Which statement is correct about a 25-year-old client with newly diagnosed schizophrenia?

Age of onset is typical for schizophrenia

Pt diagnosed as having disorganized schizophrenia. Which behaviours would Nurse likely assess?

Extreme social withdrawal, odd mannerisms, and behaviour

Anorexia, Insomnia, Hypersomnia

93) Empathy involves:

Putting yourself in someone else's shoes.

Pt told nurse that the FBI IS MONITORING and recording his, microphone in wall. Most theraputic

Tell pt this much be frightening to him but he is safe here

72. To assess the cultural needs of clients, the nurse will:

ask clients what cultural issues are important to them.

“I’m glad that I can have pepperoni on my pizza.”

A pt wit schizophrenia referred 4 psychological rehabilitation. Which typical program applies?

Learning job skills for employment, Learning how to live independently in a community, Developing social skills and supports

potential for boundary violations.

Nurse educate famly abt symptoms management 4 wen schizophrenia pt becom anxious-upset,wt help?

Request pt to be hospitalised until crisis over

What is it about the medicine that you don’t like?”

What happened to make u think ur husband doesn’t luv u anym

Do u Eva get dizzy wen u get up after been laying down awake, Have u get mouth dry, has bowl regularly movement changed ?, Have you noticed any palpitations or irregular heartbeats?”, Have u notice any Visual changes such as blurring ur vision

Decreased gamma-aminobutyric acid (GABA), Increased glutamate, Increased norepinephrine

Nurse assess for evidence of positive of schizophrenia newly admitted pt, which sympt positive

Loose associations, Hallucination, Delusion

“It’s amazing how much you remind me of my favourite teacher

See image 👩🏼⚕️

Alow the pt 2 continu talking & utilise active listening tec

80) Which of the following is not an antidepressant drug?

Antinoamine tritase rehibitor (ATRs).

Dispersive disorder wer ther is complete loss o pleasure eve

92) Counselling is a profession that aims to:

Promote personal growth and productivity.

Have blood lithium level draw during the Summer months

See image👩🏼⚕️

Gastrointestinal distress, Muscle rigidity, Agitation, Tachycardia

63. In Schizophrenia a reality-monitoring deficit refers to which of the following?

Prob distinguishing btw wat actually occurred & wat did not

81) Anxiolytic drugs are used to treat:

The symptoms of anxiety and stress.

