Exam 34: Care of the Patient with a Psychiatric Disorder

The home health nurse assesses a patient who creates elaborate excuses for not leaving home. Further questioning reveals the patient had not left home for 6 months. How should this be documented?

A patient admitted for delirium demonstrates increased disorientation and agitation only during the evening and nighttime. What is the term applied to this type of delirium?

A home health nurse has a patient who is taking lithium. What should be included in the teaching plan?

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 ______________.

A profound, disabling mental illness is characterized by bizarre, nonreality thinking. What is the illness?

A patient believes himself to be the president of the United States and that terrorists are trying to kidnap him. The nurse records these observations as which type of behavior?

The nurse alters the care plan for a patient with depression to include what type of activity?

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?

The nurse asks a patient with schizophrenia if he had any visitors on Sunday. Which response indicates loose association?

The nurse recognizes that a woman who has experienced physical abuse and has inadequate income to care for herself and her family would be categorized under Axis ______.

What is the term for a long-term and intense form of psychotherapy developed by Sigmund Freud that allows a patient's unconscious thoughts to be brought to the surface?

When a patient is experiencing a panic attack, how should the nurse best assist the patient?

The nurse recognizes that researchers have identified that hereditary factors account for what percentage of mood disorders?

What should the nurse preparing a patient for a scheduled appointment for electroconvulsive therapy (ECT) remind the patient to do?

The nurse cautions a patient to watch his step. What response indicates concrete thinking?

What is the prognosis for a schizophrenic patient who is exhibiting positive behaviors?

Adjunctive therapies are used for which reasons? (Select all that apply.)

A young man with malaria spikes a temperature of 105° F and begins to hallucinate. How should the nurse assess this?

The Diagnostic and Statistical Manual of Psychiatric Disorders, V (DSM-V), is used by most hospitals and is the current tool used to examine mental health and illness. What approach does the DSM-V use to classify mental disorders?

The nurse recognizes that stress can cause an ulcer, which is classified as a _______________ illness.