Mental Health Exam 1
First
The blocking of dopamine in the mesocortical pathway, causing negative symptoms, is more often seen in first?/second? generation antipsychotics
Second
Aripiprazole lauroxil (Aristada) is a first?/second? generation antipsychotic
Second
Asenapine (Saphris) is a first?/second? generation antipsychotic
First
Chlorpromazine (Thorazine) is a first?/second? generation antipsychotic
First
Chlorprothixene (Taractan) is a first?/second? generation antipsychotic
3
8 A client diagnosed with schizophrenia says, "I want to go home to tome in a dome." When documenting, the nurse will refer to this as which of the following? 1. Echopraxia 2. Echolalia 3. Clang associations 4. Associative looseness
Self help
A _____________ group relieves isolation, talks about fears, receives support, shares information, and is a structured, peer run group
Oculogyris crisis
A complication of dystonia where the eyes are held in fixed position for minutes or hours
Waxy flexibility
A decreased response to stimuli and a tendency to remain in an immobile posture
Second
Olanzapine (Zyprexa*, Zyprexa Zydis, Zyprexa Relprevv) is a first?/second? generation antipsychotic
Slowly
Olanzepine (Zyprexa) should be given quickly?/slowly?
Late 20s
Age of onset of schizophrenia in women
Activating event Beliefs Consequences Disputing Emotional change
ABCDE acronym for cognitive behavioral interventions therapy
First
Acetophenazine (Tindal) is a first?/second? generation antipsychotic
Neuroleptic malignant syndrome
Amantadine (Symmetrel) is used to treat ______________
Tardive dyskinesia
An extrapyramidal symptom that includes blinking of the eyes, sticking out the tongue, or waving arms
Tuberoinfundibular
An increase of dopamine levels in the ____________ pathway causes an increase in prolactin levels
Prolactin
An increase of dopamine levels in the tuberoinfundibulnar pathway causes an increase in ___________ levels
Negative
Anhedonia is a positive?/negative? symptom of schizophrenia
Zyprexa Relprevv (olanzapine)
Antipsychotic that has the unique side effect of post-injection delirium syndrome
Liver
Antipsychotics are metabolized by the _____________
Dopamine
Antipsychotics bind with _________ receptors
Direct care Communication Management
The 3 domains of mental health nursing
Bromoctripine (Parlodel) Amantidine (Symmetrel) Dantrolene (Dantrium)
The 3 drugs used to treat neuroleptic malignant syndrome
Anticholinergic
Benztropine (Cogentin) is an ___________
Anticholinergic
Biperiden (Akineton) is an ____________
Second
Brexpiprazole (Rexulti) is a first?/second? generation antipsychotic
Neuroleptic malignant syndrome
Bromocriptine (Parlodel) is used to treat ____________
High fever Muscle rigidity Mental confusion
The 3 most common s/sx of neuroleptic malignant syndrome
Second
Cariprazine (Vraylar) is a first?/second? generation antipsychotic
First
Carphenazine (Proketazine) is a first?/second? generation antipsychotic
Schizophrenia
Chronic psychotic disorder marked by severe impairment in thinking, language, emotions, behavior & social functioning
Mental illness
Clinically significant behavioral or psychological syndrome or pattern that is associated with present distress (painful sx) or disability (impairment in one or more important areas of functioning) or with signif increased risk suffering, death, pain, disability or important loss of freedom
Coordination of care Health teaching/promotion Milieu therapy Pharmacological, biological, and integrative therapies
The 4 RN implementation roles of mental health nursing
Positive
Delusions are a positive?/negative? symptom of schizophrenia
Tardive dyskinesia
Deutrabenazine (Austedo) is used to treat ___________
Delusion disorder
Diagnosis of a patient who has 1 or more delusions that persists for 1 month or longer
Schizoaffective disorder
Diagnosis where major mood episode must be present for the majority of the disorders total duration
Hydration psychogenic polydipsia
Disordered water balance leading to water intoxication & hyponatremia
Bone marrow suppression Seizures Myocarditis Cardiovascular and respiratory effects Increased mortality in elderly patients with dementia-related psychosis
The 5 black box warnings of clozapine (Clozaril)
Inversely
Dopamine and serotonin are directly?/inversely? related
2 3
Erikson's autonomy vs shame and doubt phase is from ______ to _____ years
65
Erikson's ego integrity vs despair phase is from ______ years onward
20 65
Erikson's generativity vs stagnation phase is from _____ to _____ years
12 20
Erikson's identity vs role confusion phase is from _____ to _____ years
6 12
Erikson's industry vs inferiority phase is from _____ to _____ years
3 6
Erikson's initiative vs guilt phase is from ______ to _____ years
3
Five days ago, a client was admitted to the hospital with major depression and suicidal ideations. The suicidal ideations are absent now. Therefore, the client is now preparing for discharge. Which client statement made to the nurse about going home demonstrates that an important outcome evaluation measure has been met? 1. "I'll finally be able to get some sleep." 2. "I'll be able to take care of my plants again." 3. "I have a list of people that I can call if I need to." 4. "I'll cook for myself."
