Nokea
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.
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The nurse alters the care plan for a patient with depression to include what type of activity?
- A. Domino game with three other patients
- B. Ping-Pong game with one other patient
- C. Group outing to view wildflowers
- D. Magazine to read alone
Correct Answer: C
Rationale: The quiet, noncompetitive trip to view wildflowers would be the best option. Depressed people should not be put in situations where they must concentrate or compete.
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.
The nurse is caring for a patient with a diagnosis of catatonic schizophrenia. What behavior is consistent with this diagnosis?
- A. Talks excitedly about going home.
- B. Suspiciously watches the staff.
- C. Stands on one foot for 15 minutes.
- D. States he has a cat under his bed that talks to him.
Correct Answer: C
Rationale: Maintaining a rigid pose for long periods of time is an example of behavior expected with catatonic schizophrenia.
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.
When the patient with a psychosis is thought to be a danger to self or others, by what method should the patient be admitted to the hospital?
- A. Probating
- B. Nurse's request
- C. Health care provider's order
- D. Family request
Correct Answer: A
Rationale: Probating can be done if the individual is thought to be a danger to self or others.