Nurse 1210 Exam 1 Questions With Complete Solutions
• Alterations in activity and behavior Correct Answers •
Psychomotor agitation
• Catatonic rigidity
• Echopraxia (repetitive movements)
• Stereotypy (repetitive actions or words)
• Neuroleptic malignant syndrome effect Correct Answers •
Potentially lethal • Cardinal signs: high fever and rigidity •
Possible tremors, impaired ventilations, muteness, altered
consciousness, and autonomic hyperactivity
Activity Group Correct Answers •Facilitate interaction, self-
expression and increase self-esteem, recreation, or exercise
acute phase Correct Answers the patient experiences severe
psychotic symptoms.
Alterations in personal relationships Correct Answers •
Decreased attention to grooming and social amenities • Hostility
• Withdrawal
antiadrenergic effects Correct Answers orthostatic hypotension
Anticholinergic effects Correct Answers Constipation,
decreased sweat, dilated pupils, dry mouth, slowed bowel and
bladder
automony Correct Answers Respecting the rights of others to
make their own decisions
,Beneficence Correct Answers the duty to promote good
benefits of group for patient Correct Answers •Gain knowledge
about relating and communicating.
•Gain acceptance, reassurance, and support.
•Gain hope and efficacy.
•Have opportunity to test new behaviors.
•Can share feelings and problems in a safe setting.
•Obtain reaffirmation of strengths and increased self-esteem.
•Feel increased self-worth and importance.
cardiac effects Correct Answers possible arrhythmias
chemical restraints Correct Answers medications or doses of
medication that are not being used for the patient's condition.
Chemical interventions are usually less restrictive than physical
or mechanical interventions
clinical judgment Correct Answers "an interpretation or
conclusion about a patient's needs, concerns, or health problems,
and/or the decision to take action (or not), use or modify
standard approaches, or improvise new ones as deemed
appropriate by the patient's response."*
Confidentiality Correct Answers an ethical responsibility of
healthcare professionals that prohibits the disclosure of
privileged information without the patient's consent
Dealing with a Patient with Schizophrenia Correct Answers •
Be calm.
, • Accept patients as they are.
• Keep promises.
• Be consistent.
• Be honest
Delusions Correct Answers false perception unchanged by logic
disorganized thinking Correct Answers looseness of
associations
distracting patient in group Correct Answers use empathy, focus
on the underlying need and present reality, and refocus the
group.
Do's and Don'ts when Treating Patients With Schizophrenia
Correct Answers • Do not reinforce or challenge hallucinations
or
delusions.
• Orient patients to time, person, and place, if
indicated.
• Do not touch without warning.
• Avoid whispering or laughing when patient cannot
hear.
• Reinforce positive behavior.• Avoid competitive activities.
• Do not embarrass patients.
• Begin with one-to-one
interactions.
• Allow and encourage
verbalization of feelings.
• Respect the patient.
• Spend time to build a
• Alterations in activity and behavior Correct Answers •
Psychomotor agitation
• Catatonic rigidity
• Echopraxia (repetitive movements)
• Stereotypy (repetitive actions or words)
• Neuroleptic malignant syndrome effect Correct Answers •
Potentially lethal • Cardinal signs: high fever and rigidity •
Possible tremors, impaired ventilations, muteness, altered
consciousness, and autonomic hyperactivity
Activity Group Correct Answers •Facilitate interaction, self-
expression and increase self-esteem, recreation, or exercise
acute phase Correct Answers the patient experiences severe
psychotic symptoms.
Alterations in personal relationships Correct Answers •
Decreased attention to grooming and social amenities • Hostility
• Withdrawal
antiadrenergic effects Correct Answers orthostatic hypotension
Anticholinergic effects Correct Answers Constipation,
decreased sweat, dilated pupils, dry mouth, slowed bowel and
bladder
automony Correct Answers Respecting the rights of others to
make their own decisions
,Beneficence Correct Answers the duty to promote good
benefits of group for patient Correct Answers •Gain knowledge
about relating and communicating.
•Gain acceptance, reassurance, and support.
•Gain hope and efficacy.
•Have opportunity to test new behaviors.
•Can share feelings and problems in a safe setting.
•Obtain reaffirmation of strengths and increased self-esteem.
•Feel increased self-worth and importance.
cardiac effects Correct Answers possible arrhythmias
chemical restraints Correct Answers medications or doses of
medication that are not being used for the patient's condition.
Chemical interventions are usually less restrictive than physical
or mechanical interventions
clinical judgment Correct Answers "an interpretation or
conclusion about a patient's needs, concerns, or health problems,
and/or the decision to take action (or not), use or modify
standard approaches, or improvise new ones as deemed
appropriate by the patient's response."*
Confidentiality Correct Answers an ethical responsibility of
healthcare professionals that prohibits the disclosure of
privileged information without the patient's consent
Dealing with a Patient with Schizophrenia Correct Answers •
Be calm.
, • Accept patients as they are.
• Keep promises.
• Be consistent.
• Be honest
Delusions Correct Answers false perception unchanged by logic
disorganized thinking Correct Answers looseness of
associations
distracting patient in group Correct Answers use empathy, focus
on the underlying need and present reality, and refocus the
group.
Do's and Don'ts when Treating Patients With Schizophrenia
Correct Answers • Do not reinforce or challenge hallucinations
or
delusions.
• Orient patients to time, person, and place, if
indicated.
• Do not touch without warning.
• Avoid whispering or laughing when patient cannot
hear.
• Reinforce positive behavior.• Avoid competitive activities.
• Do not embarrass patients.
• Begin with one-to-one
interactions.
• Allow and encourage
verbalization of feelings.
• Respect the patient.
• Spend time to build a
