Nokea
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?
- A. Absent behavior
- B. Positive behavior
- C. Negative behavior
- D. False behavior
Correct Answer: B
Rationale: 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.
You may also like to solve these questions
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.
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?
- A. Disordered thinking
- B. Schizophrenia
- C. Dementia
- D. Sundowning syndrome
Correct Answer: D
Rationale: 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.
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 nurse cautions a patient to watch his step. What response indicates concrete thinking?
- A. The patient fixedly begins to watch his feet.
- B. The patient immediately examines his watch.
- C. The patient begins to watch the nurse's feet.
- D. The patient stands rigidly in one place without moving.
Correct Answer: A
Rationale: Concreteness is an indication of disordered thinking. The patient is unable to translate any words except by a very concrete definition.
The patient complains of recurrent, multiple physical ailments for which there is no organic cause. How should the nurse assess this?
- A. Obsessive-compulsive disorder
- B. Phobia anxiety disorder
- C. Somatic symptom disorder
- D. Delusional disorder
Correct Answer: C
Rationale: Somatic symptom disorder is characterized by recurrent, multiple physical complaints for which there is no organic cause.