Nokea
Dementia is an organic mental disease secondary to what problem?
- A. Chemical imbalance
- B. Emotional problems
- C. Circulatory impairment
- D. Cerebral disease
Correct Answer: D
Rationale: Dementia describes an altered mental state secondary to cerebral disease.
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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.
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.
What is the term used for the beginning stage of schizophrenia, characterized by a lack of energy and complaints of multiple physical problems?
- A. Prepsychotic
- B. Residual
- C. Acute
- D. Prodromal
Correct Answer: D
Rationale: 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.
A 14-year-old survivor of a school shooting screams and dives under a table when firecrackers go off. What does this behavior represent?
- A. Phobia
- B. Posttraumatic stress disorder
- C. Obsessive-compulsive disorder
- D. Disordered thinking
Correct Answer: B
Rationale: Posttraumatic stress disorder describes a response to an intense traumatic experience that is beyond the usual range of human experience.
The nurse recognizes that stress can cause an ulcer, which is classified as a symptom illness.
Correct Answer: Somatic
Rationale: Somatic symptom illness addresses the stress-related problems that can result in physical signs and symptoms. Psychophysiologic disorders are thought to have an emotional basis, manifested as a physical illness.