studbud

Mental health 2 2019

104 termsStudBud Administration892 plays

Flashcards104 cardsFPractice quizPHost liveL

Questions 104

Answers

1
Which of the following drugs is used to treat depression
Effexor
Plavix
Ativan
2
Which statement is correct about a 25-year-old client with newly diagnosed schizophrenia?
Age of onset is typical for schizophrenia
Age of onset is earlier than usual for schizophr
Age of onset is later than usual for schizophrenia.
Age of onset follows no predictable pattern in schizophrenia
3
See image above
Hallucinations
Disorganised speech
Lack of energy
Delusions
4
85) Behaviour modification is a type of:
Cognitive behavioural therapy.
Humanistic therapy.
Client centred therapy.
Behaviour therapy.
5
See image
Risk of suicide
Disturbed sensory perception
I mpaired verbal communication
Disturbed thought processes
6
See image
Mood stabilisers
Anxiolytics
Neuroleptics
Anti-represents
7
76. Pt hav rights & responsibilities. Which of following is true? Abt involuntry/formal admit?
Non of the above.
Pt lose all their civil right bt hav right 2 refuse treatmnt
Pt have the right 2 discharge self against medical advice.
patients have the right to refuse treatment
8
Pt diagnosed as having disorganized schizophrenia. Which behaviours would Nurse likely assess?
Extreme social withdrawal, odd mannerisms, and behaviour
Suspiciousness toward others increased hostility
Absence of acute symptoms impaired role function
Psychomotor immobility; presence of waxy flexibility
9
A pt diagnosed wit
Difficulty concentrating
Anorexia
Insomnia
Hypersomnia
10
99) Depressed individuals exhibit which of the following symptoms?
Cognitive symptoms.
Behavioural symptoms.
All of the above.
Physical symptoms.
11
93) Empathy involves:
Putting yourself before others.
Putting others before yourself.
Feeling sorry for someone.
Putting yourself in someone else's shoes.
12
69. Monoamine oxidase inhibitors (MAOIs) are effective for the treatment of:
Bipolar
Schizophrenia
Obsessive compulsive disorder.
Generalized anxiety disorder.
13
Pt told nurse that the FBI IS MONITORING and recording his, microphone in wall. Most theraputic
Tell pt this much be frightening to him but he is safe here
Tell him wait and talk about it in counseling
Isolated him when he begins talking about his beliefs
Confront the delusional material directly
14
72. To assess the cultural needs of clients, the nurse will:
ask other nurses what the client’s needs are.
read current literature on a specific culture.
Provide the same care has been provided to other clients
ask clients what cultural issues are important to them.
15
58. Misinterpretation of perceptions or experiences in Schizophrenia are known as:
Avolition
Hallucinations
Delusions
Misperceptions
16
💪 see image
“I can still eat out at restaurants as long as I’m careful.”
. “I will miss putting soy sauce on my noodles.”
“I’m glad I can still eat hamburgers and French fries.”
“I’m glad that I can have pepperoni on my pizza.”
17
A pt wit schizophrenia referred 4 psychological rehabilitation. Which typical program applies?
Learning job skills for employment
Learning how to live independently in a community
Analysing family issues and past problems
Developing social skills and supports
18
See image
an embarrassing situation for his friends and family.
potential for boundary violations.
inability to terminate the therapeutic relationship.
encroaching on the community nurse’s workplace.
19
See image 👩🏼‍⚕️
Delusions of persecution
Delusions of grandeur
Delusions of reference
Nihilistic delusions
20
Nurse educate famly abt symptoms management 4 wen schizophrenia pt becom anxious-upset,wt help?
Call the therapist to request a medication change.
Request pt to be hospitalised until crisis over
Wait before the anxiety worsens before intervening
Encourage the use of learned relaxation techniques
21
See image
If u refuse medication we will just have to give u a shot
You need to take your medicine, this is how you get well.”
What is it about the medicine that you don’t like?”
I can see your uncomfortable right now I ‘lol w8 until 2morw
22
See image
What happened to make u think ur husband doesn’t luv u anym
U really should try not to dwell on somting proba not true
Try not think abt it too much coz it makes ur depression mor
Let’s talk abt wat u did to cause stop loving you
23
😔 see image
Do u Eva get dizzy wen u get up after been laying down awake
Have u get mouth dry, has bowl regularly movement changed ?
Have you noticed any palpitations or irregular heartbeats?”
Have u notice any Visual changes such as blurring ur vision
24
Is it more common for men to get depression than women?
True
False
25
The End
😝
Goodbye
Good luck
👩🏼‍⚕️
26
59. In Schizophrenia when an individual believes they are in danger, this is referred to as:
Nihilistic delusions
Delusions of grandeur
Delusions of control
Delusions of persecution
27
See Image above 👆🏼
duty of care.
standard of care practice.
false imprisonment
contract of care
28
See image
Decreased gamma-aminobutyric acid (GABA)
Increased serotonin
Increased glutamate
Increased norepinephrine
29
96) Family therapy is generally used to:
All of the above.
Attempts to understand the family as a social system.
Improve communications between members of the family.
Resolve specific conflicts eg; between adolescence & parent
30
Mood disorders affect
Only adults
Everyone
Only older adults
31
68. Which of the following is not a Behaviour Therapy technique?
Flooding
Counter transference
Systematic desensitisation
Counterconditioning
32
Nurse assess for evidence of positive of schizophrenia newly admitted pt, which sympt positive
Anhedonia- pleasurable activities
Loose associations
Hallucination
Delusion
33
90) Cognitive Behavioural Therapy is generally perceived as:
Psychodynamic
Evidence-based.
Humanistic
Phenomenological
34
See image
I drink so I can deal with the difficult situation at work.”
“It’s amazing how much you remind me of my favourite teacher
”I’m glad I lost my job because now I don’t have to commute”
“I may not be good looking, but I get really good grades“
35
See image 👩🏼‍⚕️
Alow the pt 2 continu talking & utilise active listening tec
Ask pt isnt feel anxious & commence relaxation & slow breath
decide that the patient needs to speak to someone senior.
Not 2 be worried as this doesn’t happen in the unit.
36
80) Which of the following is not an antidepressant drug?
Selective serotonin reuptake inhibitors (SSRIs).
Tricyclic antidepressants
Antinoamine tritase rehibitor (ATRs).
Monoamine oxidase inhibitors (MAOIs).
37
88) Which of the following might be considered as the central tenets of Client-Centred Therapy:
All of the above.
Empathy
Unconditional positive regard.
Congruence
38
What is melancholia?
A depressive disorder where there high and low periods.
Dispersive disorder wer ther is complete loss o pleasure eve
A depressive disorder wer ther is improve is sympt short Tim
39
See the photo
A persecutory delusion.
An erotomanic delusion
A grandiose delusion.
A somatic delusion.
40
103) In Major Depression, which of the following is a significant neurotransmitter?
Dopamine
Betacarotine
Acetylcholine
Serotonin.
41
92) Counselling is a profession that aims to:
Provide a successful diagnosis in psychopathology.
Ensure that clients are on the correct medication.
Promote personal growth and productivity.
42
See image above
Mesocortical
Nigrostriatal
Mesolimbic
Tuberoinfundibular
43
See image
Maintain low sodium diet
Take a diuretic with lithium
Come in for evaluation of serum lithium level every 1-3 mnth
Have blood lithium level draw during the Summer months
44
See image👩🏼‍⚕️
Gastrointestinal distress
Muscle rigidity
Agitation
Tachycardia
45
Schizophrenia occurs at higher rates in developing countries than in industrialized countries.
True
False
46
63. In Schizophrenia a reality-monitoring deficit refers to which of the following?
Problems with memory loss
Prob distinguishing btw thoughts &idea they generate themslv
Problems with spatial ability
Prob distinguishing btw wat actually occurred & wat did not
47
upon pt admission for acute psychiatric nurse docum pt refused bath, dress remain in room 1diag
Decisional conflict
Anxiety
Self care deduct
Social isolation
48
101) DSM-IV-TR criteria for a major depressive episode includes which of the following?
Symptoms are not accounted for by
All of above
Symptoms cause clinical significant distress or impairment.
Symptoms aren’t due 2 psychological effect of substance misu
49
70. The aetiology of schizophrenia is most accurately described as which of the following?
Unknown
An imbalance of neurotransmitters
A neurodevelopmental disorder
A neurodegenerative disorder
50
81) Anxiolytic drugs are used to treat:
The symptoms of psychosis and schizophrenia
None of the above.
The symptoms of anxiety and stress.
The symptoms of depression and mood disorder.
51
104) Which of the following neurotransmitters is associated specifically wit bipolar disorder:
Acetylcholine
Serotonin
Dopamine
Norepinephrine.
52
Individuals with Schizophrenia have a much higher risk for attempting and completing suicide?