Dopamine
Excess ___________ in the mesolimbic pathway leads to positive symptoms
Positive
Excess dopamine in the mesolimbic pathway leads to positive?/negative? symptoms
Should
For the patient having hallucinations, the nurse should?/shouldn't? reinforce reality
Negative
First generation antipsychotics may make positive?/negative? symptoms worse
Positive
First generation antipsychotics treat positive?/negative? symptoms
First
First?/Second? generation antipsychotics generally have an unpleasant taste and irritate skin
Psychoanalysis
Form of treatment involving alleviating unconscious conflicts driving psychological symptoms by helping people gain insight into their conflicts and finding ways of resolving these conflicts
2 3
Freud's anal phase is from ________ to ______ years
13
Freud's genital stage is from year ______ onwards
6 12
Freud's latency stage is from _______ to ______ years
0 18
Freud's oral phase is from _______ to ______ months
3 6
Freud's phallic stage is from ______ to ______ years
Positive
Hallucinations and illusions are negative?/positive? symptoms of schizophrenia
First
Haloperidol (Haldol & Haldol Decanoate) is a first?/second? generation antipsychotic
4 weeks
Haloperidol (Haldol) Deconoate is given every _____________
IM
Haloperidol (Haldol) is most commonly given the _________ route
Prolonged QT interval
IM haloperidol (Haldol) can cause ______________ as a side effect
D1 D5
Lack of dopamine to receptors _____ and _______ is thought to contribute to the negative symptoms of schizophrenia
Anticholinergic
If a patient is experiencing akathisia as an EPS, the physician may order a ___________ medication as treatment
2
If aggressiveness and combativeness occurs in a patient diagnosed with paranoid schizophrenia and talk down techniques have not been successful, which of the following medications would likely be ordered stat for this patient? 1. risperidone (Risperdal) PO 2. haloperidol (Haldol) & lorazepam (Ativan) IM 3. diazepam (Valium) IV 4. prolixin decanoate (Prolixin) IM and benztropine (Cogentin) PO
Schizophreniform
If an individuals has symptoms of schizophrenia for at least 1 month but less than 6 months, they are diagnosed with _____________ disorder
Second
Iloperidone (Fanapt) is a first?/second? generation antipsychotic
2
In order to deal effectively with the spiritual needs of a client, what should be the nurse's initial strategy? 1. Refer the client to an appropriate clergy 2. Clarify own spiritual beliefs and values 3. Use a spiritual assessment tool 4. Discuss own religiosity with the patient
Deficits
In the nigrostriatal pathway, increases?/deficits? of dopamine cause rigidity, akinesia, bradykinesia, dystonia, and tremors
Increases
In the nigrostriatal pathway, increases?/deficits? of dopamine cause tics or other hyperkinetic movement disorders
Isn't
Insight oriented psychotherapy is?/isn't? recommended for patients with schizophrenia
Dopamine
It is believed that patients with schizophrenia have increased ____________
70
It is estimated that genetic factor makes up about _______% of a patient's risk for developing schizophrenia
Negative
Low amounts of dopamine in the mesocortical pathway lead to positive?/negative? symptoms
First
Loxapine Succinate (Loxitane) is a first?/second? generation antipsychotic
Second
Lurasidone (Latuda) is a first?/second? generation antipsychotic
Echopraxia
Meaningless repetition or imitation of the movements of others
Neurotic
Mental illnesses classified as __________ have no loss of reality testing and are based mainly on intrapsychic conflicts or life events that cause anxiety
Psychotic
Mental illnesses classified as ___________ have a loss of reality testing with delusions, hallucinations, and illusions
First
Mesoridazine (Serentil) is a first?/second? generation antipsychotic
3 6
Monitoring anyone on an antipsychotic for abnormal movements should be done every _____-_____ months
AIMS (abnormal involuntary movement scale)
Monitoring anyone on an antipsychotic for abnormal movements should be done using the _____________
Incidence
Number of new cases identified in a given time period
Neurotic
OCD, depression, and anxiety are all classified as neurotic?/psychotic? mental illnesses
Orthostatic hypotension Weight gain Prolonged QT Agranulocytosis Hyperprolactinemia
The 5 most common side effects of all antipsychotics
Second
Paliperidone (Invega) is a first?/second? generation antipsychotic
Anticholinergic GI upset Sedation Photosensitivity Skin reaction Pigmentary retinopathy
The 6 most common side effects of first generation antipsychotic
GABA
Patient with schizophrenia are thought to have decreased ___________
Decreased
Patient with schizophrenia have increased?/decreased? GABA
FDA
Patients taking Clozapine (Clozaril) must be registered with the __________
4
Patients taking Clozaril (clozapine) must be taught to contact their physician immediately if they experience: 1. gastric distress 2. increasing anxiety 3. headache or dizziness 4. fever and sore throat, malaise, unusual bruising or bleeding
First
Prochlorperazine (Compazine) is a first?/second? generation antipsychotic
Anticholinergic
Procyclidine (Kemadrin) is a ___________
First
Promazine (Sparine) is a first?/second? generation antipsychotic
Don't
Psychotic patients generally do?/don't? do well in insight group therapies
Second
Quetiapine (Seroquel, Seroquel XR) is a first?/second? generation antipsychotic
Echolalia
Repetition of vocalizations made by another person
D2
The ________ receptor is associated most with psychosis and is the target for antipsychotic meds
Second
Risperidone (Risperdal, Risperdal M-Tab,Risperdal Consta) is a first?/second? generation antipsychotic
N/V Confusion Muscle twitching Seizures
S/sx (4) of hydration psychogenic polydipsia
Psychotic
Schizophrenia and delusional disorder are classified as neurotic?/psychotic? mental illnesses
Increased
Schizophrenia patients have increased?/decreased? sulci
Increased
Schizophrenia patients have increased?/decreased? ventricle size in the brain
Less
Second generation antipsychotics affect negative symptoms more?/less?
D2 5-HT
Second generation antipsychotics target ________ and _______ receptors
Stigma
Sense of being discredited or shamed because of illness
On an empty stomach
Seroquel XR (quetiapine) needs to be taken (on an empty stomach)?/(with food)?
Long
Supportive intervention therapy is short?/long? term therapy
Positive
Symptoms that cause excess or distortion of usual or expected functioning are called positive?/negative? symptoms
Revolving door syndrome
Term for a learned helplessness where as soon as the patient is discharged, they stop taking their medication and stop taking care of themselves, so they are hospitalized again
Labile
Term for frequent mood swings
Autocratic
Term for group therapies where the group focuses on the leader for decision making
Democratic
Term for group therapies where the group focuses on the members for decision making
Laissez Faire
Term for group therapies where the group has no form of leadership
Self esteem
Term for how a patient views themselves in relation to the patient's ideal
Euthymic
Term for the normal mood for bipolar patients, meaning they are neither euphoric nor depressed
Self concept
Term for the way a patient views themselves
4
The client with schizoaffective disorder is started on fluphenazine (Prolixin) 0.5 mg QID. To control or prevent EPS, it would be important for the nurse to administer: 1. Kemedrin 50 mgs bid and prn 2. lorazepam (Ativan) 0.5 mg Q 6 hrs prn 3. buspirone (Buspar) 15 mg bid 4. benztropine (Cogentin) 2 mg qid
Premorbid Prodromal Active illness Residual
The four phases of schizophrenia: 1. ___________ phase 2. ___________ phase 3. _______________ 4. ___________ phase
Authorization Capitation Utilization review Case management
The four stages of managed care
Anhedonia
The inability to experience pleasure in activities that usually produce it
Ambivalence
The inability to make a decision
1
The mental health nurse is conducting an assessment with a client who has a history of anxiety. The nurse concludes that the client's use of defense mechanisms is adaptive when the client remains psychologically and physically safe and does which of the following? 1. Experiences fewer direct manifestations of anxiety 2. Seeks social isolation and avoids stress 3. Displaces anxiety onto other persons or situations 4. Identifies the personal level of anxiety
Prevalence
The number of cases at a given time
1 4
The nurse assesses a client as being on the mental health end of the mental health/mental illness continuum. Which statement by the client best supports this assessment? Select all that apply. 1. "I am satisfied with my life and life choices." 2. "My family thinks that I am a good person." 3. "Perhaps I would have been better off if I had remained single." 4. "I'm an average person leading a normal average life." 5. "I've always thought I should have been more successful."
