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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.
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When a patient demonstrates accelerated heart rate, trembling, choking, and chest pain along with acute, intense, and overwhelming anxiety, the nurse should recognize that the patient is most likely experiencing what condition?
- A. Terror
- B. Fright
- C. Fear
- D. Panic
Correct Answer: D
Rationale: Panic can be defined as an attack of acute, intense, and overwhelming anxiety.
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?
- A. Personalized
- B. Individualized
- C. Holistic
- D. Organic
Correct Answer: C
Rationale: Using all five axes of the DSM-V provides a holistic assessment.
The nurse recognizes that researchers have identified that hereditary factors account for what percentage of mood disorders?
- A. 10% to 15%
- B. 20% to 30%
- C. 35% to 50%
- D. 60% to 80%
Correct Answer: D
Rationale: Research indicates that hereditary factors account for 60% to 80% of mood disorders.
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?
- 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.
Correct Answer: C
Rationale: St. John's wort can raise blood pressure dramatically in people who are also taking MAOIs.
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?
- A. Mania
- B. Depression
- C. Agoraphobia
- D. Anxiety
Correct Answer: C
Rationale: Agoraphobia is a high level of anxiety in which an anxiety attack could occur in individuals who avoid other people, places, or events.