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Unformatted text preview: Chapter 55: Psychiatric Disorders MULTIPLE CHOICE 1. A patient is being given anxiolytics as a treatment for his mental disorder. This patient is be- ing treated using the: 1. analytical approach. 2. interpersonal approach. 3. biologic approach. 4. psychoanalytical approach. ANS: 3 The biologic approach attempts to manage the physiologic effects of mental illness using medications. The test taker will be required to identify which of the theoretical approaches uses medications rather than psychoanalysis. PTS: 1 DIF: Cognitive Level: Analysis REF: 1245 OBJ: 2 TOP: Psychiatric Disorders KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 2. A patient states that he feels angry at work for no reason and often yells at his coworkers. The therapist asks the patient to describe events and then tells the patient to try different strategies to cope with these angry outbursts. This would be an example of: 1. biologic approach. 2. analytical approach. 3. cognitive/behavioral approach. 4. interpersonal approach. ANS: 4 The interpersonal approach helps the patient develop new coping skills. PTS: 1 DIF: Cognitive Level: Analysis REF: 1246 OBJ: 2 TOP: Psychiatric Disorders KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychological Integrity 3. To listen therapeutically to the patient, the nurse should try to: 1. concentrate on the patient and not think of responses to the patient while he or she is speaking. 2. determine the cause of the patient’s problem while the patient is speaking. 3. ask the patient why he thinks he feels that way. 4. tell the patient that you have had similar experiences. ANS: 1 To listen therapeutically, the nurse needs to concentrate on the patient and refrain from mak- ing up responses to the patient while he is speaking. The test taker will need to determine which of the responses represents a therapeutic relationship. PTS: 1 DIF: Cognitive Level: Application REF: 1246 OBJ: 1 TOP: Establishing Therapeutic Relationships KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 4. The nurse speaking to the depressed patient says, “So what you are saying is that you are feeling very sad today.” This would be an example of: 1. listening. 2. sharing observations. 3. clarifying. 4. being available. ANS: 3 By reflecting the meaning of the patient’s statement, the nurse is using clarification. This technique validates that the therapist understands what the patient is saying, and it provides validation for the patient. PTS: 1 DIF: Cognitive Level: Synthesis REF: 1246 OBJ: 2 TOP: Establishing Therapeutic Relationships KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 5. When doing a mental status examination, the nurse notes that the patient keeps repeating, “I didn’t do it. I didn’t do it. I didn’t do it.” This would be an example of: 1. appearance....
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- Spring '10
- Schizophrenia, Borderline personality disorder, Avoidant personality disorder