2 3 4
The nurse observes that the client with paranoid schizophrenia appears very preoccupied. The client is pacing back and forth in the hall, periodically looking to the side, clenching the fist, and saying, "I told you to go away." At this time, the nurse should plan to do which of the following? Select all that apply. 1. Offer frequent orienting stimuli. 2. Reduce proximity to others. 3. Refrain from using non-verbal hand gestures. 4. Avoid touching the client during conversation. 5. Reassure the client of the safety of the environment.
Should
The nurse should?/shouldn't? massage the injection site of Fluphanezine (prolixin) Deconate
Should
The nurse should?/shouldn't? massage the injection site of Haloperidol (Haldol) Deconoate
Should
The nurse should?/shouldn't? massage the injection site of Olanzepine (Zyprexa)
Shouldn't
The nurse should?/shouldn't? massage the injection site of Olanzepine (Zyprexa) Relprevv
Should
The nurse should?/shouldn't? massage the injection site of Ziprasidone (Geodon)
Tardive dyskinesia
The only long term extrapyramidal symptom
Cannot
The patient can?/cannot? combine CNS depressants with an antipsychotic
Schizophrenia
The phrase "splitting of the mind" may be used to describe ______________
3
The physician prescribes trihexyphenidyl (Artane) for treatment of EPS associated with Prolixin use. The nurse informs the family that a common side effect is: 1. dyskinesia 2. sleepiness 3. constipation 4. hypotension
Valbenazine (Ingrezza) Deutrabenazine (Austedo)
The two drugs given for maintenance of tardive dyskinesia
Young males Older adults
The two groups at an increased risk for developing neuroleptic malignant syndrome while taking antipsychotics
Bipolar Depressive
The two type specificities of schizoaffective disorder
First
Thioridazine (Mellaril) is a first?/second? generation antipsychotic
First
Thiothixene (Navane) is a first?/second? generation antipsychotic
Delusions Hallucinations Disorganized speech
To be diagnosed with schizophrenia, the patient must have at least two of the following: _________, ____________, or ___________
1
To counteract the effects of NMS, the physician would order which of the following medications: 1. Parlodel, Dantrium or Symmetrel 2. Cogentin, Akineton, Kemadrin, Artane 3. Benadryl 4. Romazicon
Anticholinergic Antihistamine
Treatment for dystonia involves the IM or IV administration of a __________ or _________ medication
First
Trifluoperazine (Stelazine) is a first?/second? generation antipsychotic
First
Triflupromazine (Vesperin) is a first?/second? generation antipsychotic
Anticholinergic
Trihexyphenidyl (Artane) is a ________________
Akinesia
Type of extrapyramidal symptom that causes no movement
Pseudoparkinsonism
Type of extrapyramidal symptom that involves tremors, rigidity, motor retardation, excessive salivation, shuffling gait, loss of postural reflexes, mask like expression
Akathisia
Type of extrapyramidal symptom where the patient is restless and cannot sit still
Dystonia
Type of extrapyramidal symptom where the patient's muscles contract uncontrollably
Post-injection delirium syndrome
Unique side effect of Zyprexa Relprevv (olanzapine)
Tardive dyskinesia
Valbenazine (Ingrezza) is used to treat __________
Loose association
When a patient is stringing full phrases together that are unrelated to the topic or to each other
Nigrostriatal
When antipsychotics decrease dopamine in the ______________ pathway, it causes extrapyramidal symptoms
Decrease
When antipsychotics increase?/decrease? dopamine in the nigrostriatal pathway, it causes extrapyramidal symptoms
Folie 'a deux
When one person has a delusional system & his/her partner takes on the same delusional system
Palilalia
When the patient has an automatic repetition of words or sounds
Neologism
When the patient invents new words that have symbolic meaning only to the person
Clang association
When the patient is rhyming
Tangentiality
When the patient is unable to answer questions or reach the point because they get off on tangents
Circumstantiality
When the patient is unable to answer questions or reach the point because unnecessary details
Perseveration
When the patient repeats the same words or phrases in response to different questions
Word salad
When the patient says random words that are unrelated
Loose associations
When the patient shifts in topics from one unrelated subject to another
Second
Ziprasidone (Geodon) is a first?/second? generation antipsychotic
With food
Ziprasidone (Geodon) needs to be taken (on an empty stomach)?/(with food)?
Slowly
Ziprasidone (Geodon) should be given quickly?/slowly?
Primary
________ prevention includes health promotion, illness prevention & protection against disease
Somatic
_________ delusion is a delusion a patient has about the way their body functions
Persecutory
_________ delusion is when the patient is suspicious of others and thinks that others are out to do them harm
Second
lozapine (Clozaril, FazaClo) is a first?/second? generation antipsychotic
2 3 5
A male client is taking a second-generation antipsychotic drug. The client's spouse tells the nurse that she read that the drug is effective to treat negative symptoms of schizophrenia and asks the nurse to explain what these are. What should the nurse include in a response to the spouse? Select all that apply. 1. Abnormal thoughts 2. Diminished pleasure 3. Blunted affect 4. Hallucinations 5. Difficulty making decisions
Supportive intervention
Form of therapy that focuses on support rather than the development of insight, in the form of limit-setting, increasing reality testing, reassurance, advice and help with developing social skills
Milieu
Form of therapy that is considered a "therapeutic community" with a rigid structure to their day
Behavioral interventions
Form of therapy where the basic assumption is that maladaptive behavior can change without insight into its underlying causes, with the goal of changing the behavior
Cognitive behavioral interventions
Form of therapy with the idea that behavior is secondary to the way in which persons think about themselves and their role in the world
3
When teaching the patient about olanzapine (Zyprexa), which of the following side effects would be the most important for the nurse to discuss? 1. dryness of mouth and constipation 2. GI upset and headaches 3. Weight gain and risk of Type 2 diabetes 4. Hormonal changes and gynecomastia in men
Concrete
Patients with schizophrenia often have ___________ thinking
Flat
Patients with schizophrenia's affects may often be described as __________
First
Perphenazine (Trilafon) is a first?/second? generation antipsychotic
Premorbid phase (phase 1)
Phase of schizophrenia where the person appears to have poor interpersonal skills and introverted
Prodromal phase (phase 2)
Phase of schizophrenia where the person develops sbstantial functional impairment and non specific symptoms such as sleep disturbance, anxiety, irritability, depressed mood, poor concentration, fatigue, and behavioral deficits, and positive s/sx may develop
Active illness (phase 3)
Phase of schizophrenia where the person displays psychotic signs and symptoms
Residual phase (phase 4)
Phase of schizophrenia where the signs and symptoms of the acute stage are either absent or no longer prominent
First
Pigmentary retinopathy can be a side effect of first?/second? generation antipsychotics
Second
Pimavanserin (Nuplazid) is a first?/second? generation antipsychotic
First
Pimozide (Orap) is a first?/second? generation antipsychotic
Long
Psychoanalysis is short?/long? term therapy
Negative
Symptoms that cause reduction in usual or expected functioning are called positive?/negative? symptoms
Pigmentary retinopathy
Term for the side effect of first generation antipsychotics where the patient notes a brownish coloration to their vision
Depersonalization
Term for when a patient feels "mechanical" or has an out of body experience
Derealization
Term for when a patient feels like the environment is not real
