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Embed code for: Satuation ( psych )
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I- Read the following situations then answer the related questions by circling the best answer: (score=20)
A 30 –year – old woman is brought to the emergency department after exhibiting bizarre and dangerous behavior. Her parents complained that she neglects her personal hygiene, moves very slowly and refuses to eat for very long periods of time. She reports hallucinations, suspects everybody and fears to be poisoned by food. She also complained that her parents want to harm her.
1-What the most likely diagnosis in the above situation
a. Bipolar disorder, manic
b. Episode of major depression
d. Substance – induced mood disorders
2-The patient in the above situation demonstrated all the following symptoms Except:
a. Poor personal hygiene
b. Persecutory delusions
c. Stereotype movements
d. Disturbed nutrition
3- The patient's believes are an example of a:
a. Delusion of persecution.
b. Delusion of reference.
c. Delusion of influence.
d. Delusion of grandeur.
4- The nurse can best respond to the patient eating problem by:
a. Providing tray for her in her room
b. Tasting the food in front of her
c. Ordering foods that she can hold in her hand
d. Pointing out that the energy she is burning up must be replaced
5- In approaching the patient in the above situation it is essential to:
a. Use a firm, warm and consistent approach
b. Let her know you will not tolerate destructive behavior.
c. Allow her to choose the activities in which she will participate.
d. Anticipate & physically control her hyperactivity.
6- In managing interpersonal relationships of the schizophrenic patient, the nurse should first:
a. Establish a one to one relationship and not push the patient into group activities
b. Insist that the patient join group activities and functions with other patients
c. Allow the patient to be alone most of the time and not attempt to draw her into activities
d. Allow the patient to become dependent and set limits on his behavior
7- The patient was prescribed stelazine 5 mg, three times/day. This drug belongs to which of the following groups:
a. Monoamine oxidase inhibitors
8- The most important contraindication of stelazine is:
a. Postural hypotension
b. Increased dopamine levels
c. Hepatic and renal failure
9- Extrapyramidal side effects mean.
a. Drying effects
b. Neurological side effects
c. Late occurring effects
d. Allergic side effects
10- The cause of monitoring blood pressure in patients receiving antipsychotic drugs is:
That hypotension is a common side effect
That most antipsychotic drugs cause elevated blood pressure
That it provides additional support for the patient
That it will indicate the need to initiate Antiparkinsonian drug
1-The nurse is assigned to care for Mr.Ali a39 year- old hyperactive elate patient who exhibits flight of ideas.
1-The nursing care plan for Nr. Ali should include plans to;
Encourage him to talk as needed
Arouse and focus his interest in reality
Persuade him to complete any task he begins
Provide constructive camels for redirecting
2-Mr.Ali is not eating the nurse recognizes that this may be because he;
Feels that he does not deserve the food
Believes that he does not need to eat
Wishes to avoid the patients in the dimming room.
Is so busy that he does not take time to eat.
3-The nurse can best respond to Mr. Ali eating problem by;
Providing tray for him in room.
Assuring him that he is deserving of food.
Ordering foods that he can hold in his hand to eat while moving around.
Pointing out that the energy he is burning up must be replaced