Exam 55: Psychiatric Disorders

A patient with bipolar disorder is being treated with tricyclic medications.As part of the patient teaching information concerning its side effects,the nurse tells the patient to expect:

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:

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

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:

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:

A nursing diagnosis that would be appropriate for all patients with an anxiety,a somatoform,or a dissociative disorder would be:

The nurse speaking to a patient who is depressed says,"So what you are saying is that you are feeling very sad today." This would be an example of:

The nurse reminds the family of a patient who experiences delirium that some common causes are:

The nurse explains that the difference between an illusion and a hallucination is that an illusion could be exemplified by: (Select all that apply.)

When the nurse asks questions like,"What day is today?" or "What time is it now?" the nurse is testing the patient's ____________________.

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 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:

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.

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.

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):

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 ____________________.

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:

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

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?