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A home health nurse has a patient who is taking lithium. What should be included in the teaching plan?
- A. Examine her skin closely for eruptions.
- B. Take her blood pressure twice a day to check for hypertension.
- C. Have her drug blood level checked every month.
- D. Avoid aged cheese and red wine.
Correct Answer: C
Rationale: Lithium has a very narrow therapeutic window. The drug blood levels should be closely monitored.
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A profound, disabling mental illness is characterized by bizarre, nonreality thinking. What is the illness?
- A. Manic depressive
- B. Schizophrenia
- C. Paranoia
- D. Bipolar
Correct Answer: B
Rationale: Schizophrenia, a thought process disorder, is one of the most profoundly disabling mental illnesses.
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. Holistic system
- B. Hierarchical system
- C. Multiaxial system
- D. Evaluation system
Correct Answer: C
Rationale: The DSM-V is a multiaxial system.
What disorder is a severe form of self-starvation that can lead to death?
- A. Bulimia nervosa
- B. Anorexia nervosa
- C. Teenage nervosa
- D. Obesity nervosa
Correct Answer: B
Rationale: Anorexia nervosa is a severe form of self-starvation that can lead to death.
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. Probating
- B. Nurse's request
- C. Health care provider's order
- D. Family request
Correct Answer: A
Rationale: Probating can be done if the individual is thought to be a danger to self or others.
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. Adjunctive
- B. Behavior
- C. Psychoanalysis
- D. Cognitive
Correct Answer: C
Rationale: Psychoanalysis technique was developed by Sigmund Freud and is a long-term and intense therapy.