NUR 249 / NUR 2488 MENTAL HEALTH EXAM 3. QUESTIONS WITH RESPONSE FEEDBACK ANSWERS.

Question 49 Which scenario bet predicts the highest risk for a patient who may direct violent behavior toward others? Selected Answer: Paranoid delusions of being followed by members of the mafia Answers: A. Obsessive-compulsive disorder; performs many rituals B. Paranoid delusions of being followed by members of the mafia C. Severe depression with delusions of worthlessness. D. Completed alcohol withdrawal; beginning a rehabilitation program. Response Feedback: The key has the greatest disruption of ability to perceive reality accurately. People who feel persecuted may strike out against those believed to be persecutors. The other patients have better reality-testing ability. Question 50 An older adult patient in the intensive care unit has visual and auditory illusions. Which intervention will be most helpful to the patient in managing these illusions? Selected Answer: Placing large clocks and calendars on the wall Answers: A. Placing large clocks and calendars on the wall B. Placing personally meaningful objects in view C. Wearing glasses and hearing aids D. Keeping the room dimly lit constantly Response Feedback: Illusions are sensory misperceptions. Glasses and hearing aids help clarify sensory perceptions. Without glasses, clocks, calendars, and personal objects may not be noticed. Round-theclock lighting promotes sensory overload and sensory perceptual alterations.