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To cope with the devastating effects of schizophrenia and other serious mental illnesses, family members or significant others and clients will benefit most from:

  • A. Regular psychoanalysis
  • B. Intensive short-term therapy
  • C. Ongoing treatment and support
  • D. Continued medication adjustments
Correct Answer: C

Rationale: The correct answer is C: Ongoing treatment and support. This option is the most beneficial for coping with serious mental illnesses like schizophrenia because it involves long-term management and assistance. Ongoing treatment can include therapy, medication management, and support groups, which are crucial for helping individuals and their families manage symptoms and improve overall quality of life.

Explanation:
A: Regular psychoanalysis is not the most effective approach for managing the devastating effects of serious mental illnesses like schizophrenia. It may not provide the immediate support and intervention needed for crisis situations.
B: Intensive short-term therapy may offer temporary relief, but ongoing treatment and support are essential for long-term management and stability.
D: Continued medication adjustments are important, but they are just one aspect of a comprehensive treatment plan. Ongoing treatment and support encompass a broader range of interventions that are necessary for addressing the complex needs of individuals with serious mental illnesses.

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A core feature of all abnormal behavior is that it is

  • A. culturally absolute
  • B. learned
  • C. maladaptive
  • D. dependent on age
Correct Answer: C

Rationale: Maladaptive behavior, impairing function or causing distress, is a universal hallmark of abnormality.

A physical therapist recently convicted of multiple counts of Medicare fraud is brought to the emergency department after taking an overdose of sedatives. He tells the nurse, 'Sure I overbilled. Why not? Everybody takes advantage of the government. They have too many rules. No one can abide by all of them.' These statements can be assessed as showing:

  • A. glibness and charm.
  • B. superficial remorse.
  • C. lack of guilt feelings.
  • D. excessive suspiciousness.
Correct Answer: C

Rationale: The correct answer is C: lack of guilt feelings. The physical therapist's statements reveal a lack of remorse or guilt for committing Medicare fraud, indicating a disregard for ethical standards and a lack of moral responsibility. This behavior is indicative of a lack of guilt feelings, as the individual shows no remorse for their actions.

Summary of other choices:
A: Glibness and charm typically involve smooth talking and being persuasive, which is not demonstrated in the scenario.
B: Superficial remorse implies a shallow or insincere apology, but the individual does not express any form of remorse in this situation.
D: Excessive suspiciousness refers to being overly mistrustful or paranoid, which is not evident in the physical therapist's statements.

A 15-year-old boy presents with fatigue to the clinic. He reports that he is unable to wake up in the mornings and is missing a lot of school. On further questioning he reveals that he has some thoughts of suicide, but requests that the information be withheld from his parent who is in the waiting room. On examination he is noted to be obese with acanthosis. The next best step is to ensure his safety is:

  • A. Refer to peds medicine for workup of obesity
  • B. Breach confidentiality to inform his parent about the adolescents suicidal thoughts
  • C. Refer to school for counselling
  • D. Reassurance and diet and exercise advice
Correct Answer: B

Rationale: Suicidal thoughts indicate a safety risk, justifying breaching confidentiality to involve parents and ensure immediate intervention, per ethical and clinical guidelines.

In DSM-IV-TR intellectual disabilities are divided into a number of degrees of severity, depending primarily on the range of IQ score provided by the sufferer. One of these is Severe Mental Retardation, represented by an IQ score between:

  • A. 5-10 to 15-20
  • B. 30-35 to 45-50
  • C. 10-15 to 20-25
  • D. 20-25 to 35-40
Correct Answer: D

Rationale: Severe Mental Retardation: Defined by DSM-IV-TR as an IQ score between 20-25 to 35-40.

A 17-year-old patient with anorexia nervosa has just been released from the hospital. To facilitate recovery at home, the psychiatric-mental health nurse instructs the family to:

  • A. discourage the patient from sneaking food between meals, by unobtrusively reducing access to the kitchen
  • B. encourage the patient's interest in menu planning, food magazines, and cooking lessons, by leaving information and materials around the house
  • C. permit the patient to eat her meals privately to discourage family preoccupation with meals
  • D. recommend that the patient joins in routine family meals and clears the dishes after dinner, even if they do not eat
Correct Answer: D

Rationale: Involving the patient in family meals normalizes eating behavior and provides structure, supporting recovery without enabling secrecy or avoidance.

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