Nokea
The patient talks with his dead brother and arranges furniture so that his brother will have a place to sit. How should the nurse document this behavior?
- A. Disordered thinking
- B. Anhedonia
- C. Hallucination
- D. Alogia
Correct Answer: C
Rationale: A hallucination is a sensory experience without a stimulus trigger. Disordered thinking occurs when the individual is not able to interpret information being received in the brain. Anhedonia describes lack of expressed feelings. Alogia is reduced content of speech.
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What is the typical schedule for electroconvulsive therapy (ECT)?
- A. 3 treatments over 2 weeks
- B. 6 treatments over 2 months
- C. 8 treatments over several weeks
- D. 10 treatments over several weeks
Correct Answer: D
Rationale: ECT is done as a treatment for depression, mania, and schizoaffective disorders that have not responded to other treatments. The usual protocol is 10 treatments over several weeks.
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.
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.
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.
What is the term for a long-term and intense form of psychotherapy developed by Sigmund Freud that allows a patient's unconscious thoughts to be brought to the surface?
- A. Adjunctive
- B. Behavior
- C. Psychoanalysis
- D. Cognitive
Correct Answer: C
Rationale: Psychoanalysis technique was developed by Sigmund Freud and is a long-term and intense therapy.