Quiz 1- Mental & Behavioral Health

From the following examples choose the best example of a neologism.

"I want to fria by the scooie with all my beboms"

A client with schizophrenia hears a voice telling him he is evil and must die. The nurse understands that the client is experiencing:

A hallucination

The World Health Organization definition of mental health is best and most fully described by which of the following statements.

A state of well being in which an individual realizes their own potential, can cope with the normal stresses of life, can work productively, and is able to make a contribution to their community.

The nurse is caring for a client with schizophrenia who is taking haloperidol (Haldol). The client complains of restlessness and that she cannot sit still. Which of the following behaviors would the nurse chart?

Akathisia

Judy is a nurse in an outpatient day treatment program. She has a client who looks and talks like her 14 year old son. She finds that she is expects him to respond to her requests the same as her son does when they talk. She finds that she is more invested in his ability to succeed in his treatment than she is with her other patients. What is Judy most likely experiencing with this particular client?

Countertransference

While looking out the window, a client with schizophrenia remarks, "That school across the street has creatures in it that are waiting for me." Which of the following terms best describes what the creatures represent?

Delusion

When assessing a client for an involuntary admission to an inpatient facility, the legal criteria for admission include all of the following except;

Delusions or Hallucinations

Which of the following medications would the nurse expect the physician to order to reverse a dystonic reaction?

Diphenhydramine (Benadryl)

According to Freud the part of the personality that wants instant gratification and pleasure, is the

Id

A client tells the nurse that the television newscaster is sending a secret message to her. The nurse suspects the client is experiencing:

Ideas of reference

The client who is involuntarily committed to an inpatient psychiatric unit loses which of the following rights?

Right to Freedom.

A client is admitted to a psychiatric facility with a diagnosis of chronic schizophrenia. The history indicates that the client has been taking neuroleptic medication for many years. Assessment reveals unusual movements of the tongue, neck, and arms. Which condition should the nurse suspect?

Tardive Dyskinesia

The best definition for transference between the client and the nurse is;

The client's feelings that he or she has had in the past with another person are projected onto the nurse.

When the nurse is assessing whether or not the client's ideas are logical and make sense, the nurse is examining which of the following?

Thought process or thought content

A client has been receiving chlorpromazine (Thorazine), an antipsychotic, to treat his psychosis. Which findings should alert the nurse that the client is experiencing pseudoparkinsonism?

Tremors, Shuffling Gait, and Mask-like face

According to the Ending Stigma of Mental Illness video, in the long term stigma produces a kind of isolation and it grows from fear.

True

During the assessment stage, a client with schizophrenia leaves his arm in the air after the nurse has taken his blood pressure. His action shows evidence of:

Waxy Flexibility

Parrot like repetition of words refers to as:

echolalia

If a police officer brought a patient to be admitted to Utah Neuropsychiatric Institute that was violent and threatening others, in order to legally commit that patient for psychiatric treatment against their will

the police officer needs to sign a pink sheet

Read the case study below: Ms. Catie Holmes is a 32 y.o female who appears her stated age. She was brought in by the police for shop lifting shoes from a department store and acted aggressively. She has been diagnosed with paranoid personality disorder 2 years ago, when she was admitted for believing her room mate was trying to kill and refused to leave the home. She also has a medical history of asthma. Appearance is remarkable for wearing revealing and likely designer clothes with excessive makeup. Behavior is hyperactive and agitated at times. Speech is pressured and with an increased rate, often loud. Mood is described as 'happy and on top of the world' and affect is elevated and euphoric. Not appropriate to situation. It is also irritable in parts and quite labile. Thought process is disorganized with apparent flight of ideas connected to grandiose delusional themes. There is no suicidal or homicidal ideation. Thought content has grandiose delusions. Perception appears normal. Insight is poor and Judgment is quite poor - wants to fly to Milan in this state which can lead to unfortunate outcomes. Also, pt. is exercising poor judgment with finances, and roommate reports that she has spent over $10,000 in last few days and is in dept. Room mate also mentions that Catie has separated from her partner last week. Which is correct when using the DSM IV & axis I-V when documenting this patient?

•Axis I: Bipolar 296.43 •Axis II: Paranoid Personality Disorder 301.0 •Axis III: Asthma •Axis IV: Financial Issues & separation from partner •Axis V: GAF 50

Select all that are true:

•DSM is the only classification used in the USA. •The DSM is produced by a single national professional association, American Psychiatric Association •ICD is the official international classification in psychiatry •ICD is more comprehensive than DSM.

Select all that are true:

•Dyskinesia is involuntary, continuous/repetitive muscle movements •Dystonia's cause pain •A nurse may treat dystonias and dyskinesia with diphenhydramine (Bendaryl) or benxtropine (Cogentin) •Dystonia's are prolonged, involuntary muscle contractions that create rigidity •Dyskinesia is typically not painful

When interviewing Ben, the nurse asked him "How are you feeling today?" Below is his response. Select all that are demonstrated within this video by the patient:

•Mumbling •Flight of ideas •Loose Associations •Tangenitial Thinking

When Jessica was asked if she could tell the nurse why she was brought to the Utah Neuropsychiatric Institute, this was her response: "What I do with a cup, park, bark. Well a bark is bloo that likes to go nac, sack, ichy bac. Wanted to die. Dogs are bleach in my beach it is a seech. Umbrellas protect my skin from the beach sun. I used to be a nurse and had a friend named Liz. Her favorite color was pink and liked to go to parks too. We would eat ice cream in parks and on the beach. Wanted to die. Wanted to die. I really like rocky road ice cream with kids laugh and buy presents. I really want ice cream and then I heard a voice that said to cut. Cut, put, not it said. I grabbed the dog leash to wrap around my neck and steck. Wanted to die. Wanted to die. Liz is no longer friend."

•Neologisms •Tangenitial Thinking •Circumstantial Thinking •Perservation •Clang Associations •Flight of Ideas •Logorrhea

Match Sigmund Freud's Ego Defense Mechanisms to the best examples:

•Repression: During the Oedipus complex aggressive thoughts about the same sex parents are repressed •Denial: A student refuses to believe that he has failed a course. •Projection: A man who is angry at his wife acts lovingly to his wife but complains that his wide is angry with him. •Regression: A boss has a temper tantrum when an employee makes a mistake. •Sublimation: A person with strong feelings of aggression becomes a soldier.

Select all that are true regarding Hysteria:

•a treatment of hysteria in the past were hysterectomies •Greeks believed that the uterus moves through a woman's body, eventually strangling her and inducing a disease •hysteria was a diagnosis in the DSM •hysteria is now known as somatic symptom disorder in the DSM •known as the wandering womb or widow's disease

Throughout history, the umbrella term "hydrotherapy" for mental health patients included:

•hydrotherapy pack, "mummification" •the bath of surprise •hydrotherapy water spraying •hydrotherapy bath