NLE Review Questions [NP 5 - Psych]

D! interpersonal in origin

A! Methylphenidate (Ritalin)

A! at the first meeting

B! Milieu therapy

Answer D. Stupor, hallucinations, negativism & automatism are sets of behavior manifested by patients with Catatonic Schizophrenia. (A) Are sets of behavior manifested by clients with Paranoid Schizophrenia. (B) Are sets of behavior manifested by clients with Disorganized Schizophrenia (C) are sets of behavior manifested by clients with Undifferentiated Schizophrenia

A! instructing the client to wear sunglasses.

D! Providing a private place to talk with the child about the incident

D. Facilitate optimal functioning of patient. The primary goal in rehabilitation (of clients with Schizophrenia) is facilitating optimal functioning of the clients. They should be provided with skills necessary to for them to lead a productive life outside the sheltered confines of mental hospital. (A), (B) & (C) are also part of the Rehabilitation program for clients with Schizophrenia.

C! Self-Awareness and understanding. By developing Self-Awareness, and beginning to understand his/her attitudes, the nurse can begin to use aspects of his/her personality, experiences, values, feelings, intelligence, needs, coping skills and perceptions to establish relationships with clients. This is called the therapeutic use of self. Nurses use themselves as a therapeutic tool to establish the therapeutic relationship with clients and to help them grow, change, and heal.

A! Completing a task for a client instead of repeatedly prompting him to finish it. In the psychiatric-mental health clinical setting, clients frequently need repeated encouragement and prompting to complete a task, an essential component of the client’s plan of care. Thus, completing the task for the client would be ineffective and possibly interfere with the client’s ability to ultimately achieve the goals of care. Adjusting to a slower pace, avoiding frustration, and using listening and observing skills are all important in adjusting to the sole of a nurse in the Psychiatric-mental health clinical setting.

D! Physical Safety. The client is homeless, has delusions and responds to auditory hallucinations, the client is at risk for injury. Therefore, the priority need is his physical safety. This need must be met before any higher level needs such as self-esteem, love and belonging, and self-actualization are addressed.

A! All Behavior has Meaning. Psychoanalytic theory supports the notion that all human behavior is caused and can be explained. All behavior has a meaning. Freud believed that sexual impulses and desires motivated much of human behavior.

D! Prevent the crippling defects of illness through rehabilitation programs. Tertiary Prevention – activities designed to restore individuals with disabilities to their optimal level of functioning. Primary Prevention – activities directed toward the protection from or avoidance of potential health risks. Secondary Prevention – activities designed for early diagnosis and treatment.

D! Parent surrogate. One of the six subroles of the psychiatric nurse during a therapeutic relationship is being a parent surrogate. The nurturing needs of clients who are unable to carry out simple tasks are met by the subrole of a parent surrogate.

C! Life threatening potential. Nursing diagnoses are the identification of patient’s problems based on conclusions about the dynamics of verbalizations and behaviors. Emergency behaviors are given priority in establishing nursing diagnoses and in negotiating “no harm contracts” with patients.

C! Identifying anxiety producing situations. Client and family education in planning the discharge of the client with chronic anxiety should focus on learning ways to manage anxiety and cope with reactions to stress and identify the cause of anxiety, and anxiety producing situations.

D! Ignores somatic complaints. Management of client with somatoform disorders include providing health teaching, assisting the client to express emotions, teaching coping strategies, recognizing relationship between stress/coping and physical symptoms. Ignoring somatic complaints is not effective because it will only cause more anxiety on the part of the client and will be a result of a manipulative behavior use of a matter-of-fact attitude is also used.

B! Dissociation and repression. An essential feature of Dissociative Disorder is a disruption of integrated functions of consciousness, memory, identity, or perception of the environment. Dissociation is a defense mechanism defined as the unconscious separation of painful feelings and emotions from an unacceptable idea, situation, or object. Undoing is doing something to counteract or make up for a transgression or wrong doing. Repression is unconscious and involuntary forgetting of painful ideas, events or conflicts. Projection is blaming someone else for one’s difficulties or placing one’s unethical desires on someone else. Regression is return to an earlier and more comfortable developmental level. Denial is unconscious refusal to admit an unacceptable idea or behavior.