Nokea
The Diagnostic and Statistical Manual of Psychiatric Disorders, V (DSM-V), is used by most hospitals and is the current tool used to examine mental health and illness. What approach does the DSM-V use to classify mental disorders?
- A. Holistic system
- B. Hierarchical system
- C. Multiaxial system
- D. Evaluation system
Correct Answer: C
Rationale: The DSM-V is a multiaxial system.
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The patient talks with his dead brother and arranges furniture so that his brother will have a place to sit. How should the nurse document this behavior?
- A. Disordered thinking
- B. Anhedonia
- C. Hallucination
- D. Alogia
Correct Answer: C
Rationale: A hallucination is a sensory experience without a stimulus trigger. Disordered thinking occurs when the individual is not able to interpret information being received in the brain. Anhedonia describes lack of expressed feelings. Alogia is reduced content of speech.
The nurse explains that an alternative therapy that uses essential oils and scented candles to help a patient relax and focuses on the atmosphere of the moment is
Correct Answer: aromatherapy
Rationale: Aromatherapy uses essential oils and scented candles to soothe the senses and make people aware of the here and now of the pleasant environment.
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.
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.
A patient believes himself to be the president of the United States and that terrorists are trying to kidnap him. The nurse records these observations as which type of behavior?
- A. Absent behavior
- B. Positive behavior
- C. Negative behavior
- D. False behavior
Correct Answer: B
Rationale: The behaviors of schizophrenic individuals can be categorized as positive (or excessive) or negative (or absent). Examples of positive behaviors include hallucinations, delusions, and disordered thinking. Examples of negative behaviors include apathy, social withdrawal, and flat affect.