Chapter 57. Nursing Care of Patients With Mental Health Disorders

Chapter 57. Nursing Care of Patients With Mental Health Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   A patient with schizophrenia has not bathed recently and a family member states that the patient has not been out of the house for 10 days. The patient tells the nurse, “They are trying to hurt me; don’t let them hurt me.” Which symptom is this patient demonstrating?

a.	Paranoid delusions
b.	Grandiose delusions
c.	Auditory hallucinations
d.	Persecutory hallucinations

 

 

____     2.   A patient is diagnosed as having a phobia. Which fear should the nurse expect to observe in this patient?

a.	Fear of poisonous spiders
b.	Fear of leaving the house during the day
c.	Fear of failing a test that one has not studied for
d.	Fear that a child playing in the street might get hurt

 

 

____     3.   A patient who is a war veteran states, “It should have been me that died. I’ll never forgive myself for leaving my buddy when he needed me.” The nurse recognizes this statement is most associated with which diagnosis?

a.	Bipolar depression
b.	Generalized anxiety
c.	Obsessive-compulsive disorder
d.	Post-traumatic stress disorder (PTSD)

 

 

____     4.   The spouse of an older male patient is concerned because since retiring the patient sits around the house, avoids eating, naps, and refuses to participate in sporting activities. Which disorder should the nurse recognize as being associated with these manifestations?

a.	Depression
b.	Bipolar disorder
c.	Conversion disorder
d.	Post-traumatic stress disorder (PTSD)

 

 

____     5.   A patient hospitalized for bipolar disorder is sitting in the corner of the room with the lights off, staring into space. Three hours later, the patient is in the same position. What should the nurse say to the patient?

a.	“Cheer up! Come on out and join us in a game!”
b.	“Come with me. I’d like you join our group for a while.”
c.	“You won’t make any progress if you stay in your room all the time.”
d.	“What’s the matter? Don’t you know you should be in your group right now?”

MULTIPLE CHOICE

 

1. ANS:  D

Patients with paranoid schizophrenia tend to have delusions of persecution or grandeur. Patients experiencing persecutory delusions state that they feel tormented and followed by people. B. In delusions of grandeur, patients may state that they are God or the President of the United States. C. Hallucinations often accompany delusions but are not the same as delusions. The hallucinations can affect any of the five senses but are most commonly auditory followed by visual. A. Patients with paranoid schizophrenia talk about hearing “voices.”

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Psychosocial Integrity | Cognitive Level: Analysis

 

2. ANS:  B

A phobia is an irrational fear of an object or situation—it is not normal to fear leaving the house. A. C. D. The fear of poisonous snakes, failing a test when unprepared, and a child getting hurt when playing in the street are reasonable things to fear.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Psychosocial Integrity | Cognitive Level: Application

 

3. ANS:  D

A behavior associated with PTSD is survivor guilt, which is the feeling of guilt expressed by those who have survived a tragedy. A survivor of an airline crash may say, “Why me? Why did I make it? I should have died too!” A. B. C. Survival guilt is not associated with bipolar depression, generalized anxiety, or obsessive-compulsive disorder.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Psychosocial Integrity | Cognitive Level: Application

 

4. ANS:  A

According to the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-V), symptoms of major depression include either a depressed mood or anhedonia which is the loss of pleasure in things that are usually pleasurable along with additional symptoms such as change in appetite and sleep patterns. B. Bipolar disorder is also characterized by periods of mania as well as depression. C. Conversion disorder involves the conversion of a mental health problem into physical symptoms. D. PTSD occurs after a major trauma.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Psychosocial Integrity | Cognitive Level: Application

 

5. ANS:  B

Saying “Come with me. I’d like you to join our group for a while,” removes the patient from the situation and does not give him or her a choice. A is inappropriate. If the patient could cheer up, he or she would not be in the hospital. D. Asking what is the matter is also inappropriate—the patient does not likely know. C. Telling the patient he or she will not make any progress will cause feelings of guilt, which is not helpful.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Psychosocial Integrity | Cognitive Level: Application