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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.
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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.
The nurse is assessing a female patient who has become rapidly and exceedingly anxious because her fingernail polish is chipped. What type of anxiety should the nurse conclude that the patient is exhibiting?
- A. Signal anxiety
- B. General anxiety
- C. Anxiety traits
- D. Panic disorder
Correct Answer: C
Rationale: An individual with anxiety traits has anxious reactions to relatively nonstressful events. Signal anxiety is a learned response to an event such as test taking. An individual with general anxiety worries over many things. A panic attack occurs suddenly and typically peaks within 10 minutes.
The nurse instructs a patient who has just been prescribed a protocol of fluoxetine HCl (Prozac) that the drug takes 2 to 4 to take effect.
Correct Answer: weeks
Rationale: Antidepressants of this type take 2 to 4 weeks before any effect is felt by the patient.
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 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.