6614367
Descripción
Test por Kristi Breese, actualizado hace más de 1 año
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Creado por Kristi Breese
hace casi 8 años
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Pregunta 1
Pregunta
An initial suicide evaluation should include
Respuesta
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Interview should include current suicidal ideation, available means
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Determine lethality of intended action
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Contract for safety
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Substance abuse/impulsivity
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Determine history of psychiatric disorder, previous attempt of suicide or family history
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All of the above
Pregunta 2
Pregunta
Covert statements to look out for in a suicidal patient include, "It's okay now. Everything will be fine" and "I won't be a problem much longer".
Respuesta
- True
- False
Pregunta 3
Pregunta
What are some overt statements made by a suicidal patient? Select all that apply.
Respuesta
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"I can't take it anymore"
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"Life isn't worth living anymore"
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"I won't be a problem much longer"
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"I wish I were dead"
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"It's okay now. Everything will be better"
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"Everyone would be better off if I died"
Pregunta 4
Pregunta
What are some behavioral clues in a suicidal patient?
Respuesta
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Giving away prized possessions, making out a will, and exhibiting an unexpected and sudden improvement in mood after being depressed or withdrawn
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Sleeping well, being compliant with medications and attending support or group therapy
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Showering daily
Pregunta 5
Pregunta
What are the safety procedures and nursing interventions for an acutely suicidal individual who is hospitalized?
Respuesta
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Follow institutional protocol for suicide regarding creating a safe environment - take away potential weapons
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Keep accurate and thorough records of patient’s behavior – both verbal and physical – as well as all nursing and physician actions
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Put on either suicide precaution (one-on-one monitoring at arm’s length away) or suicide observation (q 15 minute visual checks), depending on level of suicide potential
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Keep accurate and timely records and document patient’s activity (usually q 15 min), including what patient is doing and with whom, etc. – FOLLOW INSTITUTIONAL PROTOCOLS
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If accepted at your institution, construct a no-suicide contract with the suicidal patient. Use clear, simple language. When contract expires, it is renegotiated.
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Encourage patients to talk about their feelings and problem-solving alternatives
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All of the above
Pregunta 6
Pregunta
What are the positive symptoms of schizophrenia?
Respuesta
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Hallucinations
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Blunted affect
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Delusions
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Disorganized speech
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Bizarre behavior
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Poverty of thought
Pregunta 7
Pregunta
What are the negative symptoms of schizophrenia?
Respuesta
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Blunted affect
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Poverty of thought
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Hallucinations
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Disorganized speech
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Loss of motivation (avolition)
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Inability to experience pleasure or joy (anhedonia)
Pregunta 8
Pregunta
The following are neurocognitive impairments of a person who has schizophrenia. Select all that apply.
Respuesta
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Inattention, easily distracted
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Impaired memory
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Good problem-solving skills
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Poor decision-making skills
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Rational and logical thinking
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Impaired judgement
Pregunta 9
Pregunta
Schizophrenia most likely occurs as a result of inherited genetic factors and extreme non-genetic factors (virus infection, birth injuries or nutritional factors).
Respuesta
- True
- False
Pregunta 10
Pregunta
What is the dopamine hypothesis in schizophrenia patients?
Respuesta
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The theory that there is hyperactivity of the neurotransmitter dopamine in the limbic regions of the brain.
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Suggestion that there is hypofunction in the N-methyl-D-aspartate (NMDA) receptors in the glutamate system that leads to a combination of excitotoxin toxicity and impaired neural plasticity.
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Disruptions in the connections and communication within the neural circuitry.
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All of the above
Pregunta 11
Pregunta
Non-genetic risk factors for developing schizophrenia include a history of perinatal complications, viral infection, poor nutrition or starvation, exposure to toxins, and lack of oxygen during birth.
Respuesta
- True
- False
Pregunta 12
Pregunta
One theory of the etiology of schizophrenia is there is a strong genetic component.
Respuesta
- True
- False
Pregunta 13
Pregunta
The glutamate hypothesis suggests that there is hyperactivity of the neurotransmitter dopamine in the limbic regions of the brain.
Respuesta
- True
- False
Pregunta 14
Pregunta
Serotonin doesn't play a role in causing some of the symptoms of schizophrenia.
