Exam 34: Care of the Patient with a Psychiatric Disorder

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?

The nurse recognizes that a woman who has experienced physical abuse and has inadequate income to care for herself and her family would be categorized under Axis ______.

What should the nurse preparing a patient for a scheduled appointment for electroconvulsive therapy (ECT)remind the patient to do?

The patient talks with his dead brother and arranges furniture so that his brother will have a place to sit.How should the nurse document this behavior?

Dementia is an organic mental disease secondary to what problem?

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?

A patient believes himself to be the president of the United States and that terrorists are trying to kidnap him.The nurse records these observations as which type of behavior?

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?

The Diagnostic and Statistical Manual of Psychiatric Disorders,V (DSM-V),is used by most hospitals and is the current tool used to examine mental health and illness.What approach does the DSM-V use to classify mental disorders?

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

Adjunctive therapies are used for which reasons? (Select all that apply.)

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 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?

When a patient is experiencing a panic attack,how should the nurse best assist the patient?

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

A profound,disabling mental illness is characterized by bizarre,nonreality thinking.What is the illness?

The home health nurse assesses a patient who creates elaborate excuses for not leaving home.Further questioning reveals the patient had not left home for 6 months.How should this be documented?

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?