Nokea
Psychosurgery is a treatment option in
- A. Resistant schizophrenia
- B. Resistant OCD
- C. Resistant Depression
- D. Resistant Personality disorders
Correct Answer: B
Rationale: Psychosurgery may be considered in severe, treatment-resistant OCD cases.
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A nurse is providing education to a client and their family about suicide prevention. Which information should the nurse prioritize in the education?
- A. Identifying and challenging positive thoughts.
- B. Recognizing the signs and symptoms of suicide risk.
- C. Promoting alcohol consumption as a stress-relieving strategy.
- D. Encouraging isolation during times of distress.
Correct Answer: B
Rationale: Recognizing the signs and symptoms of suicide risk is crucial for early intervention and support. Educating clients and families on these signs can help prevent self-harm.
Schizoaffective Psychosis is a term coined by
- A. Bleuler
- B. Schneider
- C. Freud
- D. None of the above
Correct Answer: A
Rationale: Eugen Bleuler introduced the term schizoaffective psychosis.
What technique is the nurse using when they say to a PTSD patient experiencing a flashback: "I know you are scared, but you are in a safe place. Do you see the bed in your room? Do you feel the chair you are sitting on?"
- A. Grounding
- B. Relaxation
- C. Reality orientation
- D. Distraction
Correct Answer: A
Rationale: Grounding techniques are helpful to use with a patient who is dissociating or experiencing a flashback. Grounding techniques remind the patient that he or she is safe and in the present time.
A 5-year-old child was referred by his schoolteacher saying that he is naughty and troublesome in the class. She states that he often gets into fights with other children and finds it hard to wait for his turn when doing something. His mother reports that he has otherwise normal milestones and is generally a very bright kid. He also does very well in his academics although it is difficult to get him to concentrate on anything. He is generally underweight and does not eat well. Suggest the best possible drug treatment for him.
- A. Methylphenidate
- B. Atomoxetine
- C. Dexamphetamine
- D. Olanzapine
Correct Answer: A
Rationale: Methylphenidate is the first-line treatment for ADHD, which matches the child's symptoms of inattention, impulsivity, and hyperactivity, supported by its efficacy in improving focus and behavior in children.
Which assessment finding should the nurse expect in a client with acute stress disorder (ASD)?
- A. Inability to remember details of the traumatic event.
- B. A stable heart rate and blood pressure.
- C. Euphoric mood and increased energy.
- D. Hyperactivity and distractibility.
Correct Answer: A
Rationale: Choice A rationale: Clients with acute stress disorder (ASD) often experience dissociation, which can lead to an inability to remember crucial details of the traumatic event. This is known as dissociative amnesia and is a hallmark symptom of ASD. The traumatic event is typically encoded in fragmented or incomplete memories due to the intense stress and emotional impact it carries. Choice B rationale: A stable heart rate and blood pressure are not typical findings in clients with acute stress disorder. ASD is characterized by an acute stress response, which often leads to increased heart rate and blood pressure, not stability. Choice C rationale: Euphoric mood and increased energy are not consistent with the symptoms of acute stress disorder. ASD is more likely to cause mood disturbances like anxiety, hypervigilance, and irritability, rather than euphoria and increased energy. Choice D rationale: Hyperactivity and distractibility are not primary symptoms of acute stress disorder. While heightened arousal can occur in response to stress, hyperactivity and distractibility are more indicative of conditions like attention-deficit/hyperactivity disorder (ADHD) rather than ASD.