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

10.The patient talks with his dead brother and arranges furniture so that his brother will have aplace to sit. How should the nurse document this behavior?a.Disordered thinkingb.Anhedoniac.Hallucinationd.AlogiaANS: CA hallucination is a sensory experience without a stimulus trigger. Disordered thinking occurswhen the individual is not able to interpret information being received in the brain. Anhedoniadescribes lack of expressed feelings. Alogia is reduced content of speech.

PTS: 1 DIF: Cognitive Level: Application REF: Page 1128OBJ:2TOP:Mental illnessKEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity11.What is the prognosis for a schizophrenic patient who is exhibiting positive behaviors?

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PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 1128OBJ:2TOP:Mental illness

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

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KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity12.The nurse cautions a patient to watch his step. What response indicates concrete thinking?

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PTS: 1 DIF: Cognitive Level: Application REF: Page 1128OBJ:2TOP:Mental illnessKEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity13.The nurse asks a patient with schizophrenia if he had any visitors on Sunday. Which responseindicates loose association?

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PTS: 1 DIF: Cognitive Level: Application REF: Page 1128OBJ:2TOP:Mental illnessKEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity14.The nurse is caring for a patient with a diagnosis of catatonic schizophrenia. What behavior isconsistent with this diagnosis?a.Talks excitedly about going homeb.Suspiciously watches the staffc.Stands on one foot for 15 minutesd.States he has a cat under his bed that talks to him

ANS: CMaintaining a rigid pose for long periods of time is an example of behavior expected withcatatonic schizophrenia.

PTS: 1 DIF: Cognitive Level: Application REF: Page 1129OBJ:2TOP:Mental illnessKEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity

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Chapter 35: Care of the Patient With a Psychiatric DisorderCooper: Foundations of Nursing, 8th EditionMULTIPLE CHOICE1.The nurse is discussing the differences between a patient with a neurosis and one with apsychosis. What is true of the patient experiencing a neurosis?a.The patient experiences a flight from reality.b.The patient usually needs hospitalization.c.The patient has insight that there is an emotional problem.d.The patient has severe personality deterioration.ANS: C

An individual with a neurosis has insight that he has an emotional problem. A person withpsychosis is out of touch with reality and has severe personality deterioration. Treatment forneurosis is usually completed in the outpatient setting, while treatment for psychosis oftenrequires hospitalization.DIF:Cognitive Level: ApplicationREF:1113OBJ:2TOP:Mental illnessKEY:Nursing Process Step: AssessmentMSC:NCLEX: Psychosocial Integrity2.When the patient with a psychosis is thought to be a danger to self or others, by what methodshould the patient be admitted to the hospital?

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Probating can be done if the individual is thought to be a danger to self or others.DIF:Cognitive Level: ComprehensionREF:1113OBJ:4TOP:Mental illnessKEY:Nursing Process Step: ImplementationMSC:NCLEX: Psychosocial Integrity3.The Diagnostic and Statistical Manual of Psychiatric Disorders, V(DSM-V), is used by mosthospitals and is the current tool used to examine mental health and illness. What approachdoes theDSM-Vuse to classify mental disorders?

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The DSM-Vis a multiaxial system.DIF:Cognitive Level: ComprehensionREF:1113OBJ:1TOP:Mental illnessKEY:Nursing Process Step: N/AMSC:NCLEX: N/A

What is the term used for the beginning stage of schizophrenia characterized by a lack of energy and complaints of multiple physical problems?

Prodromal stage The early stage of schizophrenia usually involves non-specific symptoms that also occur in other mental illnesses, such as depression. Symptoms of prodromal schizophrenia include: social isolation. lack of motivation. anxiety.

What definition should the nurse use to clarify the concept of mental health?

"A state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community."

What is the term for a long term and intense form of psychotherapy?

Psychodynamic therapy can be a longer-term approach to mental health treatment, compared to cognitive behavioral therapy (CBT) and other types of therapy. Traditional psychoanalysis is an intensive form of treatment that people can go to for years.

What are the mood disorders?

The most common types of mood disorders are major depression, dysthymia (dysthymic disorder), bipolar disorder, mood disorder due to a general medical condition, and substance-induced mood disorder.