Nokea
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.
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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.
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.
What should the nurse preparing a patient for a scheduled appointment for electroconvulsive therapy (ECT) remind the patient to do?
- A. Drink plenty of fluids before ECT to ensure adequate hydration.
- B. Bring a change of clothes in case of incontinence.
- C. Be prepared for visual disturbances after the treatment.
- D. Arrange for transportation to and from the appointment.
Correct Answer: D
Rationale: If the patient has not arranged for adequate transportation to and from the appointment, the treatment will be canceled because driving after ECT is dangerous. The patient is typically NPO before the procedure. Incontinence and visual disturbances are not common following the procedure.
Adjunctive therapies are used for which reasons?
- A. To increase self-esteem
- B. To promote positive interaction
- C. To enhance reality orientation
- D. To stimulate communication
- E. To increase energy
Correct Answer: A,B,C
Rationale: The purpose of adjunctive therapies is to increase self-esteem, promote positive interaction, and enhance reality orientation.
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.