Nokea
Which data gathered from the assessment of a family with a schizophrenic member would be of greatest importance in discharge planning for the patient?
- A. The patient is the middle sibling.
- B. The patient's mother is a talented artist.
- C. The patient's paternal grandfather was considered 'eccentric.'
- D. The patient becomes anxious when family members are critical of one another.
Correct Answer: D
Rationale: The correct answer is D because understanding how the patient reacts to family dynamics is crucial for discharge planning. Anxiety triggered by family conflict can impact the patient's well-being post-discharge. Choices A, B, and C are less relevant as they do not directly address the patient's immediate needs or potential stressors. Middle sibling status, maternal artistic talent, and paternal grandfather's eccentricity are interesting but not as directly impactful on the patient's discharge planning compared to the patient's response to family conflicts.
You may also like to solve these questions
A patient who has been hospitalized for 2 days remains delusional and anxious and does not yet appear to be ready to give up the delusions. What intervention will best help the patient focus less on the delusion?
- A. Schedule time for the patient to read and listen to music.
- B. Plan activities that require physical skills and constructive use of time.
- C. Begin planning for discharge by engaging the patient in psychoeducation.
- D. Discuss personal goals related to improved socialization with the patient.
Correct Answer: B
Rationale: The correct answer is B because engaging in activities that require physical skills and constructive use of time can help the patient shift their focus away from the delusions. Physical activities can help reduce anxiety and provide a sense of accomplishment, which can help distract the patient from the delusions. It also promotes a sense of normalcy and routine, which can aid in grounding the patient in reality.
Choice A is incorrect because reading and listening to music may not actively engage the patient in a way that helps them shift their focus from the delusions. Choice C is incorrect because planning for discharge may be premature and may not address the immediate need to distract the patient from the delusions. Choice D is incorrect because discussing personal goals related to improved socialization may not be effective in helping the patient focus less on the delusions at this stage.
At what age do the synaptic connections in human brain peak?
- A. At birth
- B. End of 3 years
- C. 5 years
- D. 8 years
Correct Answer: B
Rationale: Synaptic connections peak around the end of 3 years (B), a period of rapid synaptogenesis and neural plasticity, followed by pruning. At birth (A), development begins, while 5 (C) and 8 years (D) see continued growth but past the peak, per neurodevelopmental research.
A patient with borderline personality disorder has cut her wrists. The physician orders daily dressing changes for the lacerations. The nurse performing this care should:
- A. encourage the patient to vent anger and aggression.
- B. provide care in a matter-of-fact manner
- C. be kindly, sympathetic, and concerned.
- D. offer to listen to the patient's feelings about cutting.
Correct Answer: B
Rationale: The correct answer is B: provide care in a matter-of-fact manner. This approach is important in treating patients with borderline personality disorder as it helps maintain boundaries and consistency, which are crucial for managing their condition. By being matter-of-fact, the nurse can prevent potential manipulation or reinforcement of maladaptive behaviors. Encouraging the patient to vent anger (choice A) may escalate the situation. Being overly sympathetic (choice C) can blur professional boundaries. Offering to listen to feelings (choice D) may reinforce the behavior and not address the underlying issues effectively.
Which of the following is NOT a physical cause often associated with Phonological disorder?
- A. A hearing impairment
- B. Cleft palate
- C. Small frontal lobes
- D. Cerebral palsy
Correct Answer: C
Rationale: Frontal Lobes: One of four parts of the cerebrum that control voluntary movement, verbal expressions, problem solving, one's will power, and planning; not a common physical cause of phonological disorder.
Many persons brought before a criminal court have mental illness, have committed minor offenses, and are off medications. The judge consults the nurse at the local community mental health center for guidance about how to respond when handling such cases. Which advice from the nurse would be most appropriate?
- A. Sometimes a little time in jail makes a person rethink what theyve been doing and puts them back on the right track.'
- B. Sentencing such persons to participate in treatment instead of incarcerating them has been shown to reduce repeat offenses.'
- C. Arresting these people helps them in the long run. Sometimes we cannot hospitalize them, but in jail they will get their medication.'
- D. Research suggests that special mental health courts do not make much difference so far, but outpatient commitment does seem to help.'
Correct Answer: B
Rationale: Research supports the use of special mental health courts that can sentence mentally ill persons to treatment instead of jail. Jail exposes vulnerable mentally ill persons to criminals, victimization, and high levels of stimulation and stress. Incarceration can also interrupt eligibility for benefits or lead to the loss of housing and often provides lower-quality mental health treatment in other settings. Recidivism rates for both mentally ill and non-mentally ill offenders are relatively high, so it does not appear that incarceration necessarily leads people to behave more appropriately. In addition, a criminal record can leave them more desperate and with fewer options after release. Research indicates that outpatient commitment is less effective at improving the mental health of mentally ill persons than was expected.