Nokea
The term schizophrenia can be interpreted to mean
- A. a split between thought and emotion
- B. having more than one personality
- C. the same thing as a dissociative reaction
- D. that a person is insane
Correct Answer: A
Rationale: Schizophrenia's etymology suggests a 'split mind,' referring to fragmented thought-emotion processes.
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A client with borderline personality disorder is having difficulty with memories of sexual abuse. She has a history of suicidal gestures, self-mutilation, sexual addiction, and substance addiction. She complains of vague pains, menstrual problems, and headaches. She entered the partial hospital program to prevent another suicide gesture or self-mutilation. The nurse recognizes that collaborative therapy may be helpful for this client and knows that the most useful collaboration in this case would be the client, the nurse, and the:
- A. Occupational therapist exploring ways to reduce stress
- B. Physical therapist exploring ways to reduce back pain
- C. Acupuncturist exploring ways to reduce pain
- D. Sexologist exploring healthy sexuality and safe sex
Correct Answer: A
Rationale: The correct answer is A: Occupational therapist exploring ways to reduce stress. In the case of a client with borderline personality disorder experiencing trauma-related symptoms, such as memories of sexual abuse, the focus is on addressing underlying emotional issues and coping strategies. Collaborative therapy involving the client, nurse, and occupational therapist can be beneficial. The occupational therapist can help the client develop coping skills, manage stress, and improve daily functioning. This approach targets the root of the client's difficulties and provides holistic support.
Summary:
- Choice B (Physical therapist exploring ways to reduce back pain): This option does not directly address the client's primary concerns related to trauma and emotional distress.
- Choice C (Acupuncturist exploring ways to reduce pain): While pain management is important, it does not address the client's complex psychological needs and trauma history.
- Choice D (Sexologist exploring healthy sexuality and safe sex): While important in some cases, focusing solely on sexuality does not address the broader range of issues the client
Assist her in developing an emergency plan, since the pattern of violence is likely to continue.
- A. Developing an emergency plan is crucial in situations of potential violence.
- B. The pattern of violence may decrease over time.
- C. The pattern of violence is unpredictable.
- D. None of the above.
Correct Answer: A
Rationale: Rationale for Choice A:
1. Developing an emergency plan is crucial as it ensures safety during potential violent situations.
2. It empowers the individual to have a plan of action in place to protect themselves.
3. By having an emergency plan, the individual can respond quickly and effectively to ensure their safety.
Summary of Other Choices:
B. The pattern of violence decreasing is uncertain and doesn't address the immediate need for safety.
C. Labeling the pattern of violence as unpredictable doesn't provide a proactive solution for the individual's safety.
D. "None of the above" is incorrect as developing an emergency plan is a proactive and necessary step in situations of potential violence.
A consumer at a rehabilitative psychosocial program says to the nurse, 'People are not cleaning up behind themselves in the bathrooms. The building is dirty and cluttered.' How should the nurse respond?
- A. Encourage the consumer to discuss it at a meeting with everyone
- B. Hire a professional cleaning service to clean the restrooms
- C. Address the complaint at the next staff meeting
- D. Tell the consumer, 'Thats not my problem'
Correct Answer: A
Rationale: Consumer-run programs range from informal clubhouses, which offer socialization and recreation, to competitive businesses, such as snack bars or janitorial services, which provide needed services and consumer employment while encouraging independence and building vocational skills. Consumers engage in problem solving under the leadership of staff.
The nurse is explaining to the family of a patient diagnosed with schizophrenia that the disorder is considered to have neurobiological origins. When the patient's mother asks, 'What part of the brain is dysfunctional?' the nurse should reply, 'Research has implicated the:
- A. medulla and cortex.'
- B. cerebellum and cerebrum.'
- C. hypothalamus and medulla.'
- D. prefrontal and limbic cortices.'
Correct Answer: D
Rationale: The correct answer is D: prefrontal and limbic cortices. The prefrontal cortex is involved in decision-making, problem-solving, and social behavior, functions that are often impaired in schizophrenia. The limbic cortex is responsible for emotions and memory, both of which are affected in schizophrenia. Research has shown abnormalities in these brain regions in individuals with schizophrenia, supporting the neurobiological origins of the disorder. Choices A, B, and C are incorrect as they do not specifically address the brain regions known to be involved in schizophrenia.
Reading Disorder is a developmental disorder and is characterised by reading achievement (e.g. accuracy, speed and comprehension) being significantly below standards expected for which of the following
- A. Chronological age
- B. IQ
- C. Schooling experience.
- D. All of the above
Correct Answer: D
Rationale: Reading Disorder: A specific learning disability characterised by the accuracy, speed and comprehension of reading being significantly below standards expected for chronological age and IQ.