Nokea
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.
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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.
When all five axes of the Diagnostic and Statistical Manual of Psychiatric Disorders, V, are used, it provides what type of assessment approach to comprehensive care?
- A. Personalized
- B. Individualized
- C. Holistic
- D. Organic
Correct Answer: C
Rationale: Using all five axes of the DSM-V provides a holistic assessment.
A profound, disabling mental illness is characterized by bizarre, nonreality thinking. What is the illness?
- A. Manic depressive
- B. Schizophrenia
- C. Paranoia
- D. Bipolar
Correct Answer: B
Rationale: Schizophrenia, a thought process disorder, is one of the most profoundly disabling mental illnesses.
What disorder is a severe form of self-starvation that can lead to death?
- A. Bulimia nervosa
- B. Anorexia nervosa
- C. Teenage nervosa
- D. Obesity nervosa
Correct Answer: B
Rationale: Anorexia nervosa is a severe form of self-starvation that can lead to death.
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.