Nokea
The nurse cautions a patient to watch his step. What response indicates concrete thinking?
- A. The patient fixedly begins to watch his feet.
- B. The patient immediately examines his watch.
- C. The patient begins to watch the nurse's feet.
- D. The patient stands rigidly in one place without moving.
Correct Answer: A
Rationale: Concreteness is an indication of disordered thinking. The patient is unable to translate any words except by a very concrete definition.
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The nurse recognizes that stress can cause an ulcer, which is classified as a symptom illness.
Correct Answer: Somatic
Rationale: Somatic symptom illness addresses the stress-related problems that can result in physical signs and symptoms. Psychophysiologic disorders are thought to have an emotional basis, manifested as a physical illness.
What should the nurse preparing a patient for a scheduled appointment for electroconvulsive therapy (ECT) remind the patient to do?
- A. Drink plenty of fluids before ECT to ensure adequate hydration.
- B. Bring a change of clothes in case of incontinence.
- C. Be prepared for visual disturbances after the treatment.
- D. Arrange for transportation to and from the appointment.
Correct Answer: D
Rationale: If the patient has not arranged for adequate transportation to and from the appointment, the treatment will be canceled because driving after ECT is dangerous. The patient is typically NPO before the procedure. Incontinence and visual disturbances are not common following the procedure.
The nurse instructs a patient who has just been prescribed a protocol of fluoxetine HCl (Prozac) that the drug takes 2 to 4 to take effect.
Correct Answer: weeks
Rationale: Antidepressants of this type take 2 to 4 weeks before any effect is felt by the patient.
Dementia is an organic mental disease secondary to what problem?
- A. Chemical imbalance
- B. Emotional problems
- C. Circulatory impairment
- D. Cerebral disease
Correct Answer: D
Rationale: Dementia describes an altered mental state secondary to cerebral disease.
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.