Flight of ideas
Term for when a patient is talking fast and covers many topics in a short amount of time
Delusions of reference
Term for when a patient thinks that everything in the environment in referencing them
Poverty of thought
Term for when a patient thinks very little or has non complex thoughts
Triangulation
Term for when a third person is used as a scapegoat (often a child) between two people
Confabulation
Term for when the patient unconsciously gives false memories to fill in the gaps
Instillation of hope
Term in group therapy for when a group member observes the progress of other members of the group who had a similar problem and it gives them hope
Existential factors
Term in group therapy for when a member is able to take responsibility for themself
Universality
Term in group therapy for when a member realizes they are not alone in their problems
Development of socializing techniques
Term in group therapy for when interactions within the group help members develop new social skills
2
A 63-year-old male client expresses feelings of hopelessness and helplessness about his spouse's illness and anticipated death. On which issues should the nurse initially assist the client to focus? 1. The nature of the spouse's present illness. 2. The client's responses to past losses. 3. The dying spouse's feelings about impending loss and death. 4. The client's relationship with the spouse.
2
A 68 year old elderly man with schizoaffective disorder is taking benztropine (Cogentin) 0.5 mg tid to treat the side effects of chlorpromazine (Thorazine). When teaching the patient and his family about these medications, the nurse would discuss: 1. importance of having his blood level of the medication monitored monthly 2. staying inside an air conditioned room when the weather is very hot; notify MD if does not have air conditioning 3. over-the-counter products, such as cough and cold preparations, may be taken by the patient as OTCs are safe with both of these medications 4. medications may be safely discontinued if the patient is feeling well, as symptoms are unlikely to return when the medications are discontinued
1
A client admitted to an inpatient unit has a diagnosis of paranoid-type schizophrenia. The new mental health care worker on this unit approaches the nurse and asks about the best way to work with this client. How should the nurse respond? 1. "When possible, remain at arm's length from this client." 2. "This client is anxious. Offer back rubs at bedtime." 3. "Offer this client a hand-shake before beginning conversation." 4. "To get the client's attention, place your hand gently on the arm or hand."
1 2 4
A client asks the nurse what to do about leaving the spouse. The nurse replies, "Why are you having trou ble making a decision? It's easy to see that you should file for a divorce." The nurse manager over hearing the conversation would counsel this nurse because of which inappropriate element of the nurse's response? Select all that apply. 1. It restricts the client's opportunity for self-exploration and problem solving. 2. It belittles the client and the client's indecisiveness. 3. It challenges the client's belief system. 4. It assumes that the client is incapable of reaching an independent decision. 5. It positively reinforces the client's indecision.
3
A client diagnosed with schizophrenia tells the nurse that another client is "creating negative thoughts in me against my will." The nurse documents that the client is exhibiting which of the following features of schizophrenia? 1. Thought broadcasting 2. Thought blocking 3. Thought insertion 4. Thought control
4
A client diagnosed with schizophrenia, paranoid type, is admitted to an acute-care psychiatric hospital unit. Which nursing diagnosis should be given highest priority in the initial nursing care plan? 1. Interrupted Thought Processes 2. Social Isolation 3. Impaired Verbal Communication 4. Risk for Violence Directed at Self or at Others
1 3 4
A client has been treated in the surgical intensive care unit after sustaining a self-inflicted gunshot wound. The client is now admitted to a psychiatric unit. The nurse schedules time to meet with the client on a one-to-one basis to assist the client with which goals? Select all that apply. 1. Explore current life events that led to the suicide attempt. 2. Initiate contact with the nurse spontaneously. 3. Discuss past suicidal ideations and behavior. 4. Enter into a contract for safety with the nurse. 5. Identify post-discharge living arrangements.
1
A client has purposefully attempted to embarrass a nurse by making a sexually explicit comment. What is the best response by the nurse? 1. Clarify the intention of the client 2. Leave the situation altogether. 3. Refuse to talk with the client any further. 4. Continue to interact as if the comments did not cause embarrassment.
1 3 4 5
A client is admitted to the inpatient unit with a new diagnosis of bipolar disorder, most recent episode mania. The client's history indicates she recently experienced an unresolved crisis; her sister died from a heroin overdose three months ago. The client has been so busy raising her children by herself, and working full time, that she repressed feelings related to the event. The client currently manifests delusions, severe anxiety, and suicidal ideation. The nurse would anticipate which of the following becoming part of her treatment plan? Select all that apply. 1. The client will be placed on one-on-one observation. 2. The client will be placed on a serotonin selective reuptake inhibitor (SSRI). 3. The client will be placed on a mood stabilizer. 4. The client will be placed on an antipsychotic. 5. The client will be placed on an anxiolytic ordered as needed (prn).
4
A client is planning to be discharged from the hospital. It is the nurse's responsibility to educate this client regarding prescribed medications. This client is taking clozapine (Clozaril). The nurse makes it a priority to teach the client to notify the physician immediately for which of the following? 1. Feelings of increased energy and interest in the environment 2. Unusual reactions to exposures to the sun 3. Interferences with the normal sleep pattern 4. Indications of any sort of infection
Catharsis
Term in group therapy for when members are able to express all their feelings
Altruism
Term in group therapy for when members provide assistance and support to each other and promotes self growth
4
A client presents at a crisis clinic with reports of having crying spells and overwhelming feelings of loss. The client further relates that this extreme distress began one week ago when the client's parent developed an acute physical illness and died. The client speaks clearly and descriptively about the illness and death and verbalizes feelings readily. The nurse interprets that the client's behaviors suggest which of the following about the client? 1. He suffered irreversible psychological damage. 2. Is a candidate for long term psychotherapy. 3. Is highly anxious and depressed 4. Is a good candidate for short term, focused therapy
3
A client presents in the mental health clinic saying, "I didn't expect it. They just told me this morning that I don't have a job any more. I can't think straight. I feel like I'm going crazy." The nurse documents that the client is experiencing which type of crisis? 1. Adventitious 2. Maturational 3. Situational 4. Cultural
2
A client reports having blurred vision that began after beginning drug therapy with a traditional antipsychotic. What would be the best response by the nurse? 1. "You need to schedule an appointment with your eye doctor to get a new prescription for your eyeglasses." 2. "Blurred vision is a temporary side effect of your medication that usually resolves within a few weeks." 3. "You need to stop taking your antipsychotic medication and notify your doctor immediately." 4. "Blurred vision is a permanent condition as a result of your medication."
