Nokea
The nurse alters the care plan for a patient with depression to include what type of activity?
- A. Domino game with three other patients
- B. Ping-Pong game with one other patient
- C. Group outing to view wildflowers
- D. Magazine to read alone
Correct Answer: C
Rationale: The quiet, noncompetitive trip to view wildflowers would be the best option. Depressed people should not be put in situations where they must concentrate or compete.
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The nurse recognizes that researchers have identified that hereditary factors account for what percentage of mood disorders?
- A. 10% to 15%
- B. 20% to 30%
- C. 35% to 50%
- D. 60% to 80%
Correct Answer: D
Rationale: Research indicates that hereditary factors account for 60% to 80% of mood disorders.
The patient complains of recurrent, multiple physical ailments for which there is no organic cause. How should the nurse assess this?
- A. Obsessive-compulsive disorder
- B. Phobia anxiety disorder
- C. Somatic symptom disorder
- D. Delusional disorder
Correct Answer: C
Rationale: Somatic symptom disorder is characterized by recurrent, multiple physical complaints for which there is no organic cause.
The nurse is assessing a female patient who has become rapidly and exceedingly anxious because her fingernail polish is chipped. What type of anxiety should the nurse conclude that the patient is exhibiting?
- A. Signal anxiety
- B. General anxiety
- C. Anxiety traits
- D. Panic disorder
Correct Answer: C
Rationale: An individual with anxiety traits has anxious reactions to relatively nonstressful events. Signal anxiety is a learned response to an event such as test taking. An individual with general anxiety worries over many things. A panic attack occurs suddenly and typically peaks within 10 minutes.
When a patient is experiencing a panic attack, how should the nurse best assist the patient?
- A. Assist with reality orientation.
- B. Aid in decision making.
- C. Assist with rational thought.
- D. Coach in deep breathing.
Correct Answer: D
Rationale: Coaching in relaxation techniques such as deep breathing is an effective intervention for a patient who is experiencing a panic attack.
For the past 3 weeks, the nurse has observed a patient interacting with staff and other patients, helping decorate the dining room for a party, and leading the singing in the activity room. Today, the patient tearfully refuses to dress or get out of bed. The nurse recognizes these behaviors as evidence of which psychiatric disorder?
- A. Unipolar depression
- B. Dysthymic disorder
- C. Hypomanic episode
- D. Bipolar disorder
Correct Answer: D
Rationale: Bipolar disorder can cause the patient to experience a sudden shift in emotion from one extreme to the other.