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.
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The nurse explains that an alternative therapy that uses essential oils and scented candles to help a patient relax and focuses on the atmosphere of the moment is
Correct Answer: aromatherapy
Rationale: Aromatherapy uses essential oils and scented candles to soothe the senses and make people aware of the here and now of the pleasant environment.
The Diagnostic and Statistical Manual of Psychiatric Disorders, V (DSM-V), is used by most hospitals and is the current tool used to examine mental health and illness. What approach does the DSM-V use to classify mental disorders?
- A. Holistic system
- B. Hierarchical system
- C. Multiaxial system
- D. Evaluation system
Correct Answer: C
Rationale: The DSM-V is a multiaxial system.
When the patient with a psychosis is thought to be a danger to self or others, by what method should the patient be admitted to the hospital?
- A. Probating
- B. Nurse's request
- C. Health care provider's order
- D. Family request
Correct Answer: A
Rationale: Probating can be done if the individual is thought to be a danger to self or others.
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 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.
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