Question 1

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

Using all five axes of the DSM-V provides a holistic assessment.

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

The DSM-V is a multiaxial system.

Question 3

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

Accepted Answer

The quiet,noncompetitive trip to view wildflowers would be the best option.Depressed people should not be put in situations where they must concentrate or compete.

Question 4

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

Accepted Answer

Maintaining a rigid pose for long periods of time is an example of behavior expected with catatonic schizophrenia.

Question 5

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

Delirium is an organic mental disorder that is frequently brought on by a severe physical illness,such as fever.

Question 6

Dementia is an organic mental disease secondary to what problem?

Accepted Answer

Dementia describes an altered mental state secondary to cerebral disease.

Question 7

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

Accepted Answer

Schizophrenia,a thought process disorder,is one of the most profoundly disabling mental illnesses.

Question 8

The nurse asks a patient with schizophrenia if he had any visitors on Sunday.Which response indicates loose association?

Accepted Answer

Loose association is a type of disordered thinking that occurs when the individual cannot interpret information and the conversation does not flow.

Question 9

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?

Accepted Answer

An individual with anxiety traits has anxious reactions to relatively nonstressful events.Signal anxiety is a learned response to an event such as test taking.An individual with general anxiety worries over many things.A panic attack occurs suddenly and typically peaks within 10 minutes.

Question 10

A home health nurse has a patient who is taking lithium.What should be included in the teaching plan?

Accepted Answer

Lithium has a very narrow therapeutic window.The drug blood levels should be closely monitored.

Question 11

A patient admitted for delirium demonstrates increased disorientation and agitation only during the evening and nighttime.What is the term applied to this type of delirium?

Accepted Answer

A patient with sundowning syndrome displays increased disorientation and agitation only during evening and nighttime.Disordered thinking occurs when an individual is not able to interpret information being received in the brain.Disordered thinking is one characteristic of schizophrenia,which is a large group of psychotic disorders that includes nonreality-based thinking.Dementia is an altered mental state secondary to cerebral disease.

Question 12

The nurse cautions a patient to watch his step.What response indicates concrete thinking?

Accepted Answer

Concreteness is an indication of disordered thinking.The patient is unable to translate any words except by a very concrete definition.

Question 13

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

An individual with a neurosis has insight that he has an emotional problem.A person with psychosis is out of touch with reality and has severe personality deterioration.Treatment for neurosis is usually completed in the outpatient setting,while treatment for psychosis often requires hospitalization.

Question 14

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

Accepted Answer

The prodromal phase is the beginning stage of schizophrenia.Hallucinations and delusions sometimes occur in the prepsychotic stage.In the acute phase,individuals often lose touch with reality.The residual phase follows the acute phase and the symptoms of that phase are similar to those of the prodromal stage.

Question 15

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?

Accepted Answer

Bipolar disorder can cause the patient to experience a sudden shift in emotion from one extreme to the other.

Question 16

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

Probating can be done if the individual is thought to be a danger to self or others.

Question 17

The nurse recognizes that researchers have identified that hereditary factors account for what percentage of mood disorders?

Accepted Answer

Research indicates that hereditary factors account for 60% to 80% of mood disorders.

Question 18

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 hallucination is a sensory experience without a stimulus trigger.Disordered thinking occurs when the individual is not able to interpret information being received in the brain.Anhedonia describes lack of expressed feelings.Alogia is reduced content of speech.

Question 19

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?

Accepted Answer

The behaviors of schizophrenic individuals can be categorized as positive (or excessive)or negative (or absent).Examples of positive behaviors include hallucinations,delusions,and disordered thinking.Examples of negative behaviors include apathy,social withdrawal,and flat affect.

Question 20

What is the prognosis for a schizophrenic patient who is exhibiting positive behaviors?

Accepted Answer

Prognosis for schizophrenic patients who are exhibiting positive behavior patterns is good.

Quiz 35: Care of the Patient With a Psychiatric Disorder