Exam #3 Powerpoint questions

Which assessment finding represents a negative symptom of schizophrenia? A. Apathy B. Delusion C. Motor tic D. Hallucination

A. Apathy Negative symptoms are characterized by diminished emotional expression or avolition.

Eric becomes anxious and says, "There are worms under my skin eating the hair follicles." How would you classify this assessment finding? A.Positive symptom B.Negative symptom C.Cognitive symptom D.Depressive symptom

A. Positive Symptom The presence of something that should not be present. Positive symptoms include hallucinations, delusions, paranoia, or disorganized or bizarre thought, behavior or speech. These symptoms usually appear early.

A patient with major depression walks and moves slowly. Which term should the nurse use to document this finding? A. Psychomotor retardation B. Psychomotor agitation C. Vegetative sign D. Anhedonia

A. Psychomotor retardation

Which question would be a priority when assessing for symptoms of major depression? A. "Tell me about any special powers you believe you have." B. "You look really sad. Have you ever thought of harming yourself?" C. "Your family says you never stop. How much sleep do you get?" D. "Do you ever find that you don't remember where you've been or what you've done?"

B. "You look really sad. Have you ever thought of harming yourself".

Which assessment finding in a patient with major depression represents a vegetative sign? A. Restlessness B. Hypersomnia C. Feelings of guilt D. Frequent crying

B. Hypersomnia

A person with which psychiatric problem is most likely to complete suicide? A. Personality Disorder B. Major Depression C. Substance Abuse D. Schizophrenia

B. Major Depression Between 32% and 47% of patients who have major depression or bipolar disorder (during the depressed phase) will complete suicide

Gina is hospitalized suicidal ideation after two suicide attempts. For the first 2 days of hospitalization, the patient eats 20% of meals and stays in her room between groups. By the fourth day, the nurse observes that the patient is more sociable, is eating meals, and has a bright affect. Considering Gina's behavior on the fourth day of hospitalization, which factor should the nurse consider? A. The patient is showing improvement and may be ready for discharge. B. The patient may have decided to commit suicide; the nurse should reassess suicidality. C. The patient is feeling rested, supported by the therapeutic milieu, and less depressed. D. The patient is benefiting from the antidepressant she has been taking for 4 days.

B. The patient may have decided to commit suicide; the nurse should reassess suicidality. It is always wise to consider the possibility that a patient who was recently suicidal may be exhibiting positive traits because he or she is at peace with a final suicide decision and is feeling relief, or even exhilaration about this. Do not just assume that they are immediately better until you have had more time for observation.

A person has recently abused morphine. The person's pupils would most likely be A. dilated. B. constricted. C. asymmetrical. D. unresponsive to light.

B. constricted Pupils are usually constricted after the use of opioid narcotics

Shortly before treatment, after crying and begging him to get help, Ahmed's girlfriend stayed home from a planned night out with her friends to pour all the alcohol in his apartment down the drain. What type of behavior is evident? A. Enabling B. Tolerance C. Codependence D. Use of defense mechanisms

C. Codependence

Eric's roommate says his speech "... doesn't connect; it doesn't make any sense. He sort of gets derailed." Which of the following symptoms is Eric displaying? A.Avolitional speech B.Delusional speech C.Disorganized speech D.Diminished emotional expression

C. Disorganized Speech

During assessment, Eric has trouble staying on topic, zipping rapidly from one thought to the next, making it hard to follow what he's trying to say. Which speech disturbance is he exhibiting? A.Pressured speech B.Circumstantiality C.Flight of ideas D.Tangentiality

C. Flight of Ideas

Jeff's parents have described his lack of interest in things he used to enjoy, like games with his friends, and his classes, which he used to like. This may be best described by the term A. Inappetance B. Impetance C. Indolence D. Anhedonia

D. Anhedonia

A nurse is assigned the care of four patients who are detoxifying from alcohol. The patient with which symptom would be the nurse's highest priority? A. Fine Motor Tremors B. Diaphoresis C. Diarrhea D. Hallucinations and delusions

D. Hallucinations and delusions

Loose associations in a person with schizophrenia indicate a. paranoia. b. mood instability. c. depersonalization. d. poorly organized thinking.

D. poorly disorganized thinking