Nokea
The nurse is discussing the differences between a patient with a neurosis and one with a psychosis. What is true of the patient experiencing a neurosis?
- A. The patient experiences a flight from reality.
- B. The patient usually needs hospitalization.
- C. The patient has insight that there is an emotional problem.
- D. The patient has severe personality deterioration.
Correct Answer: C
Rationale: An individual with a neurosis has insight that he has an emotional problem. A person with psychosis is out of touch with reality and has severe personality deterioration. Treatment for neurosis is usually completed in the outpatient setting, while treatment for psychosis often requires hospitalization.
You may also like to solve these questions
For the past 3 weeks, the nurse has observed a patient interacting with staff and other patients, helping decorate the dining room for a party, and leading the singing in the activity room. Today, the patient tearfully refuses to dress or get out of bed. The nurse recognizes these behaviors as evidence of which psychiatric disorder?
- A. Unipolar depression
- B. Dysthymic disorder
- C. Hypomanic episode
- D. Bipolar disorder
Correct Answer: D
Rationale: Bipolar disorder can cause the patient to experience a sudden shift in emotion from one extreme to the other.
The patient complains of recurrent, multiple physical ailments for which there is no organic cause. How should the nurse assess this?
- A. Obsessive-compulsive disorder
- B. Phobia anxiety disorder
- C. Somatic symptom disorder
- D. Delusional disorder
Correct Answer: C
Rationale: Somatic symptom disorder is characterized by recurrent, multiple physical complaints for which there is no organic cause.
A patient admitted for delirium demonstrates increased disorientation and agitation only during the evening and nighttime. What is the term applied to this type of delirium?
- A. Disordered thinking
- B. Schizophrenia
- C. Dementia
- D. Sundowning syndrome
Correct Answer: D
Rationale: A patient with sundowning syndrome displays increased disorientation and agitation only during evening and nighttime. Disordered thinking occurs when an individual is not able to interpret information being received in the brain. Disordered thinking is one characteristic of schizophrenia, which is a large group of psychotic disorders that includes nonreality-based thinking. Dementia is an altered mental state secondary to cerebral disease.
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.
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.