lecture Quiz Flashcards

1
Q

Rayven is diagnosed with schizophrenia paranoid
type and is admitted to the psychiatric unit of the
Medical Center. Which of the following nursing
interventions would be most appropriate?
© a. Encouraging involvement in group
activities
O b. Establishing a non demanding relationship
O c. Waiting until Ramsay initiates interaction
O d. Spending more time with Rayven

A

b. Establishing a non demanding relationship

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2
Q

Which statement is correct about a 25-year-old
client with newly diagnosed schizophrenia?
© a. Age of onset is later than usual for
schizophrenia
O b. Age of onset is earlier than usual for
schizophrenia
O c. Age of onset is typical for schizophrenia.
O d. Age of onset follows no predictable
pattern in schizophrenia

A

c. c. Age of onset is typical for schizophrenia.

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3
Q

For the past two weeks, Every day. Joseph
diagnosed with schizophrenia stands up during
group therapy and screams, “Get out of here right
now! The elevator bombs are going to explode in 2
minutes!” How should the nurse respond if this
happens again?
© a.
“I know you think there are bombs in the
elevator, but there aren’t.”
O b.
“If you have something to say, you must
do it according to our group rules.”
Oc.
“Why do you think there is a bomb in the
elevator?”
O d.
“That is the same thing you said in
yesterday’s session.”

A

“I know you think there are bombs in the
elevator, but there aren’t.”

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4
Q

The client receiving treatment for substance
dependence has not been attending group
therapy. Which response by the nurse to
confront this behavior is best?

“You say you want to get better, but
you are not actively participating in
your treatment plan.”

“Therapy is important to your treatment.
You need to attend therapy if you want
to get better.”

“Why don’t you want to go to group
therapy? Other users are there waiting
for you to attend.”
“Talking about personal issues with
others can be difficult. Try talking to the
therapist alone.”

A

You say you want to get better, but
you are not actively participating in
your treatment plan.”

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5
Q

A ritualistic, repetitive behavior or mental acts
that a person carries out continuously in an
attempt to neutralized anxiety
O a. Hoarding
O b. Kleptomania
O c. Obsessions
© d. Compulsions

A

Compulsions

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6
Q

Liam is diagnosed with paranoid schizophrenia
and tells Nurse Joane,
“How do I know what is in
those pills?” Nurse Jane’s best response is

Say, “You know it’s your medicine.”

Ignore the comment because it’s
probably a joke.

Say, “Don’t worry about what is in the
pills. It’s what is ordered.”

Say, “Don’t worry about what is in
the pills. It’s what is ordered.”

d. Allow him to open the individual
wrappers of the medication

A

d. Allow him to open the individual
wrappers of the medication

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7
Q

The female client tells the nurse, “I usually have a
few drinks after work, but I always limit it to
three. I’m not risking becoming addicted, am l?”
What is the nurse’s best response?

“If you are concerned about the
frequency and the number of drinks
consumed, then you might be
developing a dependency.”

“As long as you don’t have any
social problems associated with your
use of alcohol, you do not need to be
concerned.”

“Three drinks a day or seven
drinks in a week is high-risk drinking
for women. You seem concerned that
you might have an alcohol
dependency.”

“There is no harm in social drinking
as long as you know your limits and you
are not driving while intoxicated.”

A

“If you are concerned about the
frequency and the number of drinks
consumed, then you might be
developing a dependency.”

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8
Q

James has a diagnosis of schizophrenia with
negative symptoms. In planning care for the
client, Nurse Bill would anticipate a problem with:

© a. motivation for activities.
O b. auditory hallucinations.
O c. bizarre behaviors
d. ideas of reference

A

motivation for activities.

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9
Q

Nurse Warren assesses for evidence of positive
symptoms of schizophrenia in a newly admitted
client. All of the following symptoms are
considered positive evidence except?
O a. Loose associations
O b. Hallucinations
© c. Anhedonia
d. Delusions

A

© c. Anhedonia

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10
Q

A compulsive buying beyond financial means
with a pleasure in acquiring but often unused
0 a. Kleptomania
b. Oniomania
O c. Onychophagia

A

Oniomania

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11
Q

Client Ana has been diagnosed with
schizophrenia and is exhibiting a loss of function
and motivation. nurse Carla recognizes that
these symptoms are categorized as:
O a. Positive
© b. Negative
O c. Paranoia.
O d. Incoherent.

A

Negative

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12
Q

Nurse Winona educates the family about
symptom management for when the
schizophrenic client becomes upset or anxious.
Which of the following would Nurse Winona state
is helpful?
O a. Wait before the anxiety worsens before
intervening.
0 b. Request that the client be hospitalized
until the crisis is over.
O c. Call the therapist to request a
medication change.
d. Encourage the use of learned
relaxation techniques.

A

Encourage the use of learned
relaxation techniques.

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13
Q

tendency to sexually expose oneself to others.

A

EXHIBITIONISM

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14
Q

People with urges and behavior which are associated with non-living objects.

A

FETISHISM

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15
Q

When the focus of sexual urges are related to the touching or rubbing of their body against a non-consenting, unfamiliar woman.

A

FROTTEURISM

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16
Q

Focuses his sexual fantasies and behavior towards children

A

PEDOPHILIA

17
Q

Getting of pleasure, often sexual, from being hurt or humiliated

A

MASOCHISM

18
Q

Deriving pleasure, often sexual from mistreating others.
● Involve the infliction of pain with materials such as leather straps, handcuffs, and whips.

A

SADISM

19
Q

Cross-dressing by heterosexual males

A

TRANSVECTISM

20
Q

Seeking sexual pleasure by secretly observing another - “Peeping Tom”.

A

VOYEURISM

21
Q

involves an erotic attraction or sexual interest in corpses.

A

NECROPHILIA

22
Q

● Involves making obscene phone calls.

A

SCATOLOGIA

23
Q

involves sexual activity with animals (ie,
both actual sexual contact and sexual fantasies,
higher in psychiatric patients).

A

Zoophilia

24
Q

is sexual activity involving feces.

A

COPROPHILIA

25
Q

sexual activity involving enemas.

A

Klismaphilia

26
Q

sexual activity involving urine.

A

Urophilia

27
Q

is sexual self-gratification.

A

Masturbation