Nokea
People with Mania experience strange feelings of grandiosity
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Mania often includes grandiosity, such as believing one has special powers or status.
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Your pregnant patient has a history of major depression. Which of the following is she most likely to be at risk for?
- A. She is at risk for development of manic episodes.
- B. She is at risk for recurrence of depression after the birth of the baby.
- C. She is more likely to have an autistic child.
- D. She has no higher risk for emotional problems than other patients.
Correct Answer: B
Rationale: History of major depression (B) is the biggest risk factor for postpartum depression, increasing the likelihood of recurrence post-delivery.
At what age do the synaptic connections in human brain peak?
- A. At birth
- B. End of 3 years
- C. 5 years
- D. 8 years
Correct Answer: B
Rationale: Synaptic connections peak around the end of 3 years (B), a period of rapid synaptogenesis and neural plasticity, followed by pruning. At birth (A), development begins, while 5 (C) and 8 years (D) see continued growth but past the peak, per neurodevelopmental research.
Which data gathered from the assessment of a family with a schizophrenic member would be of greatest importance in discharge planning for the patient?
- A. The patient is the middle sibling.
- B. The patient's mother is a talented artist.
- C. The patient's paternal grandfather was considered 'eccentric.'
- D. The patient becomes anxious when family members are critical of one another.
Correct Answer: D
Rationale: The correct answer is D because understanding how the patient reacts to family dynamics is crucial for discharge planning. Anxiety triggered by family conflict can impact the patient's well-being post-discharge. Choices A, B, and C are less relevant as they do not directly address the patient's immediate needs or potential stressors. Middle sibling status, maternal artistic talent, and paternal grandfather's eccentricity are interesting but not as directly impactful on the patient's discharge planning compared to the patient's response to family conflicts.
Which information would be of greatest assistance to a nurse assessing a patient's motivation to change behavior associated with maladaptive eating regulation responses?
- A. The number, on a scale of 1 to 10, that reflects the patient's desire for treatment.
- B. The name of a person the patient feels he or she can rely on for emotional support.
- C. The advantages the patient identifies as motivation for controlling the maladaptive behavior.
- D. The reasons the patient identifies as the factors that originally caused the maladaptive behavior.
Correct Answer: A
Rationale: The correct answer is A because assessing the patient's desire for treatment provides insight into their readiness and motivation to change behavior. This information indicates their willingness to engage in the treatment process and is a key factor in predicting behavior change.
Option B is incorrect because relying on emotional support may not necessarily reflect the patient's motivation to change their behavior. Option C is incorrect as identifying advantages for controlling maladaptive behavior does not directly address the patient's motivation level. Option D is incorrect because understanding the factors that caused the behavior does not necessarily indicate the patient's current motivation to change.
What is the primary goal for a nurse treating a patient with anorexia nervosa?
- A. To help the patient achieve optimal body weight quickly.
- B. To restore the patient's nutritional balance and weight.
- C. To involve the patient in daily exercise routines to improve physical health.
- D. To encourage the patient to undergo intensive psychotherapy.
Correct Answer: B
Rationale: The primary goal for a nurse treating a patient with anorexia nervosa is to restore the patient's nutritional balance and weight. This is because individuals with anorexia nervosa often have severe malnutrition and weight loss, which can lead to serious health complications. By focusing on restoring nutritional balance and weight, the nurse can help improve the patient's physical health and overall well-being. Encouraging the patient to achieve optimal body weight quickly (choice A) may not be realistic or safe, as rapid weight gain can have negative consequences. Involving the patient in daily exercise routines (choice C) may exacerbate the patient's compulsive behaviors around food and exercise. Encouraging the patient to undergo intensive psychotherapy (choice D) is important, but it is not the primary goal in the initial treatment of anorexia nervosa.