4
A client seeks assistance at a crisis center. The client describes being intensely anxious and sleepless since assisting with cleanup activities at a school where a student fatally shot a classmate. To assist the client to cope more effectively, what should be the first intervention of the nurse? 1. Arrange for a member of the clergy to visit the client. 2. Advise the client to avoid going near the school for at least six weeks. 3. Send the client to the emergency department for further evaluation. 4. Allow ventilation of feelings
3
A client seeks help in a crisis clinic secondary to having several family members involved in a serious automobile accident. The client speaks in a loud, disorganized manner with frequent changes of subject. Which nursing approach is most likely to be effective? 1. Encourage the client to identify family members involved in the accident. 2. Assist the client locate the chapel or another quiet area. 3. Help the client to identify the problem and possible ways to manage it. 4. Arrange for one-time anxiolytic medication for the client.
1
A client taking antipsychotic medications for treatment of schizophrenia reports feeling nervous. The nurse notices that the client is pacing the long hallway and is unable to remain still, even when in conversation with other clients. What term should the nurse use to document this occurrence? 1. Akathisia 2. Akinesia 3. Dystonia 4. Tardive dyskinesia
3
A client was quite upset the entire time she was pregnant and made it clear that she did not want her unborn child. However, since the birth, she has become overly protective and refuses to let anyone come bear the infant. Which ego defense mechanism does the nurse recognize in the client's behavior? 1. Denial 2. Projection 3. Reaction formation 4. Displacement
3
A client who admits to having frequent suicidal ide ations is admitted to the psychiatric inpatient unit. During the assessment interview, the client says, "I really don't need to be here. I'm very much at peace with myself now." The nurse should make which interpretation about this client? 1. Has resolved suicidal feelings and is no longer at risk for self-harm 2. Is ready to be discharged from the inpatient setting 3. Continues to be at significant risk for suicide 4. Has concluded that the risk for self-harm is no longer present
1
A client whose life partner recently died from com plications of AIDS has learned he has also converted to HIV-positive status. The attending physician's office referred the client to the crisis unit because the client "shut down" emotionally after receiving the lab results. In the initial assessment interview, the nurse's priority is to determine if the client has which of the following? 1. Ideas of self-harm 2. Altered thought processes 3. An available social support network 4. Financial means to obtain medications
2 4
A client with chronic schizophrenia has been receiving an atypical antipsychotic for three months. The nurse concludes that the client is experiencing a reduction in negative symptoms of schizophrenia if a family member says which of the following? Select all that apply. 1. "We walked together for 15 minutes, and I could see no evidence he was 'hearing voices.'" 2. "For the past week, he has gotten up, dressed, and taken a walk early each morning." 3. "It's been more than a month since he said that he is a Martian prince." 4. "We went to a musical concert, and he smiled and applauded the musicians." 5. "I've noticed that his thoughts are better organized."
3 4
A client with suicidal ideation and a specific lethal plan for self-harm was admitted to the hospital. The client's spouse died recently after a very brief illness. The client states, "There's no reason to go on living. My best friend is gone, and I'm all alone now. We did everything together. Now I have no one to turn to or do things with." Which nursing diagnoses are appropriate? Select all that apply. 1. Helplessness related to suicidal attempt 2. Decisional Conflict related to loneliness 3. Risk for Suicide related to hopelessness 4. Social Isolation related to the loss of support system 5. Acute Grief caused from risk for suicide
1 3 4 5
A female client presents to the crisis center as a victim of attempted rape earlier that day. She is initially distressed, but after venting her feelings with the nurse, she states she will be able to overcome the incident. She says she feels she has control over her emotions, and has had to deal with stressful events in the past. She states "I guess this is not as bad as what I've been through in the past. I left my abusive husband five years ago; it motivated me to get my master's degree." The nurse considers that which characteristics are potentially facilitating a healthy recovery for the client from this event? Select all that apply. 1. Resilience 2. External locus of control 3. Hardiness 4. Internal locus of control 5. Appraisal of stressor
Corrective recapitulation of the primary family group
Term in group therapy for when members re-experience earlier family conflicts that remain unsolved
Imparting of information
Term in group therapy for when members share their knowledge with each other
Imitative behavior
Term in group therapy for when members who have mastered certain skills become role models for other members
2
A mental health client who experienced a brief psychotic reaction was treated as an inpatient for one week and then discharged to an outpatient day hospital program for follow-up treatment. The nurse explains to the client's family that the outpatient treatment setting approach is based on the principle of providing which of the following? 1. Compliance with the ADA as it applies to mental health clients 2. Mental health care in the least restrictive setting possible 3. Community based care for non-chronically ill mental health clients 4. Non-pharmacological treatment modalities for mental health clients in outpatient settings
2 4
A newly admitted adult client says, "No, I don't want that medicine. I won't take it." The nurse says, "Take it. It's good medicine." The nurse then places the cup in front of the client's mouth and forcefully presses it against the client's lips. In counseling this nurse, what important legal principle(s) can be applied to the nurse's action? Select all that apply. 1. If a client does not object a second time, a nurse can administer the medication. 2. If treatment is given without consent, legal charges of battery can be filed. 3. Clients have the right to be treated in the least restrictive manner possible. 4. Clients, unless declared legally incompetent, have the right to refuse medication. 5. Clients who wish to do so may establish psychiatric advance directives.
