Exam (elaborations)
Chapter 34 Care of the Patient with a Psychiatric Disorder.
- Course
- Nursing
- Institution
- Western Piedmont Community College
Chapter 34 Care of the Patient with a Psychiatric Disorder.
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Chapter 34: Care of the Patient with a Psychiatric DisorderMULTIPLE CHOICE
1. The nurse is discussing the differences between a patient with a neurosis and one with a
psychosis. What is true of the patient experiencing a neurosis?
a. The patient experiences a flight from reality.
b. The patient usually needs hospitalization.
c. The patient has insight that there is an emotional problem.
d. The patient has severe personality deterioration.
ANS: C
An individual with a neurosis has insight that he has an emotional problem. A person with
psychosis is out of touch with reality and has severe personality deterioration. Treatment for
neurosis is usually completed in the outpatient setting, while treatment for psychosis often
requires hospitalization.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1123
OBJ: 2 TOP: Mental illness
KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity
2. When the patient with a psychosis is thought to be a danger to self or others, by what method
should the patient be admitted to the hospital?
a. Probating
b. Nurse‘s request
c. Physician‘s order
d. Family request
ANS: A
Probating can be done if the individual is thought to be a danger to self or others.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 1123
OBJ: 4 TOP: Mental illness
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
3. The Diagnostic and Statistical Manual of Psychiatric Disorders, V (DSM-V), is used by most
hospitals and is the current tool used to examine mental health and illness. What approach
does the DSM-V use to classify mental disorders?
a. Holistic system
b. Hierarchical system
c. Multiaxial system
d. Evaluation system
ANS: C
The DSM-V is a multiaxial system.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 1123
OBJ: 1 TOP: Mental illness KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
, 4. When all five axes of the Diagnostic and Statistical Manual of Psychiatric Disorders, V, are
used, it provides what type of assessment approach to comprehensive care?
a. Personalized
b. Individualized
c. Holistic
d. Organic
ANS: C
Using all five axes of the DSM-V provides a holistic assessment.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 1124
OBJ: 1 TOP: Mental illness
KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity
5. A young man with malaria spikes a temperature of 105° F and begins to hallucinate. How
should the nurse assess this?
a. Delirium
b. Psychotic break
c. Possible stroke
d. Anxiety disorder
ANS: A
Delirium is an organic mental disorder that is frequently brought on by a severe physical
illness, such as fever.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1124
OBJ: 2 TOP: Mental illness
KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity
6. A patient admitted for delirium demonstrates increased disorientation and agitation only
during the evening and nighttime. What is the term applied to this type of delirium?
a. Disordered thinking
b. Schizophrenia
c. Dementia
d. Sundowning syndrome
ANS: D
A patient with sundowning syndrome displays increased disorientation and agitation only
during evening and nighttime. Disordered thinking occurs when an individual is not able to
interpret information being received in the brain. Disordered thinking is one characteristic of
schizophrenia, which is a large group of psychotic disorders that includes non–reality-based
thinking. Dementia is an altered mental state secondary to cerebral disease.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1124
OBJ: 2 TOP: Mental illness
KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity
7. Dementia is an organic mental disease secondary to what problem?
a. Chemical imbalance
b. Emotional problems
c. Circulatory impairment
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