse's best response would be:

One of the long-time patients with schizophrenia in the inpatient unit has developed involuntary movements of his tongue.The nurse assesses that this patient has developed:

A patient who is admitted with PTSD says he had a very stressful experience when in high school and has never really recovered.Appropriate nursing action would be to:

A patient with schizophrenia has undergone eight electroconvulsive therapy treatments (ECTs)in the last 2 weeks.The daughter is upset that her parent is lethargic,confused,and does not recognize her.The nurse's response is based on the knowledge that:

A patient who takes lithium for manic episodes has been walking daily.Now that the weather is hot,it is important to instruct the patient to:

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.Appropriate nursing implementations include: