NURS660 Psychopharm 660 Exam 1 Questions with Complete Solutions
Question : Which response demonstrates both empathy and
understanding of the relationship genetics has to the development of schizophrenia in twins? quite a. In fraternal twins, the chance of the other twin developing the disorder is small b. Studies show that 50% of twins develop schizophrenia when it is present in the other twin. c. No one can say what will happen, so we will hope for the best for you and both of your sons. d.You poor woman! I wish I could tell you that your other son he will be free of the disorder.
CORRECT ANSWER : a. In fraternal twins, the chance of
the other twin developing the disorder is small
Question : A newly admitted patient has a diagnosis of
catatonic schizophrenia. Which behavior observed in the patient supports that diagnosis? a. Uses a rhyming form of speech b. Refuses to eat any unwrapped foods c. Laughs when watching a sad movie d. Maintains an immobilized state for hours
CORRECT ANSWER : d. Maintains an immobilized state
for hours
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Question : What would be an appropriate short-term outcome
for a patient diagnosed with residual schizophrenia who exhibits ambivalence? a. Decide their own daily schedule. b.Decide which unit groups they will attend. c. Choose which clinic staff member to work with. d. Choose between two outfits to wear each morning.
CORRECT ANSWER : d. Choose between two outfits to
wear each morning.
Question : What is the priority nursing diagnosis for a
catatonic patient? a. Ineffective coping b. Impaired physical mobility c. Impaired social interaction d. Risk for deficient fluid volume
CORRECT ANSWER : d. Risk for deficient fluid volume
Question : Which nursing diagnosis is appropriate for a
patient who insists being called Your Highness and demonstrates loosely associated thoughts? a. Risk for violence b. Defensive coping c. Impaired memory d.Disturbed thought processes
CORRECT ANSWER : d. Disturbed thought processes
Question : Which initial short-term outcome would be
appropriate for a patient who was admitted expressing delusional thoughts? a. Accept that delusion is illogical. b.Distinguish external boundaries. c. Explain the basis for the delusions. d. Engage in reality-oriented conversation.
CORRECT ANSWER : d. Engage in reality-oriented
conversation.
Question : Which of the following interventions should the
nurse plan to use to reduce patient focus on delusional thinking? a. Confronting the delusion b. Refuting the delusion with logic c. Exploring reasons the patient has the delusion d.Focusing on feelings suggested by the delusion
CORRECT ANSWER : d. Focusing on feelings suggested by
the delusion
Question : Which assessment observation supports a patients
diagnosis of disorganized schizophrenia? a. Reports suicidal ideations b. Last relapse was 6 years ago c. Consistent
inappropriate laughing d. Believes that the government is out to get me
CORRECT ANSWER : c. Consistent inappropriate laughing
Question : A patient tried to gouge out his eye in response to
auditory hallucinations commanding, If thine eye offends thee, pluck it out. The nurse would analyze this behavior as
indicating: a. Derealization b. Inappropriate affect c. Impaired
impulse control d. Inability to manage anger
CORRECT ANSWER : c. Impaired impulse control
Question : An appropriate intervention for a patient with an
identified nursing diagnosis of situational low self-esteem
would be: a. Providing large muscle activities to relieve stress
- Attempting to determine triggers to hallucinations c.
Engaging patient in activities designed to permit success d.Encouraging verbalization of feelings in a safe environment
CORRECT ANSWER : c. Engaging patient in activities
designed to permit success