Exam 2: Powerpoint Questions

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 Inappetance Impetance Indolence Anhedonia

Anhedonia

Which anticonvulsant medication might be prescribed for a patient with bipolar disorder? Divalproex sodium (Depakote) Clonazepam (Klonopin) Olanzapine (Zyprexa) Lithium (Lithobid)

Divalproex sodium (Depakote)

Ms. A, 53, has just been admitted to your unit with bipolar disorder I and is in the manic state. What symptoms might you expect to see? Catatonia Expression of racing thoughts Low self esteem and tearfulness Lack of interest in her environment

Expression of racing thoughts

TRUE OR FALSE: Forthright questioning about suicidal thoughts or plans increases the risk for suicide

FALSE

TRUE OR FALSE: Adoption studies show that the concordance rate for depression in monozygotic (identical) twins is 45% to 60%, while the concordance rate in dizygotic (nonidentical) twins is 12%, supporting a genetic link to depressive disorders.

TRUE

A category 5 hurricane destroys homes and businesses in a community. How would this crisis be classified? Disequilibrium Adventitious Maturational Situational

Adventitious

Based on her history, which factors can you identify that may have an influence on Ms. A's condition? Biological factors Psychological factors Environmental factors All of the above.

All of the above

Addie is grossly underweight, wears baggy clothes, and her skin is dry. To further assess for anorexia nervosa, the school nurse should ask: A."Do you often wear heavy clothing in warm weather?" B."When was your last menstrual period?" C."Do you use any drugs or alcohol?" D."Do you ever lose lapses of time?"

"when was your last menstrual period?"

Which bipolar disorder is characterized by one or more clinical manic episodes, usually alternating with major depressive episodes? A. Bipolar I B. Bipolar II C. Cyclothymic disorder D. A and B

A

A patient is hospitalized with major depression and suicidal ideation. He has a history of several suicide attempts. For the first 2 days of hospitalization, the patient eats 20% of meals and stays in his room between groups. By the fourth day, the nurse observes that the patient is more sociable, is eating meals, and has a bright affect. 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 he has been taking for 4 days.

B

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

A person with which psychiatric problem is most likely to complete suicide? Personality disorder Major depression Substance abuse Schizophrenia

B- major depression

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.

Which method of suicide has the highest lethality? Cutting one's wrists Overdose of medication Self-inflicted gunshot wound

C- self-inflicted gunshot wound

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? Enabling Tolerance Codependence Use of defense mechanisms

Codependence

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

Hypersomnia

Which problem does NOT fit the group? A.Malingering B.Conversion disorder C.Illness anxiety disorder D.SSD

Malingering

Which is an example of malingering? A.Mr. Harris injures his foot to avoid military service. B.Mrs. Adams has been making her child vomit and lose weight to pretend he has cancer .C.Mr. Singleton has difficulty walking and uses a wheelchair, but without neurological deficits, which began 2 months after the death of his wife of 32 years .D.Ms. Munini frequently calls or comes to the clinic in a panic, believing she is ill. Her suffering is genuine, but she never has concrete signs of any illness.

Mr. Harris injures his foot to avoid military service.

what is an example of illness anxiety disorder? A.Mr. Harris injures his foot to avoid military service. B.Mrs. Adams has been making her child vomit and lose weight to pretend he has cancer. C.Mr. Singleton has difficulty walking and uses a wheelchair, but without neurological deficits, which began two months after the death of his wife of 32 years. D.Ms. Munini frequently calls or comes to the clinic in a panic, believing she is ill. Her suffering is genuine, but she never has concrete signs of any illness.

Ms. Munini frequently calls or comes to the clinic in a panic, believing she is ill. Her suffering is genuine, but she never has concrete signs of any illness.

Addie condition worsens and she collapses at home. She is admitted to your unit with anorexia. You have completed your physical and biopsychosocial assessment of her. Which common personality trait is likely to present a particular challenge? A.Lack of hygiene and cleanliness B.Lack of interest in self and others C.Irresistible desire to purge D.Perfectionism

Perfectionism

Hypoalbuminemia in a patient with an eating disorder would produce which assessment finding? A.Lanugo B.Jaundice C.Amenorrhea D.Peripheral edema

Peripheral edema

Mr. Anderson is found to be eating laundry powdered detergent on more than one occasion. This is most likely a sign of which feeding problem? A.Binge eating B.Rumination C.Bulimia D.Pica

Pica

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

Psychomotor retardation

Jeff was just diagnosed with a major depressive disorder. Which medication is the health care provider most likely to start the patient on? SSRI SNRI Tricyclic antidepressant Monoamine oxidase inhibitor

SSRI

Which term is most applicable to crisis? Self-limiting Boundaries Amnesia Chronic

Self-limiting

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

constricted

Which diagnosis best describes Mr. Brazzali's condition? (episodes of blindness, neuro symptoms w/o neuro diagnosis, lack of distress with condition) A.Psychological factors affecting medical condition B.SSD C.Illness anxiety disorder D.Conversion disorder

conversion disorder

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? Fine motor tremors Diaphoresis Diarrhea Hallucinations and delusions

hallucinations and delusions

Addie's skin is slightly yellow and her skin showed signs of dehydration. What is yellow skin in anorexia nervosa linked to? A.Lanugo B.Amenorrhea C.Use of street drugs D.Hypercarotenemia

hypercarotenemia