False
True
53
What causes schizophrenia?
Chemical imbalance in the brain
Environmental factors
Genetic vulnerability
All of the above linked to the development of schizophrenia
54
See image 👩🏼‍⚕️
Positive symptoms
Catastrophic symptoms
Mediating symptoms
Negative symptoms
55
Pt has auditory hallucinations 4 many yrs tells nurse voices perverted from social & community
Wait before the anxiety worsens before intervening
Advice to participate in programs when voices ceased
Advice pt take medication as prescribed by the dr
Teach pt to use thought stopping techniques
56
89) It is generally considered that Cognitive behavioural therapy changes:
Behaviour
Thought processes
Thoughts and behaviour
Mood states
57
87) Client centred therapy is a type of:
Psychodynamic therapy.
Cognitive therapy.
Behavioural therapy.
Humanistic therapy.
58
84) Beck's Cognitive therapy for depression requires the individual to:
Make an objective assessment of their beliefs.
Set attainable life goals.
Keep a dream diary.
Keep a mood diary.
59
What is schizophrenia ?
The developmental disability
A character flaw
Brain disorder
The result of bad parenting
60
Pt has diagnosed of schizophrenia wit neg sympt in plan-care nurse anticipate a problem wit?
Motivation for activities
Ideas of reference.
Bizarre behaviours
Auditory hallucinations
61
94) An encounter group:
Enables individual to interact wit others in social setting.
Aids the therapist in diagnosis
Encourages team building.
Encourages therapy & self-growth thro disclosure & intaction
62
See image 👩🏼‍⚕️
A pt who talks abt suicide may be signalling other for help
If pt pt unsuccessful in suicide attempt another is unlikely
Wen medication improves a pt’s mood they may attempt suicide
It is impo not to ask pt whether they having suicdal thought
63
Which factor is associated with increased risk for schizophrenia?
Povert
Overcrowded schools
Adolescence pregnancy
Alcoholism
64
See image
Unpredictable and erratic behaviour
Stay in bed for long periods
Compulsive checking.
Ritualised behaviour.
65
56. the phenomenon in Schizophrenia, known as 'downward drift' means which of the following?
All of the above
Falling to the bottom of the social ladder
Inability to hold down a job
Becoming homeless
66
91) Contininual professional development (CPD) demonstrates that a therapist:
Relies solely on literature as way of updating theraputic
Relies on information from informal sources.
Regular updates their knowledge recent develop treatmnt tech
Attends all therapeutic conferences.
67
See image
Do you blame ur self for not being able to cope wit momhood?
How much sleep do you get in a twenty-four hour period?
Do you ever think about harming yourself or your baby?
Is ther friend, relative that come help u care for ur baby?
68
86) Drugs called Benzodiazepines are used to treat:
Anxiety disorders.
Mood disorders
Schizophrenia
Depression
69
98) Mania involves:
Feelings of euphoria.
Ideas coming too fast and too many.
Boundless, frenzied energy.
All of the above
70
When are symptoms of schizophrenia most likely to develop?
Between the ages of 5-15
Between the ages of 31-45
Between the ages of 16-30
Schizophrenia symptoms develop at similar rates tro lifespan
71
95) Group therapy can be advantageous when an individual:
All of the above.
May need comfort and support from others.
Need 2 work their problems eg; emotion, loneliness, isolate
May Aquire theraputic benefit from observ & watching others.
72
97) Monoamine oxidase inhibitors (MAOIs) are effective for the treatment of:
Obsessive compulsive disorder.
Major depression
Generalized anxiety disorder.
Schizophrenia
73
Pt tells nurse psychotropic medicines are dangerous and refuses to take which interventions 1st
Withhold his medication until client is less suspicious
Insist pt to take his medication as prescribed
Ask pt if an injection is preferable
Ask pt abt previous problems wit psychotropic medications
74
77. The DSM V are best described as:
intervention protocols for Self-Harm and Suicide
standardised protocols for Mental State Examinations
classification systems for diagnostic criteria.
systems for determining drug and alcohol usage.
75
See image
Drink lots of fluid specially if u active in hot weather
U shold falow this low-calori,sodium diet 2 pervent w8 gain
Call office stat if u experience unusual bruises, bleeding
U should avoid eating dietary wen taking this medication
76
82) What is a major side effect of Prozac?
Loss of hair.
Weight gain.
Weight loss.
Loss of sexual desire.