3
A nurse completing a cultural assessment of the client recognizes a personal tendency to engage in stereotyping and countertransference responses. The nurse should further recognize that these behaviors are likely to lead the nurse to do which of the following? 1. Anticipate the unmet needs of the individual client 2. Be open and honest while responding to the client's concerns 3. Fail to recognize unmet needs of the individual client 4. Facilitate the treatment process
4
A patient is concerned about the development of tardive dyskinesia from long-term phenothiazine use. The nurse should teach the patient that: 1. although the symptoms are embarrassing, clients need to learn to live with them 2. although the symptoms are startling, they are not dangerous and respond readily to treatment 3. sleepiness, sedation, eyelid drooping and strabismus usually resolve spontaneously 4. chewing movements, restless legs, posturing of the head, and snakelike twisting only occur after prolonged use of the medication
2
A patient is started on haloperidol (Haldol) po for treatment of psychotic symptoms. Which of the following statements made by the patient would indicate effective medication teaching: 1. carefully monitor fluid intake and measure urine output 2. brush teeth after eating and use sugar free candy and ice chips for dry mouth 3. direct sun exposure is beneficial and should take place during the afternoon 4. may safely drink alcohol and take over-the-counter cough and cold preparations
4
A patient with a long history of schizophrenia is admitted with hyperpyrexia, muscle rigidity, altered mental status, and symptoms of autonomic instability. The nurse recognizes that these are signs of: 1. akinesia and akathisia 2. tardive dyskinesia 3. late stage of parkinson's disease 4. neuroleptic malignant syndrome
1
A suicidal client is placed on one-to-one observation. When the nurse accompanies the client to the bathroom, the client loudly shouts, "I'm sick of being followed around and treated like a child who can't be trusted." What would be the best response by the nurse? 1. "I understand that you do not like this, but I must be able to see you at all times to make sure you are safe." 2. "You don't have to be so loud. I do trust you, but I can't change the rules for you." 3. "Since this is upsetting to you, leave the door open and I'll wait outside it for you." 4. "Being angry and uncooperative won't change anything, I can't leave a suicidal client alone."
2
A young adult client frequently engages in high-risk behaviors, including driving at high speed, drinking excessively, and engaging in high-risk sexual behaviors. The nurse assessing this client should recognize that there is a high probability that which of the following is occurring? 1. Unhealthy grieving is occurring. 2. Unconscious thoughts of suicide are present. 3. Arrested maturation is impairing judgment. 4. Antisocial personality traits are causing disregard.
Group cohesiveness
Term in group therapy for when the group gives members a form of belonging
Interpersonal learning
Term in group therapy for when the group offers members to interact with people
Anticholinergics Benadryl Dopamine releasing agents
The 3 drugs used to treat pseudoparkinsonism EPS
Full Restrictive/constricted/blunted Flat
The 3 ways to describe a patient's affect
Mesolimbic Mesocortical Nigrostiatal Tuberoinfundibular
The 4 dopamine pathways of the brain
Deep IM
Administration route of Fluphanezine (prolixin) Deconate
Deep IM
Administration route of Haloperidol (Haldol) Deconoate
1
After completing the initial nursing assessment on a patient being admitted with psychoses who will be started on a neuroleptic medication, which of the following health conditions would be most important for the nurse to inform the practitioner about: 1. liver and seizure disorders 2. anxiety and mood disorders 3. emphysema and peptic ulcer disease 4. history of abuse of alcohol and other substances
3
After given the Zyprexa Relprevv (olanzapine) injection, the patient must be monitored for _____ hours for post-injection delirium syndrome
Early 20s
Age of onset of schizophrenia in men
Dementia-related psychosis
All antipsychotic and neuroleptic medications have a black box warning, stating that they are not approved for the treatment _____________ in elderly patients due to the increased mortality risk
2
An emergency psychiatric client presents with amnesia, hyperthermia, and unexplained loss of appetite. Accompanying family members state that the client suffered a head injury while falling from a ladder several days ago. The nurse concludes that the client's symptoms are consistent with trauma to which area of the brain? 1. Thalamus 2. Hypothalamus 3. Cerebrum 4. Cerebellum
3 1 4 2
An older adult grieving the loss of a family member reports all of the following symptoms to the nurse. To plan appropriate nursing interventions, the nurse needs to determine which symptoms need to be addressed first. Put the following client symptoms in order from highest to lowest priority. 1. Occasional feelings of tightness in the chest 2. Expressed thoughts of being better off dead 3. Statements of guilt about a loved one's death 4. A morbid preoccupation with feelings of worthlessness
2
An unlicensed mental health worker asks the nurse to explain how crisis intervention works. The nurse responds that crisis intervention helps the client to do which of the following? 1. Uncover unconscious processes and early life experiences. 2. Find solutions to an immediate and overwhelming problem. 3. Use new ways of coping with an unexpected major problem. 4. Become aware of personal limitations that led to the crisis state.
Second
Aripiprazole (Abilify, Abilify Discmelt, Abilify Maintena) is a first?/second? generation antipsychotic
2 4
The nurse has explained to the client the biologic theories of depression. The nurse concludes that the teaching has been effective if the clients says that depression may be caused from which of the following? Select all that apply. 1. Excessive serotonin activity in the CNS 2. Insufficient serotonin activity in the CNS 3. Excessive acetylcholine in the CNS 4. Insufficient acetylcholine activity in the CNS 5. A genetic mutation on chromosome 6
2
For the third time within a month, a client with borderline personality disorder took a handful of pills, called 911, and was admitted to the emergency department. The nurse overhears an unlicensed staff member say, "Here she comes again. If she was serious about committing suicide, she'd have done it by now." The nurse determines there is a need to teach the staff member which of the following? 1. Clients with personality disorders rarely kill themselves. 2. Each suicidal attempt should be taken seriously. 3. Exploration of suicidal ideas and intent should be avoided. 4. The nurse should prepare the client for direct inpatient admission.
Clozapine (Clozaril)
Patients taking ___________ must be registered with the FDA
Neuroleptic malignant syndrome
Dantrolene (Dantrium) is used to treat ___________
2
During a team meeting, the nurse develops the outcomes of care for a depressed male client. Which of the following is the most appropriately stated outcome for the client within three days? 1. Feel less depressed. 2. Reduce self-rating on a depression scale by 10%. 3. State he has significantly more insight into his problems. 4. Feel supported as he deals with grief issues.
