Nokea
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.
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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 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.
A patient who is taking a monoamine oxidase inhibitor (MAOI) asks the nurse about the addition of St. John's wort to help with his depression. What would be the best response of the nurse?
- A. That is a great idea. Alternative therapies can be very helpful.
- B. You will feel better sooner if you include phenylalanine.
- C. Did you know that St. John's wort can raise your blood pressure dramatically?
- D. You will need to drink lots of water.
Correct Answer: C
Rationale: St. John's wort can raise blood pressure dramatically in people who are also taking MAOIs.
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.
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.