77
Schizophrenia is curable
False
True
78
🙄 see image 👆🏼
Bradycardia
Weight loss
Decreased libido
Urinary retention
79
What is are two signs of depression
Energy and positive attitude
Numbness and tingling
Worthlessness and difficulty concentrating
80
105) One of the major drug therapies for Bipolar disorder is:
Clozapine
Benzodiazepine
Lithium carbonate
Chlorpromazine
81
See image 👩🏼‍⚕️
in a positive manner.
in a cautious manner.
in an individualized manner.
in a realistic manner
82
64. Client centred therapy is a type of:
Psychodynamic therapy.
Cognitive therapy.
Humanistic therapy.
Behavioural therapy.
83
60. Which one refers 2 wen an individual wit schizophrenia believes they are wit fame & power?
Delusions of grandeur
Delusions of reference
Delusions of control
Nihilistic delusions
84
Depression may last
Short term
Long term
All of the above
85
See image
Anxiety
Low self-esteem
Powerlessness
Somatic Delusions
86
Nurse is evaluating care for a pt wit schizophrenia, nurse should keep which point in mind?
Relapse is not issue for the pt with schizophrenia
The client is too ill to learn about his illness
Frequent assessment is needed based pt response to treatment
The family don’t need to be included cuz client is adult
87
See the photo
Dissociation
Neologisms
Word salad
Flight of ideas
88
People with Schizophrenia are more likely to commit violent crimes than the general population.
True
False
89
__________ is a symptom of seasonal affective disorder.
Weigh gain
Headaches
Stiff muscle
90
See image
Monitor pt vital sign b4 administration of medication
Teach the pt how to recognise the adverse effect of meds
Monitor pt for sign of anorexia nausea & xerostomia
Ensure that the patient is not “cheeking” the medications
91
65. Which of the following might be considered as the central tenets of Client-Centred Therapy:
Congruence.
Empathy.
Unconditional positive regard.
All of the above.
92
102) In DSM-IV-TR Bipolar I disorder includes which of the following symptoms?
Mood episode arnt better accounted 4 by psychotic disorder.
All of the above
Currently (or most recently) in a Manic Episode.
previos event at least 1 major Depression,maniac or mix
93
Pt is diagnosed wit schizophrenia paranoid type admit in psycritic hosp wich interventions app?
Encouraging involvement in group activities
Waiting until pt imitates interaction
Spending more time with pt
Establishing a non-demanding relationship
94
See image
Palpitations and cardiac arrest
Headache and memory loss
Aggression and violent behaviour
Dizziness and blurred vision
95
The family of schizophrenia pt asks nurse if genetic cause of disorder, nurse sites wat facts?
There is little evidence genes play a role in transmission
Incidence of this disorder is variable in all families.
Conclusive evidence is indicates a specific genes disorder
Genetic factors can increase the vulnerability 4 disorder
96
66. It is generally considered that Cognitive behavioural therapy changes:
Mood states
Behaviour
Thoughts and behaviour
Thought processes
97
See image
Seasonal affective disorder
Depression
Bipolar depression
98
62. Which of the following ways might hallucinations be experienced in Schizophrenia?
All of the above
Olfactory
Auditory
Gustatory
99
67. Cognitive Behavioural Therapy is generally perceived as:
Phenomenological
Psychodynamic
Humanistic
Evidence-based.
100
Post-procedure nursing interventions for electroconvulsive therapy include?
Remaining with client until oriented
Expecting long term memory loss
Expecting client to sleep for 4 to 6 hours
Applying hard restraints if seizure occurs
101
Which symptoms experienced by pt diagnosed wit schizophrenia predict less positive prognosis
Having little or no interest in work or social activities.
Continuously repeating what has been said
Hearing hostile voices
Thinking the tv is controlling his/ her behaviour
102
83) antipsychotics do which of the following?
Alleviate major positiv symptoms; thought disorder & halluci
Alleviate major Negative symptoms such as social withdrawal
All of the above
Reducing the burden of institutional care.
103
Which of following behaviour is documented pt chart validate nursing diagnose risk 4 other
Refusal to eat cafeteria food
Refusal to join in group activities
Trent’s description of being endowed with superpowers
Frequent angry outburst noted toward peers and staff
104
See image
Reviewing the policies for patient conduct
Administering antidepressant medications
Establishing desired outcomes for the patient
Collecting and organizing patient data

