Nokea
The home health nurse assesses a patient who creates elaborate excuses for not leaving home. Further questioning reveals the patient had not left home for 6 months. How should this be documented?
- A. Mania
- B. Depression
- C. Agoraphobia
- D. Anxiety
Correct Answer: C
Rationale: Agoraphobia is a high level of anxiety in which an anxiety attack could occur in individuals who avoid other people, places, or events.
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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 patient is frequently late for appointments because he goes back to his room numerous times to assure himself that none of his belongings have been stolen. What does this behavior represent?
- A. Senseless behavior
- B. Controlled repetition
- C. Obsessive-compulsive
- D. Anxiety tension
Correct Answer: C
Rationale: Obsessive-compulsive disorders have two features: thoughts that are recurrent, intrusive, and senseless; and behaviors that are performed repeatedly and ritualistically.
When all five axes of the Diagnostic and Statistical Manual of Psychiatric Disorders, V, are used, it provides what type of assessment approach to comprehensive care?
- A. Personalized
- B. Individualized
- C. Holistic
- D. Organic
Correct Answer: C
Rationale: Using all five axes of the DSM-V provides a holistic assessment.
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.
Adjunctive therapies are used for which reasons?
- A. To increase self-esteem
- B. To promote positive interaction
- C. To enhance reality orientation
- D. To stimulate communication
- E. To increase energy
Correct Answer: A,B,C
Rationale: The purpose of adjunctive therapies is to increase self-esteem, promote positive interaction, and enhance reality orientation.