Chapter 56: Psychiatric Disorders

Chapter 56: Psychiatric Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A patient is given anxiolytic medications for a mental disorder. What type of approach is this considered?

a.	Analytical
b.	Interpersonal
c.	Biologic
d.	Psychoanalytic

 

 

ANS:  C

The biologic approach attempts to manage the physiologic effects of mental illness using medications.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 1283           OBJ:   2

TOP:   Psychiatric Disorders                       KEY:  Nursing Process Step: N/A

MSC:  NCLEX: N/A

 

2. A patient states that he feels angry at work for no reason and often yells at his coworkers. The therapist asks the patient to describe events and then tells the patient to try different strategies to cope with these angry outbursts. What type of approach is this considered?

a.	Biologic
b.	Analytical
c.	Cognitive or behavioral
d.	Interpersonal

 

 

ANS:  D

The interpersonal approach helps the patient develop new coping skills.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 1284           OBJ:   2

TOP:   Psychiatric Disorders                       KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Psychosocial Integrity: Psychosocial Adaptation

 

3. What is the best action for the nurse to implement to effectively listen therapeutically to a patient?

a.	Concentrate on the patient and not think of responses to the patient while he or she is speaking.
b.	Determine the cause of the patient’s problem while the patient is speaking.
c.	Ask the patient why he thinks he feels the way he does.
d.	Tell the patient that you have had similar experiences.

 

 

ANS:  A

To listen therapeutically, the nurse needs to concentrate on the patient and refrain from making up responses to the patient while he is speaking.

 

DIF:    Cognitive Level: Application           REF:   p. 1284           OBJ:   1

TOP:   Establishing Therapeutic Relationships

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort

 

4. A nurse speaking to a patient who is depressed says, “So what you are saying is that you are feeling very sad today.” What is this considered?

a.	Listening
b.	Sharing observations
c.	Clarifying
d.	Being available

 

 

ANS:  C

By reflecting the meaning of the patient’s statement, the nurse is using clarification. This technique validates that the therapist understands what the patient is saying, and it provides validation for the patient.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 1284           OBJ:   2

TOP:   Establishing Therapeutic Relationships

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Psychosocial Integrity: Psychosocial Adaptation

 

5. When performing a mental status examination, a nurse notes that the patient keeps repeating, “I didn’t do it. I didn’t do it. I didn’t do it.” This response would be an example of which one of the components of the mental status examination?

a.	Appearance
b.	Mood and affect
c.	Thought content
d.	Memory and attention

 

 

ANS:  C

Repetitive statements and thoughts are considered to be obsessive. This would be an element of the thought content component of the mental status examination.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 1285           OBJ:   3

TOP:   Mental Status Examination              KEY:  Nursing Process Step: Assessment

MSC:   NCLEX: Psychosocial Integrity: Psychosocial Adaptation