He is reluctant but realizes he has to cooperate with the authorities to avoid serious consequences. Your next patient has been on the psychiatric ward for a month. She is conversant, and explains that she has been defending herself against aliens who want to use her as a specimen. Flat affect, avolition, and anhedonia 31. Chlordiazepoxide Librium and other tranquilizers help reduce the symptoms of alcohol withdrawal. He has prominent dilated pupils, symmetrical hyperreflexia, acne rosacea, palmar erythema and tender hepatomegaly.
She appears wary and guarded. We're donating to help feed the homeless! A 23year old boy is brought to the psychiatrist by his brother. The defence mechanism is a Denial b Rationalization c Sublimation d Projection Ans:b 47. One day, however, Elise realizes the song she is dancing and singing to is the latest N'Sync song. Which is in first rank symptom described by Scheidner? In spite of the client's efforts, the neighbor died. Opiate withdrawal Clonidine is used as adjunctive therapy in opiate withdrawal. Calling a security guard and another staff member for assistance C.
Aftershave lotion Disulfiram may be given to clients with chronic alcohol abuse who wish to curb impulse drinking. All these changes are present for past 3 weeks. Which response by the nurse would be most therapeutic? The nurse is aware that antipsychotic medications may cause which of the following adverse effects? If they change their story when different health care workers ask the same question, this is a clue that child abuse may be a problem. What is his symptom a Delusion of persecution b Passivity c Auditory hallucination d Thought insertion Ans:c 71. The one question quiz that can determine your immediate risk for suicide.
Be able to verbalize own needs and assert rights. She also manipulates the group with attention-seeking behaviors, such as sexual comments and angry outbursts. This maladaptive coping pattern is manifested by a disregard for societal norms of behavior and an inability to relate meaningfully to others. Chronic severe depression Duration criteria for dysthymia — 2 years This category does not require the presence of stress as a precipitation factor. Questions Clonidine is used as adjunctive therapy in opiate withdrawal.
However, this drug must be used with caution because cocaine may potentiate its adrenergic effects. This response acknowledges that the client is testing limits and that the nurse is setting them by performing postprandial monitoring to prevent self-induced emesis. The diagnosis is a Normal grief reaction b Brief reactive psychosis c Bereavement reaction d Schizophrenia Ans:b 22. The client will establish adequate daily nutritional intake B. All are affective disorder except a Depression b Obsessive compulsive neurosis c Reaction formation d Adjustment reaction Ans:b 29. A male client is admitted to the substance abuse unit for alcohol detoxification. Allowing the client to decide when he wants to participate in verbal communication with the nurse 3.
On examination he has auditory hallucinations, agitation and rapid incoherent speech. They are defiant, disobedient, and blame others for their actions. Set up a strict eating plan for the client D. Because the client with anorexia nervosa may discard food or induce vomiting in the bathroom, the nurse should provide one-on-one supervision during meals and for 1 hour afterward. An 85 year old mathematics professor is brought in by her son for a routine visit to the physician. On further questioning, the client admits to having used cocaine recently after previously denying use of the drug. On asking why she quit her job she states that she needs to stay hidden inside her home because they are after her.
Chapter 9, Textbook of Clinical Psychiatry 3. They physical exam finding of palmar erythema and acne rosacea suggest long-standing alcohol ingestion; enlarged tender liver suggests an alcohol-induced fatty or cirrhotic liver. Situational low self-esteem related to feelings of loss of control C. No incidence of neuroleptic malignant syndrome 10. You like working with ideas, and require an extensive amount of thinking. The most likely diagnosis is: A. Which of the following drugs will you administer to restrain him: A.
Which of the following is not seen in mania? Prominent delusions or hallucinations are absent at the time of evaluation. If you are preparing for the boards or then this exam can sharpen your knowledge and understanding of the topic. It's getting close to lunch time but there is one more patient to see. Generally, people who are suited for this job have Integrity and Concern for Others. To reverse this problem, the physician is most likely to prescribe an infusion of nitroglycerin to dilate the coronary arteries. A client with paranoid schizophrenia is admitted to the psychiatric unit of a hospital.
Patients and caregivers should be told of this increased sensitivity to opioids and the risk of overdose. She believes that she began picking up hidden transmissions in her email at work, revealing an alien conspiracy. A lower incidence of extrapyramidal effects C. In borderline personality disorder, the client exhibits mood instability, poor self-image, identity disturbance, and labile affect. The parents may tell different stories because their perception may be different regarding what happened.
You have been working all day on a computer assignment and are having trouble working through the errors. Delusions are defined as fixed false beliefs. While Puja does indeed try to clean up after herself, Maya never really gives her a chance to do so. A is incorrect, Opium intoxication would produce flushing and an intensely pleasurable, diffuse bodily sensation. Patients tend to have a history of substance abuse.