Mental health 2 2019 Flashcards | StudBud

Mental health 2 2019

104 termsStudBud Administration892 plays

Mental health 2 2019

Flashcards104 cardsFPractice quizPHost liveL

Questions 104

Answers

1
Which of the following drugs is used to treat depression
Effexor
Plavix
Ativan
2
Which statement is correct about a 25-year-old client with newly diagnosed schizophrenia?
Age of onset is typical for schizophrenia
Age of onset is earlier than usual for schizophr
Age of onset is later than usual for schizophrenia.
Age of onset follows no predictable pattern in schizophrenia
3
See image above
Hallucinations
Disorganised speech
Lack of energy
Delusions
4
85) Behaviour modification is a type of:
Cognitive behavioural therapy.
Humanistic therapy.
Client centred therapy.
Behaviour therapy.
5
See image
Risk of suicide
Disturbed sensory perception
I mpaired verbal communication
Disturbed thought processes
6
See image
Mood stabilisers
Anxiolytics
Neuroleptics
Anti-represents
7
76. Pt hav rights & responsibilities. Which of following is true? Abt involuntry/formal admit?
Non of the above.
Pt lose all their civil right bt hav right 2 refuse treatmnt
Pt have the right 2 discharge self against medical advice.
patients have the right to refuse treatment
8
Pt diagnosed as having disorganized schizophrenia. Which behaviours would Nurse likely assess?
Extreme social withdrawal, odd mannerisms, and behaviour
Suspiciousness toward others increased hostility
Absence of acute symptoms impaired role function
Psychomotor immobility; presence of waxy flexibility
9
A pt diagnosed wit
Difficulty concentrating
Anorexia
Insomnia
Hypersomnia
10
99) Depressed individuals exhibit which of the following symptoms?
Cognitive symptoms.
Behavioural symptoms.
All of the above.
Physical symptoms.
11
93) Empathy involves:
Putting yourself before others.
Putting others before yourself.
Feeling sorry for someone.
Putting yourself in someone else's shoes.
12
69. Monoamine oxidase inhibitors (MAOIs) are effective for the treatment of:
Bipolar
Schizophrenia
Obsessive compulsive disorder.
Generalized anxiety disorder.
13
Pt told nurse that the FBI IS MONITORING and recording his, microphone in wall. Most theraputic
Tell pt this much be frightening to him but he is safe here
Tell him wait and talk about it in counseling
Isolated him when he begins talking about his beliefs
Confront the delusional material directly
14
72. To assess the cultural needs of clients, the nurse will:
ask other nurses what the client’s needs are.
read current literature on a specific culture.
Provide the same care has been provided to other clients
ask clients what cultural issues are important to them.
15
58. Misinterpretation of perceptions or experiences in Schizophrenia are known as:
Avolition
Hallucinations
Delusions
Misperceptions
16
💪 see image
“I can still eat out at restaurants as long as I’m careful.”
. “I will miss putting soy sauce on my noodles.”
“I’m glad I can still eat hamburgers and French fries.”
“I’m glad that I can have pepperoni on my pizza.”
17
A pt wit schizophrenia referred 4 psychological rehabilitation. Which typical program applies?
Learning job skills for employment
Learning how to live independently in a community
Analysing family issues and past problems
Developing social skills and supports
18
See image
an embarrassing situation for his friends and family.
potential for boundary violations.
inability to terminate the therapeutic relationship.
encroaching on the community nurse’s workplace.
19
See image 👩🏼‍⚕️
Delusions of persecution
Delusions of grandeur
Delusions of reference
Nihilistic delusions
20
Nurse educate famly abt symptoms management 4 wen schizophrenia pt becom anxious-upset,wt help?
Call the therapist to request a medication change.
Request pt to be hospitalised until crisis over
Wait before the anxiety worsens before intervening
Encourage the use of learned relaxation techniques
21
See image
If u refuse medication we will just have to give u a shot
You need to take your medicine, this is how you get well.”
What is it about the medicine that you don’t like?”
I can see your uncomfortable right now I ‘lol w8 until 2morw
22
See image
What happened to make u think ur husband doesn’t luv u anym
U really should try not to dwell on somting proba not true
Try not think abt it too much coz it makes ur depression mor
Let’s talk abt wat u did to cause stop loving you
23
😔 see image
Do u Eva get dizzy wen u get up after been laying down awake
Have u get mouth dry, has bowl regularly movement changed ?
Have you noticed any palpitations or irregular heartbeats?”
Have u notice any Visual changes such as blurring ur vision
24
Is it more common for men to get depression than women?
True
False
25
The End
😝
Goodbye
Good luck
👩🏼‍⚕️
26
59. In Schizophrenia when an individual believes they are in danger, this is referred to as:
Nihilistic delusions
Delusions of grandeur
Delusions of control
Delusions of persecution
27
See Image above 👆🏼
duty of care.
standard of care practice.
false imprisonment
contract of care
28
See image
Decreased gamma-aminobutyric acid (GABA)
Increased serotonin
Increased glutamate
Increased norepinephrine
29
96) Family therapy is generally used to:
All of the above.
Attempts to understand the family as a social system.
Improve communications between members of the family.
Resolve specific conflicts eg; between adolescence & parent
30
Mood disorders affect
Only adults
Everyone
Only older adults
31
68. Which of the following is not a Behaviour Therapy technique?
Flooding
Counter transference
Systematic desensitisation
Counterconditioning
32
Nurse assess for evidence of positive of schizophrenia newly admitted pt, which sympt positive
Anhedonia- pleasurable activities
Loose associations
Hallucination
Delusion
33
90) Cognitive Behavioural Therapy is generally perceived as:
Psychodynamic
Evidence-based.
Humanistic
Phenomenological
34
See image
I drink so I can deal with the difficult situation at work.”
“It’s amazing how much you remind me of my favourite teacher
”I’m glad I lost my job because now I don’t have to commute”
“I may not be good looking, but I get really good grades“
35
See image 👩🏼‍⚕️
Alow the pt 2 continu talking & utilise active listening tec
