Studied by 8 people
Looks like no one added any tags here yet for you.
religiosity
Kneels to pray in front of water fountain; prays during group therapy and during other group activities.
paranoia
Refuses to eat food that comes on tray, stating, “They are trying to poison me”.
neoglism
“When I get out of the hospital I’m going to buy me a sprongle.”
mutism
Does not talk.
waxy flexibility
Keeps arm in position nurse left it in after taking blood pressure. Assumed this position for hours.
delusion of grandeur
“When I speak, presidents and kings listen.”
autism
A withdrawal inward into one’s own fantasy world.
associative looseness
“I’m going to the circus, Jesus is God. The police are playing for keeps.”
magical thinking
“We can’t close the drapes, for if we do, the sun won’t shine.”
clang association
“Test, test, this is a test. I do not jest; we get no rest.”
inappropriate affect
Laughs when told that his or her mother has just died.
regression
In response to stressful situation, begins to suck thumb and soils clothing.
word salad
“Get by for anyone just to answer fortune cookies.”
persecutory delusion
“If the FBI finds me here, I’ll never get out alive.”
hallucination
Stops talking in mid-sentence, tilts head to side, and listens.
As part of a psychiatric nursing assessment, the nurse asks the patient to subtract 7 from 100. What aspect of the mental status examination is being tested?
a. Ability to concentrate
b. Abstract thinking
c. General intellectual level
d. Memory
b. Abstract thinking
The nurse uses the proverb, “Don’t cry over spilled milk”, to evaluate the patient’s ability to think abstractly. Which explanation by the patient would BEST demonstrate this ability?
a. “Even if you spill milk, you shouldn’t cry.”
b. “What’s done is done; don’t get hung up on what’s ended or gone.”
c. “Crying won’t keep the milk from spilling.”
d. “You can’t keep the milk from spilling.”
b. “What’s done is done; don’t get hung up on what’s ended or gone.”
An elderly patient calls a lamp “Albert”. The nurse knows that this is an example of:
a. hallucination.
b. delusion.
c. illusion.
d. sensory overload.
c. illusion.
Which initial nursing action would be BEST for a patient whose diagnosis is paranoid schizophrenia?
a. Encourage group activity.
b. Allow time alone, to help the patient initiate contact.
c. Initiate a short, non-demanding relationship.
d. Hold in-depth one-to-one counseling sessions.
c. Initiate a short, non-demanding relationship.
What would be the MOST appropriate initial nursing goal when working with a patient with a schizophrenic diagnosis?
a. Helping the patient to verbalize feelings.
b. Discouraging strange behavior.
c. Encouraging self-care.
d. Building trust.
d. Building trust.
What autistic behavior would the nurse be MOST likely to see in a patient with a diagnosis of schizophrenia?
a. Associative looseness.
b. Affect that is flat and/or inappropriate.
c. Ambivalence.
d. Neoglism.
d. Neoglism.
A homeless man was involuntarily admitted to the adult psychiatric unit. He has not eaten in 3 days, sleeps only a few hours a night, and says that people are trying to steal his belongings. On admission, he told the nurse that the television was sending him special messages to leave the hospital. The nurse would determine that this man is exhibiting:
a. ideas of reference.
b. delusions of grandeur.
c. circumstantiality.
d. illusions.
a. ideas of reference.
Note
Flashcard