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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.
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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.
A home health nurse has a patient who is taking lithium. What should be included in the teaching plan?
- A. Examine her skin closely for eruptions.
- B. Take her blood pressure twice a day to check for hypertension.
- C. Have her drug blood level checked every month.
- D. Avoid aged cheese and red wine.
Correct Answer: C
Rationale: Lithium has a very narrow therapeutic window. The drug blood levels should be closely monitored.
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.
What is the prognosis for a schizophrenic patient who is exhibiting positive behaviors?
- A. Guarded
- B. Poor
- C. Good
- D. Repeatable
Correct Answer: C
Rationale: Prognosis for schizophrenic patients who are exhibiting positive behavior patterns is good.
The patient is concerned about confidentiality and asks the nurse not to tell anyone what is said. What is the best response by the nurse?
- A. I am required to report any intent to hurt yourself or others.
- B. Conversations between patient and nurse are confidential.
- C. What we say can be secret. What I write in the chart is available to the health team.
- D. I can't help you unless you trust me.
Correct Answer: A
Rationale: No secrets are allowed to be kept by a member of the health care team.