Ask pt isnt feel anxious & commence relaxation & slow breath
decide that the patient needs to speak to someone senior.
Not 2 be worried as this doesn’t happen in the unit.
36
80) Which of the following is not an antidepressant drug?
Selective serotonin reuptake inhibitors (SSRIs).
Tricyclic antidepressants
Antinoamine tritase rehibitor (ATRs).
Monoamine oxidase inhibitors (MAOIs).
37
88) Which of the following might be considered as the central tenets of Client-Centred Therapy:
All of the above.
Empathy
Unconditional positive regard.
Congruence
38
What is melancholia?
A depressive disorder where there high and low periods.
Dispersive disorder wer ther is complete loss o pleasure eve
A depressive disorder wer ther is improve is sympt short Tim
39
See the photo
A persecutory delusion.
An erotomanic delusion
A grandiose delusion.
A somatic delusion.
40
103) In Major Depression, which of the following is a significant neurotransmitter?
Dopamine
Betacarotine
Acetylcholine
Serotonin.
41
92) Counselling is a profession that aims to:
Provide a successful diagnosis in psychopathology.
Ensure that clients are on the correct medication.
Promote personal growth and productivity.
42
See image above
Mesocortical
Nigrostriatal
Mesolimbic
Tuberoinfundibular
43
See image
Maintain low sodium diet
Take a diuretic with lithium
Come in for evaluation of serum lithium level every 1-3 mnth
Have blood lithium level draw during the Summer months
44
See image👩🏼‍⚕️
Gastrointestinal distress
Muscle rigidity
Agitation
Tachycardia
45
Schizophrenia occurs at higher rates in developing countries than in industrialized countries.
True
False
46
63. In Schizophrenia a reality-monitoring deficit refers to which of the following?
Problems with memory loss
Prob distinguishing btw thoughts &idea they generate themslv
Problems with spatial ability
Prob distinguishing btw wat actually occurred & wat did not
47
upon pt admission for acute psychiatric nurse docum pt refused bath, dress remain in room 1diag
Decisional conflict
Anxiety
Self care deduct
Social isolation
48
101) DSM-IV-TR criteria for a major depressive episode includes which of the following?
Symptoms are not accounted for by
All of above
Symptoms cause clinical significant distress or impairment.
Symptoms aren’t due 2 psychological effect of substance misu
49
70. The aetiology of schizophrenia is most accurately described as which of the following?
Unknown
An imbalance of neurotransmitters
A neurodevelopmental disorder
A neurodegenerative disorder
50
81) Anxiolytic drugs are used to treat:
The symptoms of psychosis and schizophrenia
None of the above.
The symptoms of anxiety and stress.
The symptoms of depression and mood disorder.
51
104) Which of the following neurotransmitters is associated specifically wit bipolar disorder:
Acetylcholine
Serotonin
Dopamine
Norepinephrine.
52
Individuals with Schizophrenia have a much higher risk for attempting and completing suicide?
False
True
53
What causes schizophrenia?
Chemical imbalance in the brain
Environmental factors
Genetic vulnerability
All of the above linked to the development of schizophrenia
54
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Positive symptoms
Catastrophic symptoms
Mediating symptoms
Negative symptoms
55
Pt has auditory hallucinations 4 many yrs tells nurse voices perverted from social & community
Wait before the anxiety worsens before intervening
Advice to participate in programs when voices ceased
Advice pt take medication as prescribed by the dr
Teach pt to use thought stopping techniques
56
89) It is generally considered that Cognitive behavioural therapy changes:
Behaviour
Thought processes
Thoughts and behaviour
Mood states
57
87) Client centred therapy is a type of:
Psychodynamic therapy.
Cognitive therapy.
Behavioural therapy.
Humanistic therapy.
58
84) Beck's Cognitive therapy for depression requires the individual to:
Make an objective assessment of their beliefs.
Set attainable life goals.
Keep a dream diary.
Keep a mood diary.
59
What is schizophrenia ?
The developmental disability
A character flaw
Brain disorder
The result of bad parenting
60
Pt has diagnosed of schizophrenia wit neg sympt in plan-care nurse anticipate a problem wit?
Motivation for activities
Ideas of reference.
Bizarre behaviours
Auditory hallucinations
61
94) An encounter group:
Enables individual to interact wit others in social setting.
Aids the therapist in diagnosis
Encourages team building.
Encourages therapy & self-growth thro disclosure & intaction
62
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A pt who talks abt suicide may be signalling other for help
If pt pt unsuccessful in suicide attempt another is unlikely
Wen medication improves a pt’s mood they may attempt suicide
It is impo not to ask pt whether they having suicdal thought
63
Which factor is associated with increased risk for schizophrenia?
Povert
Overcrowded schools
Adolescence pregnancy
Alcoholism
64
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Unpredictable and erratic behaviour
Stay in bed for long periods
Compulsive checking.
Ritualised behaviour.
65
56. the phenomenon in Schizophrenia, known as 'downward drift' means which of the following?
All of the above
Falling to the bottom of the social ladder
Inability to hold down a job
Becoming homeless
66
91) Contininual professional development (CPD) demonstrates that a therapist:
Relies solely on literature as way of updating theraputic
Relies on information from informal sources.
Regular updates their knowledge recent develop treatmnt tech
Attends all therapeutic conferences.
67
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Do you blame ur self for not being able to cope wit momhood?
How much sleep do you get in a twenty-four hour period?
Do you ever think about harming yourself or your baby?
Is ther friend, relative that come help u care for ur baby?
68
86) Drugs called Benzodiazepines are used to treat:
Anxiety disorders.
Mood disorders
Schizophrenia
Depression
69
98) Mania involves:
Feelings of euphoria.
Ideas coming too fast and too many.
Boundless, frenzied energy.
All of the above
70
When are symptoms of schizophrenia most likely to develop?
Between the ages of 5-15
Between the ages of 31-45
Between the ages of 16-30
