Nokea
The nurse is addressing a primary symptom of schizophrenia when:
- A. Arranging for the client to attend stress management classes.
- B. Reinforcing the client's ability to interrupt intrusive paranoid thoughts.
- C. Working with the client to arrive at a budget that allows him to live independently.
- D. Supporting the client in his attempts to stop using alcohol to cope with his hallucinations.
Correct Answer: B
Rationale: The correct answer is B because reinforcing the client's ability to interrupt intrusive paranoid thoughts addresses a primary symptom of schizophrenia, which is distorted thinking patterns. Helping the client develop skills to challenge and manage these thoughts is a key aspect of schizophrenia treatment.
A: Arranging stress management classes may be helpful but does not directly address the primary symptom of distorted thinking.
C: Working on a budget for independent living is important but does not directly target the primary symptom of schizophrenia.
D: Supporting the client to stop using alcohol may be beneficial, but it does not directly address the primary symptom of distorted thinking associated with schizophrenia.
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Which client has met the criteria for psychiatric homebound care?
- A. A 67-year-old retired teacher who has been depressed since the death of his longtime partner
- B. A 21-year-old diagnosed with paranoid schizophrenia who has delusions that the world is about to end
- C. A 45-year-old who, for the last 5 years, has experienced severe panic attacks whenever she attempts to leave her home
- D. A 16-year-old who has demonstrated obsessive-compulsive behaviors involving cleaning rituals since she was 10 years old
Correct Answer: C
Rationale: The correct answer is C because the client meets the criteria for psychiatric homebound care by experiencing severe panic attacks when trying to leave the home. This indicates significant impairment in functioning outside the home.
Explanation:
1. Criterion met: The client's severe panic attacks prevent her from leaving the home, indicating a need for care within the home environment.
2. Impairment in functioning: The client's panic attacks significantly impact her ability to engage in daily activities outside the home.
3. Duration of symptoms: The client has experienced these severe panic attacks for the last 5 years, indicating a chronic and persistent condition.
Summary of other choices:
A: Depression alone does not necessarily warrant psychiatric homebound care.
B: Delusions related to paranoid schizophrenia do not inherently restrict the client to homebound care.
D: Obsessive-compulsive behaviors, while impactful, do not specifically require homebound care unless they severely impair functioning outside the home.
Which of these is not one of Biesteks's Seven Principles of Relationship
- A. Acceptance
- B. Independence
- C. Controlled emotional involvement
- D. Confidentiality
Correct Answer: B
Rationale: Independence is not among Biestek's original seven; the others are core principles.
A patient with HIV asks the nurse if thinking about dying frequently is common with HIV. What is an appropriate response by the nurse?
- A. HIV is a serious disease that results in death.'
- B. Thinking about death will not change the prognosis.'
- C. HIV is now considered a chronic disease with treatment.'
- D. HIV has a very high mortality rate, so it is realistic to plan for death.'
Correct Answer: C
Rationale: Rationale for Correct Answer C:
1. HIV is now considered a chronic disease with treatment, meaning many individuals can live long and healthy lives with proper medical care.
2. By informing the patient that HIV is a chronic disease, the nurse can provide reassurance and hope.
3. Acknowledging the patient's concerns while highlighting the positive advancements in HIV care can help alleviate anxiety and provide comfort.
Summary of Incorrect Choices:
A: This answer instills fear without providing accurate information about the current state of HIV treatment.
B: This answer dismisses the patient's concerns and does not offer any constructive information or support.
D: This answer is misleading as HIV mortality rates have significantly decreased with advancements in treatment, and planning for death should not be the primary focus for individuals living with HIV.
In order to become political advocates for the mentally ill, psychiatric nurses must first:
- A. Be willing to learn the legislative and regulatory processes at both the federal and state levels.
- B. Recognize the need to work in partnership with the American Medical Association.
- C. Be willing to put aside differences and unite for a common mental health cause.
- D. Recognize the value of their understanding of the needs of the mentally ill.
Correct Answer: D
Rationale: The correct answer is D because psychiatric nurses must understand the unique needs of the mentally ill to effectively advocate for them. By recognizing the value of their understanding, nurses can tailor their advocacy efforts to address these specific needs. Choice A is incorrect as legislative knowledge is important but not the primary requirement. Choice B is incorrect as partnership with the AMA is not necessary for advocacy. Choice C is incorrect as unity alone is not sufficient without a clear understanding of the mental health issues.
Albert Ellis and Aron Beck contributed in ------therapy:
- A. Cognitive behavioral therapy
- B. REBT
- C. Rational Emotive Therapy
- D. None of them
Correct Answer: A
Rationale: Ellis (REBT) and Beck (cognitive therapy) both contributed to cognitive behavioral therapy (CBT), integrating thought and behavior.