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What is the term used for the beginning stage of schizophrenia, characterized by a lack of energy and complaints of multiple physical problems?
- A. Prepsychotic
- B. Residual
- C. Acute
- D. Prodromal
Correct Answer: D
Rationale: The prodromal phase is the beginning stage of schizophrenia. Hallucinations and delusions sometimes occur in the prepsychotic stage. In the acute phase, individuals often lose touch with reality. The residual phase follows the acute phase and the symptoms of that phase are similar to those of the prodromal stage.
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When a patient demonstrates accelerated heart rate, trembling, choking, and chest pain along with acute, intense, and overwhelming anxiety, the nurse should recognize that the patient is most likely experiencing what condition?
- A. Terror
- B. Fright
- C. Fear
- D. Panic
Correct Answer: D
Rationale: Panic can be defined as an attack of acute, intense, and overwhelming anxiety.
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.
The patient complains of recurrent, multiple physical ailments for which there is no organic cause. How should the nurse assess this?
- A. Obsessive-compulsive disorder
- B. Phobia anxiety disorder
- C. Somatic symptom disorder
- D. Delusional disorder
Correct Answer: C
Rationale: Somatic symptom disorder is characterized by recurrent, multiple physical complaints for which there is no organic cause.
A home health nurse has a patient who is taking lithium. What should be included in the teaching plan?
- A. Examine her skin closely for eruptions.
- B. Take her blood pressure twice a day to check for hypertension.
- C. Have her drug blood level checked every month.
- D. Avoid aged cheese and red wine.
Correct Answer: C
Rationale: Lithium has a very narrow therapeutic window. The drug blood levels should be closely monitored.
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.