Schizophrenia symptoms develop at similar rates tro lifespan
71
95) Group therapy can be advantageous when an individual:
All of the above.
May need comfort and support from others.
Need 2 work their problems eg; emotion, loneliness, isolate
May Aquire theraputic benefit from observ & watching others.
72
97) Monoamine oxidase inhibitors (MAOIs) are effective for the treatment of:
Obsessive compulsive disorder.
Major depression
Generalized anxiety disorder.
Schizophrenia
73
Pt tells nurse psychotropic medicines are dangerous and refuses to take which interventions 1st
Withhold his medication until client is less suspicious
Insist pt to take his medication as prescribed
Ask pt if an injection is preferable
Ask pt abt previous problems wit psychotropic medications
74
77. The DSM V are best described as:
intervention protocols for Self-Harm and Suicide
standardised protocols for Mental State Examinations
classification systems for diagnostic criteria.
systems for determining drug and alcohol usage.
75
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Drink lots of fluid specially if u active in hot weather
U shold falow this low-calori,sodium diet 2 pervent w8 gain
Call office stat if u experience unusual bruises, bleeding
U should avoid eating dietary wen taking this medication
76
82) What is a major side effect of Prozac?
Loss of hair.
Weight gain.
Weight loss.
Loss of sexual desire.
77
Schizophrenia is curable
False
True
78
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Bradycardia
Weight loss
Decreased libido
Urinary retention
79
What is are two signs of depression
Energy and positive attitude
Numbness and tingling
Worthlessness and difficulty concentrating
80
105) One of the major drug therapies for Bipolar disorder is:
Clozapine
Benzodiazepine
Lithium carbonate
Chlorpromazine
81
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in a positive manner.
in a cautious manner.
in an individualized manner.
in a realistic manner
82
64. Client centred therapy is a type of:
Psychodynamic therapy.
Cognitive therapy.
Humanistic therapy.
Behavioural therapy.
83
60. Which one refers 2 wen an individual wit schizophrenia believes they are wit fame & power?
Delusions of grandeur
Delusions of reference
Delusions of control
Nihilistic delusions
84
Depression may last
Short term
Long term
All of the above
85
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Anxiety
Low self-esteem
Powerlessness
Somatic Delusions
86
Nurse is evaluating care for a pt wit schizophrenia, nurse should keep which point in mind?
Relapse is not issue for the pt with schizophrenia
The client is too ill to learn about his illness
Frequent assessment is needed based pt response to treatment
The family don’t need to be included cuz client is adult
87
See the photo
Dissociation
Neologisms
Word salad
Flight of ideas
88
People with Schizophrenia are more likely to commit violent crimes than the general population.
True
False
89
__________ is a symptom of seasonal affective disorder.
Weigh gain
Headaches
Stiff muscle
90
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Monitor pt vital sign b4 administration of medication
Teach the pt how to recognise the adverse effect of meds
Monitor pt for sign of anorexia nausea & xerostomia
Ensure that the patient is not “cheeking” the medications
91
65. Which of the following might be considered as the central tenets of Client-Centred Therapy:
Congruence.
Empathy.
Unconditional positive regard.
All of the above.
92
102) In DSM-IV-TR Bipolar I disorder includes which of the following symptoms?
Mood episode arnt better accounted 4 by psychotic disorder.
All of the above
Currently (or most recently) in a Manic Episode.
previos event at least 1 major Depression,maniac or mix
93
Pt is diagnosed wit schizophrenia paranoid type admit in psycritic hosp wich interventions app?
Encouraging involvement in group activities
Waiting until pt imitates interaction
Spending more time with pt
Establishing a non-demanding relationship
94
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Palpitations and cardiac arrest
Headache and memory loss
Aggression and violent behaviour
Dizziness and blurred vision
95
The family of schizophrenia pt asks nurse if genetic cause of disorder, nurse sites wat facts?
There is little evidence genes play a role in transmission
Incidence of this disorder is variable in all families.
Conclusive evidence is indicates a specific genes disorder
Genetic factors can increase the vulnerability 4 disorder
96
66. It is generally considered that Cognitive behavioural therapy changes:
Mood states
Behaviour
Thoughts and behaviour
Thought processes
97
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Seasonal affective disorder
Depression
Bipolar depression
98
62. Which of the following ways might hallucinations be experienced in Schizophrenia?
All of the above
Olfactory
Auditory
Gustatory
99
67. Cognitive Behavioural Therapy is generally perceived as:
Phenomenological
Psychodynamic
Humanistic
Evidence-based.
100
Post-procedure nursing interventions for electroconvulsive therapy include?
Remaining with client until oriented
Expecting long term memory loss
Expecting client to sleep for 4 to 6 hours
Applying hard restraints if seizure occurs
101
Which symptoms experienced by pt diagnosed wit schizophrenia predict less positive prognosis
Having little or no interest in work or social activities.
Continuously repeating what has been said
Hearing hostile voices
Thinking the tv is controlling his/ her behaviour
102
83) antipsychotics do which of the following?
Alleviate major positiv symptoms; thought disorder & halluci
Alleviate major Negative symptoms such as social withdrawal
All of the above
Reducing the burden of institutional care.
103
Which of following behaviour is documented pt chart validate nursing diagnose risk 4 other
Refusal to eat cafeteria food
Refusal to join in group activities
Trent’s description of being endowed with superpowers
Frequent angry outburst noted toward peers and staff
104
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Reviewing the policies for patient conduct
Administering antidepressant medications
Establishing desired outcomes for the patient
Collecting and organizing patient data