Nokea
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.
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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.
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.
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 nurse asks a patient with schizophrenia if he had any visitors on Sunday. Which response indicates loose association?
- A. No.
- B. Yes! I had 90 visitors who came from every state in the union.
- C. Sunday is the Sabbath. Do we have visitors on the Sabbath?
- D. We visited Yellowstone Park last summer.
Correct Answer: D
Rationale: Loose association is a type of disordered thinking that occurs when the individual cannot interpret information and the conversation does not flow.
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.