Exam 34: Care of the Patient with a Psychiatric Disorder

When the patient with a psychosis is thought to be a danger to self or others, by what method should the patient be admitted to the hospital?

The nurse is assessing a female patient who has become rapidly and exceedingly anxious because her fingernail polish is chipped. What type of anxiety should the nurse conclude that the patient is exhibiting?

The nurse is told that a patient believes he was born into the wrong body. What is the correct terminology for the desire to have the body of the opposite sex?

What are considered warning signs of suicide? (Select all that apply.)

For the past 3 weeks, the nurse has observed a patient interacting with staff and other patients, helping decorate the dining room for a party, and leading the singing in the activity room. Today, the patient tearfully refuses to dress or get out of bed. The nurse recognizes these behaviors as evidence of which psychiatric disorder?

A 14-year-old survivor of a school shooting screams and dives under a table when firecrackers go off. What does this behavior represent?

Dementia is an organic mental disease secondary to what problem?

What is the typical schedule for electroconvulsive therapy (ECT)?

The nurse is caring for a patient with a diagnosis of catatonic schizophrenia. What behavior is consistent with this diagnosis?

When a patient demonstrates accelerated heart rate, trembling, choking, and chest pain along with acute, intense, and overwhelming anxiety, the nurse should recognize that the patient is most likely experiencing what condition?

The nurse is discussing the differences between a patient with a neurosis and one with a psychosis. What is true of the patient experiencing a neurosis?

The patient is concerned about confidentiality and asks the nurse not to tell anyone what is said. What is the best response by the nurse?

What disorder is a severe form of self-starvation that can lead to death?

A patient is frequently late for appointments because he goes back to his room numerous times to assure himself that none of his belongings have been stolen. What does this behavior represent?

The patient complains of recurrent, multiple physical ailments for which there is no organic cause. How should the nurse assess this?

What is the term used for the beginning stage of schizophrenia, characterized by a lack of energy and complaints of multiple physical problems?

The nurse instructs a patient who has just been prescribed a protocol of fluoxetine HCl (Prozac) that the drug takes ____ to ____ weeks to take effect.

A patient who is taking a monoamine oxidase inhibitor (MAOI) asks the nurse about the addition of St. John's wort to help with his depression. What would be the best response of the nurse?

When all five axes of the Diagnostic and Statistical Manual of Psychiatric Disorders, V, are used, it provides what type of assessment approach to comprehensive care?