Nokea
Memory loss is usually not the initial symptom in which of the following
- A. Alzheimer's dementia
- B. Fronto temporal dementia
- C. Vascular Dementia
- D. None of the above
Correct Answer: B
Rationale: Frontotemporal dementia often presents initially with behavioral changes rather than memory loss.
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A client in a manic episode is having difficulty concentrating and frequently changes topics during conversation. Which nursing response is appropriate in this situation?
- A. You're not making any sense right now. Can you focus?
- B. I'm here to listen. Let's try to stick to one topic at a time.
- C. Please stop interrupting and let others speak as well.
- D. I don't understand what you're trying to say.
Correct Answer: B
Rationale: This response acknowledges the client's difficulty while providing support and a gentle redirection to stay focused on one topic. It maintains a therapeutic and non-confrontational approach, promoting effective communication with the client.
What behavioral symptoms would the nurse expect to assess in a client with obsessive-compulsive disorder?
- A. Restlessness and pacing
- B. Excessive sweating and tachycardia
- C. Use of breathing techniques to decrease anxiety
- D. Use of excessive and ritualistic behaviors to relieve anxiety
Correct Answer: D
Rationale: Obsessive-compulsive disorder is characterized by repetitive, ritualistic behaviors aimed at reducing anxiety.
All of the following are seen in schizophrenia except
- A. Third person auditory hallucination
- B. Disturbance of vision
- C. Personality deterioration
- D. Formal thought disorder
Correct Answer: B
Rationale: Visual disturbances are not a hallmark of schizophrenia.
A 30 year old lady has been diagnosed to be suffering from major depression. However, for the past 4 days, she has been expressing suicidal ideas. In addition, she was also found writing a suicide note. The best line of management in this case would be
- A. Increasing the dose of antidepressant
- B. Psychotherapy
- C. Add an antipsychotic
- D. Admit and consider ECTs
Correct Answer: D
Rationale: Acute suicidal risk requires hospitalization and rapid intervention like ECT, especially if antidepressants haven't yet taken effect.
The patients below were evaluated in the emergency department. The psychiatric unit has one bed available. Which patient should be admitted? The patient:
- A. feeling anxiety and a sad mood after separation from a spouse of 10 years.
- B. who self-inflicted a superficial cut on the forearm after a family argument.
- C. experiencing dry mouth and tremor related to taking haloperidol (Haldol).
- D. who is a new parent and hears voices saying, 'Smother your baby.'
Correct Answer: D
Rationale: Admission to the hospital would be justified by the risk of patient danger to self or others.