2 3 4
During the first weeks of neuroleptic medication therapy, the nurse would observe for which of the following extrapyramidal symptoms (select all that apply): 1. involuntary muscular spasms commonly of the face and neck 2. continuous restlessness and fidgeting 3. tremor, drooling, shuffling gait, rigidity and muscular weakness 4. facial, neck muscle contractions and difficulty swallowing
2
During the initial interview with a client, the nurse begins to feel uncomfortable and realizes the client's behaviors and mannerisms remind the nurse of the nurse's abusive parent. The nurse concludes that the current situation represents which phenomenon? 1. Transference 2. Countertransference 3. Denial 4. Reaction formation
20 30
Erikson's intimacy vs isolation phase is from _____ to _____ years
0 18
Erikson's trust vs. mistrust stage is from ______ to ______ months
Delusion
Fixed or firm belief that cannot be changed with reason or logic
Negative
Flat affect is a positive?/negative? symptom of schizophrenia
First
Fluphenazine (Prolixin* & Prolix Decanoate) is a first?/second? generation antipsychotic
Increased
Patients with schizophrenia have increased?/decreased? dopamine
2
The client diagnosed with schizophrenia says, "Everyone here is part of the secret police and wants to torture me," and refuses to be weighed by a member of the nursing staff. What is the most appropriate response by the nurse? 1. "That is a strange idea. We aren't secret police persons." 2. "That must be a frightening thought. We are nurses who work at this hospital." 3. "Being suspicious isn't easy, is it? You won't be tortured here." 4. "There is no need to be frightened. We will keep you safe from torture."
1 2 4
The client has catatonic schizophrenia and demonstrates rigidity, waxy flexibility, and extreme psychomotor retardation. The nurse anticipates that this client is at risk for which of the following? Select all that apply. 1. Aggressive outbursts 2. Constipation 3. Ineffective coping 4. Nutritional deficiency 5. Memory deficit
3
The client has had an elective abortion. The nurse wishes to assist the client to manage post-abortion emotional responses. Which nursing approach is most appropriate? 1. Reassure the client that having an abortion was the best possible decision. 2. Teach the client how to use effective methods of birth control. 3. Encourage the client to express feelings of loss and grief. 3. Suggest that the client rely on a higher power for emotional support.
3
The client has schizophrenia, residual type. A nursing care plan should give priority to which nursing diagnosis? 1. Impaired Verbal Communication 2. Self-Care Deficit 3. Social Isolation 4. Anxiety
2 4
The client has suicidal ideations with a vague plan for suicide. When teaching the family how to care for the person at home, what should the nurse emphasize? Select all that apply. 1. Suicide occurring within the family environment indicates family dysfunction. 2. Warning signs, even if indirect, generally are present before a suicidal attempt. 3. When the client no longer talks about suicide, the risk of suicide has decreased. 4. If a person makes a suicidal attempt and fails, the risk for future suicidal attempts is increased. 5. Family members are responsible for preventing future suicidal attempts.
1
The client in a crisis state is having difficulty asking for help from significant others. The nurse explains to caregivers that it is important to role model asking for help because, in addition to being anxious and overwhelmed, clients in crisis often exhibit which trait? 1. Uncertainty about how to communicate personal needs 2. Resistant to verbal suggestions about how problems can be approached 3. Hesitant to depend on others for assistance with problem resolution 4. Guarded and protective about talking about anxiety and other feelings
1 2
The client is in a crisis state. At the beginning of the initial assessment interview, what should the nurse assist the client to identify? Select all that apply. 1. Current feelings 2. The realistic nature of the event 3. Others who might be affected by the event 4. An immediate action plan 5. Past emotional traumas
3
The client is to begin taking olanzepine (Zyprexa). The nurse makes it a priority to assess which of the following before administering the first dose? 1. Usual sleep pattern 2. Food and fluid preferences 3. Body weight 4. History of indigestion
3
The client presents in a crisis center saying, "They didn't warn me. After 20 years, my boss just walks in and says I no longer have a job." The client's therapist is ill and unavailable, and the client's immediate family is away and unreachable by telephone. The nurse will interpret that which of the following is the most significant reason that this client is in crisis? 1. The client is misperceiving the event. 2. The client feels confusion and shock about the event. 3. The client cannot process the event with the usual support network. 4. The client is not making sufficient attempts to cope with the event.
4
The client states, "Who is confused? He said I should go, but I didn't. Is that weird?" Which response by the nurse would be best to clarify the client's statement? 1. "How did you feel before you talked with him?" 2. "When did you first notice yourself feeling confused?" 3. "Did he indicate to you exactly what he meant?" 4. "I don't understand. Can you explain in another way?"
3
The client who has schizoaffective disorder takes both haloperidol (Haldol) and valproic acid (Depakote). When the client asks the nurse to explain what this particular combination of drugs is expected to do, what would be the best response by the nurse? 1. "Haloperidol (Haldol) makes your moods calmer and valproic acid prevents tight muscles." 2. "This combination is good for people who have problems like yours." 3. "Haloperidol improves your thinking and valproic acid stabilizes your moods." 4. "This is an old combination of drugs that helps people to keep thinking and feelings in balance."
3 4
The client with body dysmorphic disorder says, "My ugly nose horrifies everyone." The nurse should conclude that the client is using which defense mechanisms? Select all that apply. 1. Conversion 2. Somatization 3. Symbolism 4. Projection 5. Sublimation
3
The nurse is assessing a client who recently began taking a typical antipsychotic medication. The client says, "All of a sudden I can't breathe right." The nurse observes generalized body rigidity and diaphoresis. The body temperature is 103°F, or 39°C, and the pulse is 130. What should the nurse do next? 1. Administer the ordered prn anticholinergic medication. 2. Assess the client for indications of orthostatic hypotension. 3. Begin preparing the client for immediate transfer to an emergency department. 4. Arrange for an additional physician's visit later in the day.
3
The nurse is to complete an AIMS assessment of the client. When explaining this test to the client, the nurse should say that this test will help to identify if the client is beginning to have which of the following? 1. Weak muscles 2. Shaking hands and feet 3. Uncontrollable motions in the body 4. Slowed body movement
1
The nurse is working with a severely withdrawn client. Which of the following should the nurse formulate as an appropriate short-term client goal? 1. Attend one group meeting accompanied by a staff member within three days. 2. Voluntarily lead the unit community meeting by the time of discharge from the hospital. 3. Be more comfortable in group situations by three days. 4. Enjoy participating in group therapy by the time of discharge.
2
The nurse observes the patient taking Risperdal (risperidone) 2 mgs. bid having involuntary muscle contractions, difficulty swallowing, with rolling back of the eyes. The nurse would: 1. take VS and institute seizure precautions 2. take VS, assign a staff member to stay with the patient and contact the physician immediately 3. take VS and move pt to intensive management part of unit for close observation (eye view) 4. take VS and administer prn Cogentin (benztropine mesylate) 2 mgs. p.o.
4
The patient asks the nurse "Why am I getting the long acting depot injections instead of my oral medication?" The best answer by the nurse would be: 1. "You are getting these injections because they have a longer half-life." 2. "You are getting these injections because they are more slowly absorbed into the skin." 3. "You are getting these injections because they are less irritating to the tissues and small blood vessels." 4. "You are getting these injections because they increase medication treatment compliance."
