Nokea
What are considered warning signs of suicide?
- A. Talking about suicide
- B. Increased interactions with friends and family
- C. Drug or alcohol abuse
- D. Difficulty concentrating on work or school
- E. Personality changes
Correct Answer: A,C,D,E
Rationale: Warning signs of suicide include talking about suicide, decreased interactions with friends and family, drug/alcohol abuse, difficulty concentrating on work or school, and personality changes.
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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 home health nurse assesses a patient who creates elaborate excuses for not leaving home. Further questioning reveals the patient had not left home for 6 months. How should this be documented?
- A. Mania
- B. Depression
- C. Agoraphobia
- D. Anxiety
Correct Answer: C
Rationale: Agoraphobia is a high level of anxiety in which an anxiety attack could occur in individuals who avoid other people, places, or events.
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.
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 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.