Chapter 34: Care of the Patient with a Psychiatric Disorder

Foundations of Nursing 7th Edition By Kim Cooper- Kelly Gosnell

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Chapter 34: Care of the Patient with a Psychiatric Disorder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE 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.

 

DIF:    Cognitive Level: Application           REF:   Page 1135      OBJ:   2

TOP:   Mental illness                                  KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Psychosocial Integrity

 

  1. 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.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 1135      OBJ:   4

TOP:   Mental illness                                  KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Psychosocial Integrity

 

  1. 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.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 1135      OBJ:   1

TOP:   Mental illness                                  KEY:  Nursing Process Step: N/A

MSC:  NCLEX: N/A

 

  1. 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.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 1136      OBJ:   1

TOP:   Mental illness                                  KEY:  Nursing Process Step: Assessment

MSC:   NCLEX: Psychosocial Integrity

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