3
The patient is given haloperidol (Haldol) 7.5 mgs, I.M. daily. After one week of therapy there is no improvement in his symptoms and the haloperidol (Haldol) is increased to 15 mgs. He is 25 years old and this is his first episode of psychotic behavior. What major side effect is he at increased risk for at this time? 1. Agranulocytosis 2. Seizures 3. Neuroleptic malignant syndrome (NMS) 4. Tardive dyskinesia
3
The patient is taking Seroquel (quetiapine) 300 mgs. q HS is assessed by the nurse for orthostatic hypotension. Which of the following nursing interventions would be appropriate: 1. ask the patient about dry mouth, blurred vision, constipation and urinary retention 2. weigh client every other day, order calorie controlled diet, provide diet and exercise teaching, provide opportunity for exercise 3. monitor pts. BP lying and standing Q shift, hold medication and contact physician if drops 20 mm Hg or more 4. pt should be instructed to wear sunscreen, protective clothing & sunglasses while outdoors
2
The patient with residual schizophrenia comes for his monthly appointment and Prolixin injection at the mental health center. He complains of constipation. In providing health teaching about bowel elimination, the nurse would: 1. Encourage him to use an over the counter irritant laxative daily such as Ex-Lax 2. Encourage him to be active, drink fluids especially water, eat at least 5-6 servings of fruits and vegetables a day 3. Encourage him to use a stool softener daily 4. and a mixture of prune juice and bran (1oz) once a week 5. Encourage him to talk with the physician about this symptom as it is an uncommon side effect of this medication
Mental health
The successful performance of mental functions shown by productive activities, fulfilling relationships with others, and the ability to adapt to change and to cope with adversity
3
When administering Haldol (haloperidol) concentrate liquid form, the nurse would: 1. give concentrate in a medication cup 2. dilute with fruit juice in medication room and allow to warm to room temperature before administering 3. dilute with fruit juice immediately before administration; flush with water if spill concentrate on skin 4. change needles after drawing up medication, administer intramuscularly and massage area after injection
2
When the nurse is working with a client in crisis, which nursing action is most important? 1. Obtaining complete assessment of the client's past history 2. Remaining focused on the client's immediate problem 3. Determining the relationship of early life experiences and the crisis state 4. Developing an action plan for the client
1
When working with a depressed client who has suicidal ideation, the nurse anticipates that the client may be overwhelmed by personal problems. With this in mind, the nurse should take which action to best assist the client to cope more effectively? 1. Encourage the client to make a list of problems from most urgent to least urgent. 2. Support the client's decision to put off problem solving until outpatient therapy has begun. 3. Encourage the client to work on problems only in group therapy. 4. Take a directive approach and advise the client how to prioritize personal problems.
4
Which of the following are the s/s of Neuroleptic Malignant Syndrome that a nurse would teach a patient on a neuroleptic medication? 1. fever, bizarre face/tongue movements, stiff neck, difficulty swallowing, confusion 2. involuntary muscular spasms of the face, arms, legs and neck 3. sore throat, fever and malaise 4. severe muscle rigidity, high fever, rapid heart beat, rapid breathing, sweating, confusion
3
Which of the following statements made by the client would indicate effective medication teaching about the action of Seroquel (quetiapine)? 1. This medication increases the neurotransmitter dopamine and it's response at brain synapses. 2. This medication increases the neurotransmitters serotonin and norepinephrine at brain synapses. 3. This medication decreases the neurotransmitter dopamine and it's response at brain synapses. 4. This medication increases the inhibitory effect of the neurotransmitter gamma aminobutyric acid (GABA) at brain synapses.
3
While communicating with a client, the nurse decides to provide the client with feedback. What is the primary reason for the nurse to give appropriate feedback? 1. Present advice. 2. Explore feelings. 3. Provide information. 4. Explain behavior.
3
While talking with a female client diagnosed with schizophrenia, the nurse notices the client look away from the nurse and stare at the wall while making facial grimaces. What is the most appropriate inter vention by the nurse? 1. End the conversation because the client is not listening. 2. Administer the ordered prn trihexyphenidyl (Artane). 3. Ask the client if she sees something on the wall. 4. Redirect the conversation to a neutral topic.
2
While the nurse is meeting with the family of a client with schizophrenia, a family member asks the nurse to explain what causes this disorder. What is the nurse's best response? 1. "Research indicates that schizophrenia is caused by a genetic predisposition." 2. "The exact cause of schizophrenia is unclear at this time." 3. "It is likely that poor parenting skills cause schizophrenia to occur." 4. "It is clear that early-age psychological traumas cause schizophrenia."
Buccolingual
_________ dystonia involves the uncontrollable contraction of the facial muscles
Command
_________ hallucinations are when there are voices telling the patient to do something
Tertiary
_________ prevention includes decreasing residual impairment and disability from mental illness
Group
_________ therapy is a form of psychosocial treatment in which a number of clients meet together with a nurse/therapist for purposes of sharing, gaining personal insight, and improving interpersonal coping strategies
Milieu
_________ therapy is where all activities on the unit are oriented toward increasing a patient's ability to cope in the world & to relate appropriately to others
Grandiose
__________ delusions are delusions of inflated worth, power, knowledge, identity, or special relationship with a deity or famous person
Persecutory
__________ delusions are delusions that the patient or someone to whom the person is close is being malevolently treated in some way
Jealous
__________ delusions are delusions that the patient's sexual partner is unfaithful
Content
__________ of thought is what a person is thinking
Secondary
__________ prevention includes decreasing illness by early detection and treatment
Homogeneous
___________ group therapies are where the members have the same diagnoses
Form
___________ of thought is how a person is thinking
Ideas of reference
____________ delusion is when that patient believes they are the topic of other people's conversations
Thought broadcasting
____________ delusion is when the patient believes that people can hear their thoughts
Thought insertion
____________ delusion is when the patient believes that thoughts are being inserted into their mind
Controlled
____________ delusion is when the patient believes their thoughts are being controlled by other people
Grandiose
____________ delusion is when the patient thinks they are a person of greater power
Erotomanic
____________ delusions are delusions that another person, usually of higher status, is in love with the patient
Close ended
____________ group therapies are where members join for a set amount of time
Heterogeneous
____________ group therapies are where the members have different diagnoses
Paranoid
_____________ delusion is when the patient is suspicious of others
Somatic
_____________ delusions are delusions that the patient has some physical defect or general medication condition
Torticollis
_____________ dystonia involves the uncontrollable contractions of the neck
Open ended
_____________ group therapies are where members can join and leave at any time
Nihilistic
______________ delusion is when the patient believes that part of themselves or the world doesn't exist