Respuesta
- True
- False
Pregunta 15
Pregunta
Meaningless rhyming of words in a forceful manner, in which the rhyming is often more important that the context of the word
Respuesta
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clang association
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neologisms
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waxy flexibility
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word salad
Pregunta 16
Pregunta
Voices that command the person to hurt self or others
Respuesta
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Delusions
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Command hallucinations
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Echolalia
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Illusions
Pregunta 17
Pregunta
False fixed beliefs that cannot be corrected by reasoning
Respuesta
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Delusions
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Illusions
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Hallucinations
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Clang association
Pregunta 18
Pregunta
Pathological repeating of another's words by imitation and is often seen in people with catatonia.
Respuesta
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Echolalia
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Echopraxia
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Thought insertion
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Delusions
Pregunta 19
Pregunta
Mimicking of movements of another person
Respuesta
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Echolalia
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Echopraxia
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Delusions
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Paranoia
Pregunta 20
Pregunta
Sensory perceptions for which no external stimuli exists.
Respuesta
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Hallucinations
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Delusions
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Paranoia
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Neologisms
Pregunta 21
Pregunta
Frequently misinterpreting messages of others or giving private meaning to the communication of others
Respuesta
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Ideas of reference
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Illusions
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Thought withdrawal
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Waxy flexibility
Pregunta 22
Pregunta
Misperceptions or misinterpretations of a real experience
Respuesta
-
Illusions
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Ideas of reference
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Thought insertion
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Word salad
Pregunta 23
Pregunta
Made up words that have special meaning for a person
Respuesta
-
Neologisms
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Thought broadcasting
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Clang association
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Command hallucinations
Pregunta 24
Pregunta
Belief that one's thoughts can be heard by others
Respuesta
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Thought broadcasting
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Thought insertion
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Thought withdrawal
Pregunta 25
Pregunta
Belief that thoughts of others are being inserted into one's mind
Respuesta
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Thought broadcasting
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Thought insertion
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Thought withdrawal
Pregunta 26
Pregunta
Belief that thoughts have been removed from one's mind by an outside agency
Respuesta
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Thought broadcasting
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Thought insertion
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Thought withdrawal
Pregunta 27
Pregunta
When a leg or arm is placed in an awkward position by someone else and the patient holds that position for an uncomfortable length of time
Respuesta
-
Waxy flexibility
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Word salad
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Clang association
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Delusions
Pregunta 28
Pregunta
A jumble of words that is meaningless to the listener and perhaps to the speaker as well
Respuesta
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Word salad
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Clang association
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Echolalia
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Neologisms
Pregunta 29
Pregunta
Which of the following describes the purpose of Program for Assertive Community Treatment (PACT)?
Respuesta
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Aim is to prevent relapse, maximize social and vocational functioning and to keep the individual in the community
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Emphasizes the patient's strengths in adapting to the community, provides support and assertive outreach, and involves almost all aspects of the patient's life
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Provides mobile crisis intervention, supportive cognitive and behavioral therapy, and substance abuse training
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All of the above
Pregunta 30
Pregunta
Program for Assertive Community Treatment (PACT) is designed for the well adjusted and well functioning patients.
Respuesta
- True
- False
Pregunta 31
Pregunta
Describe appropriate psychoeducational strategies for patient with schizophrenia and their families.
Respuesta
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Learn all you can about the illness
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Develop a relapse prevention plan
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Take advantage of all psychoeducational tools
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Comply with treatment
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Take long walks by the beach
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Avoid alcohol and drugs
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Keep in touch with supportive people
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Keep healthy
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Go on a long extended vacation to Europe
Pregunta 32
Pregunta
Describe appropriate ways to communicate with a patient who is hallucinating. Select all that apply.
Respuesta
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Try to understand what the voices are saying or telling the patient to do
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Don't make eye contact
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Approach the patient in a nonthreatening and nonjudgmental way
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Call the patient by another person's name
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Speak simply but louder than usual
Pregunta 33
Pregunta
Describe appropriate communication strategies for a patient exhibiting delusions. Select all that apply.
Respuesta
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Clarify the reality of the patient's experience
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Don't empathize with the patient's apparent experience and feelings
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Validate the delusions
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Identify the feelings the patient is experiencing.
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Clarify misinterpretations of the environment.
Pregunta 34
Pregunta
Describe communication techniques that appropriate for patient with paranoia. Select all that apply.
Respuesta
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React to offensive criticism made by the person with anxiety and rejection
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Approach the patient in a nonjudgmental, respectful manner
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Explain procedures ahead of time
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Be honest and consistent
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Laugh, whisper, and talk quietly when the patient cannot hear what is being said
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Use clear and concise language
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