Nokea
Adjunctive therapies are used for which reasons?
- A. To increase self-esteem
- B. To promote positive interaction
- C. To enhance reality orientation
- D. To stimulate communication
- E. To increase energy
Correct Answer: A,B,C
Rationale: The purpose of adjunctive therapies is to increase self-esteem, promote positive interaction, and enhance reality orientation.
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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?
- A. Unipolar depression
- B. Dysthymic disorder
- C. Hypomanic episode
- D. Bipolar disorder
Correct Answer: D
Rationale: Bipolar disorder can cause the patient to experience a sudden shift in emotion from one extreme to the other.
The nurse is told that a patient believes he was born into the wrong body. What is the correct terminology for the desire to have the body of the opposite sex?
- A. Homosexuality
- B. Transsexualism
- C. Heterosexuality
- D. Bisexuality
Correct Answer: B
Rationale: Transsexualism is a persistent desire to be the opposite sex and to have the body of the opposite sex.
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.
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.
What is the typical schedule for electroconvulsive therapy (ECT)?
- A. 3 treatments over 2 weeks
- B. 6 treatments over 2 months
- C. 8 treatments over several weeks
- D. 10 treatments over several weeks
Correct Answer: D
Rationale: ECT is done as a treatment for depression, mania, and schizoaffective disorders that have not responded to other treatments. The usual protocol is 10 treatments over several weeks.