Question 1

The nurse instructs a patient who has just been prescribed a protocol of fluoxetine HCl (Prozac)that the drug takes 2 to 4 ____ to take effect.

Accepted Answer

weeks
Antidepressants of this type take 2 to 4 weeks before any effect is felt by the patient.

Question 2

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?

Accepted Answer

A) Holistic system 
B) Hierarchical system 
C) Multiaxial system 
D) Evaluation system 
A) Holistic system 
B) Hierarchical system 
C) Multiaxial system 
D) Evaluation system C

Question 3

A young man with malaria spikes a temperature of 105°F (40.5°C)and begins to hallucinate.How should the nurse assess this?

Accepted Answer

A) Delirium 
B) Psychotic break 
C) Possible stroke 
D) Anxiety disorder 
A) Delirium 
B) Psychotic break 
C) Possible stroke 
D) Anxiety disorder A

Question 4

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?

Accepted Answer

A) Disordered thinking 
B) Anhedonia 
C) Hallucination 
D) Alogia 
A) Disordered thinking 
B) Anhedonia 
C) Hallucination 
D) Alogia

Question 5

The nurse alters the care plan for a patient with depression to include what type of activity?

Accepted Answer

A) Domino game with three other patients 
B) Ping-Pong game with one other patient 
C) Group outing to view wildflowers 
D) Magazine to read alone 
A) Domino game with three other patients 
B) Ping-Pong game with one other patient 
C) Group outing to view wildflowers 
D) Magazine to read alone

Question 6

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?

Accepted Answer

A) Personalized 
B) Individualized 
C) Holistic 
D) Organic 
A) Personalized 
B) Individualized 
C) Holistic 
D) Organic

Question 7

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?

Accepted Answer

A) Probating 
B) Nurse's request 
C) Health care provider's order 
D) Family request 
A) Probating 
B) Nurse's request 
C) Health care provider's order 
D) Family request

Question 8

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?

Accepted Answer

A) Homosexuality 
B) Transsexualism 
C) Heterosexuality 
D) Bisexuality 
A) Homosexuality 
B) Transsexualism 
C) Heterosexuality 
D) Bisexuality

Question 9

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

Accepted Answer

A) 3 treatments over 2 weeks 
B) 6 treatments over 2 months 
C) 8 treatments over several weeks 
D) 10 treatments over several weeks 
A) 3 treatments over 2 weeks 
B) 6 treatments over 2 months 
C) 8 treatments over several weeks 
D) 10 treatments over several weeks

Question 10

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?

Accepted Answer

A) The patient experiences a flight from reality. 
B) The patient usually needs hospitalization. 
C) The patient has insight that there is an emotional problem. 
D) The patient has severe personality deterioration. 
A) The patient experiences a flight from reality. 
B) The patient usually needs hospitalization. 
C) The patient has insight that there is an emotional problem. 
D) The patient has severe personality deterioration.

Question 11

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?

Accepted Answer

A) Mania 
B) Depression 
C) Agoraphobia 
D) Anxiety 
A) Mania 
B) Depression 
C) Agoraphobia 
D) Anxiety

Question 12

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

Accepted Answer

A) Bulimia nervosa 
B) Anorexia nervosa 
C) Teenage nervosa 
D) Obesity nervosa 
A) Bulimia nervosa 
B) Anorexia nervosa 
C) Teenage nervosa 
D) Obesity nervosa

Question 13

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

Accepted Answer

A) Manic depressive 
B) Schizophrenia 
C) Paranoia 
D) Bipolar 
A) Manic depressive 
B) Schizophrenia 
C) Paranoia 
D) Bipolar

Question 14

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

Accepted Answer

A) Assist with reality orientation. 
B) Aid in decision making. 
C) Assist with rational thought. 
D) Coach in deep breathing. 
A) Assist with reality orientation. 
B) Aid in decision making. 
C) Assist with rational thought. 
D) Coach in deep breathing.

Question 15

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

Accepted Answer

A) Drink plenty of fluids before ECT to ensure adequate hydration. 
B) Bring a change of clothes in case of incontinence. 
C) Be prepared for visual disturbances after the treatment. 
D) Arrange for transportation to and from the appointment. 
A) Drink plenty of fluids before ECT to ensure adequate hydration. 
B) Bring a change of clothes in case of incontinence. 
C) Be prepared for visual disturbances after the treatment. 
D) Arrange for transportation to and from the appointment.

Question 16

Dementia is an organic mental disease secondary to what problem?

Accepted Answer

A) Chemical imbalance 
B) Emotional problems 
C) Circulatory impairment 
D) Cerebral disease 
A) Chemical imbalance 
B) Emotional problems 
C) Circulatory impairment 
D) Cerebral disease

Question 17

The nurse explains that an alternative therapy that uses essential oils and scented candles to help a patient relax and focuses on the atmosphere of the moment is ______________.

Accepted Answer

aromatherapy
Aromatherapy uses

Question 18

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

Accepted Answer

A) To increase self-esteem 
B) To promote positive interaction 
C) To enhance reality orientation 
D) To stimulate communication 
E) To increase energy 
A) To increase self-esteem 
B) To promote positive interaction 
C) To enhance reality orientation 
D) To stimulate communication 
E) To increase energy

Question 19

What is the term for a long-term and intense form of psychotherapy developed by Sigmund Freud that allows a patient's unconscious thoughts to be brought to the surface?

Accepted Answer

A) Adjunctive 
B) Behavior 
C) Psychoanalysis 
D) Cognitive 
A) Adjunctive 
B) Behavior 
C) Psychoanalysis 
D) Cognitive

Question 20

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?

Accepted Answer

A) "That is a great idea.Alternative therapies can be very helpful." 
B) "You will feel better sooner if you include phenylalanine." 
C) "Did you know that St.John's wort can raise your blood pressure dramatically?" 
D) "You will need to drink lots of water." 
A) "That is a great idea.Alternative therapies can be very helpful." 
B) "You will feel better sooner if you include phenylalanine." 
C) "Did you know that St.John's wort can raise your blood pressure dramatically?" 
D) "You will need to drink lots of water."

Exam 35: Care of the Patient With a Psychiatric Disorder

The nurse instructs a patient who has just been prescribed a protocol of fluoxetine HCl (Prozac)that the drug takes 2 to 4 ____ to take effect.

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?

A young man with malaria spikes a temperature of 105°F (40.5°C)and begins to hallucinate.How should the nurse assess this?

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?

The nurse alters the care plan for a patient with depression to include what type of activity?

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?

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 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 is the typical schedule for electroconvulsive therapy (ECT)?

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 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?

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

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

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

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

Dementia is an organic mental disease secondary to what problem?

The nurse explains that an alternative therapy that uses essential oils and scented candles to help a patient relax and focuses on the atmosphere of the moment is ______________.

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

What is the term for a long-term and intense form of psychotherapy developed by Sigmund Freud that allows a patient's unconscious thoughts to be brought to the surface?

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?

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Elimination and Gastric Intubation

Care of Patients Experiencing Urgent Alterations in Health

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Fluids and Electrolytes

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