Nokea
The nurse is caring for a patient with a diagnosis of catatonic schizophrenia. What behavior is consistent with this diagnosis?
- A. Talks excitedly about going home.
- B. Suspiciously watches the staff.
- C. Stands on one foot for 15 minutes.
- D. States he has a cat under his bed that talks to him.
Correct Answer: C
Rationale: Maintaining a rigid pose for long periods of time is an example of behavior expected with catatonic schizophrenia.
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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.
The nurse is told that a patient believes he was born into the wrong body. What is the correct terminology for the desire to have the body of the opposite sex?
- A. Homosexuality
- B. Transsexualism
- C. Heterosexuality
- D. Bisexuality
Correct Answer: B
Rationale: Transsexualism is a persistent desire to be the opposite sex and to have the body of the opposite sex.
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.
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.
When a patient demonstrates accelerated heart rate, trembling, choking, and chest pain along with acute, intense, and overwhelming anxiety, the nurse should recognize that the patient is most likely experiencing what condition?
- A. Terror
- B. Fright
- C. Fear
- D. Panic
Correct Answer: D
Rationale: Panic can be defined as an attack of acute, intense, and overwhelming anxiety.