Psychiatry Questions

Which advantage does cognitive-behavioral therapy (CBT) have for patients with somatization disorders?Provides a consistent supported treatment by a general medical nurseHelps reframe the patient's thoughts and gain control of the situationBuilds a self-fulfilling cycle of pain, despair, and health-seeking behaviorsInitiates psychiatric consultation without need for the primary healthcare provider

Which sexual impairment information would the nurse discuss with a male patient who has hypertension?Low libidoErectile dysfunctionPremature ejaculationDecreased sexual desire

A nurse interviews a patient diagnosed with conversion disorder. Which comment is most likely from this patient?"I get big lumps in my throat and can't swallow when I eat. I'm afraid I might have cancer.""Yesterday I saw a gang shooting. Today I can't see anything. I'll just learn to live like that.""Sexual intercourse is so painful that I avoid it. I'm afraid that's going to destroy my marriage.""I have daily problems with abdominal pain. I think I'm getting seriously dehydrated."

Which therapeutic intervention is included for a patient with a somatoform disorder?Encouraging the patient to use benzodiazepines liberallySteering the conversation away from the patient's feelingsConveying an interest in the patient rather than in the symptomsEncouraging the patient to rely on the nurse to meet the patient's need

In which illness or disorder is a crisscrossed abdomen commonly seen?DiarrheaConstipationAnorexia disorderFactitious disorder

A patient diagnosed with a somatic disorder asks what kind of psychotherapy will be prescribed. Which response would the nurse provide?"A combination of antianxiety and antidepressant therapy is the most effective therapy.""Aversion therapy often is used because, in effect, you are punishing yourself by not being able to walk.""As you see desired behaviors modeled by the therapist, you also will be able to achieve the expected outcome.""Cognitive-behavioral therapy (CBT) has been shown to consistently provide the best outcome for these types of disorders."

Which area of the brain is associated with aggression?CochleaAmygdalaCarotid body

Which patient assessment indicates the highest risk for violence?Poor coping skillsHistory of violenceDiagnosis of schizophreniaA diagnosis of antisocial personality disorder

Which sexual dysfunction information would the nurse include in the discharge teaching for a female patient recovering from a vaginal prolapse repair?"You may experience genito-pelvic pain.""You may have bizarre sexual fantasies.""You will have increased vaginal lubrication.""You will likely experience impaired orgasms."

Which adjective applies specifically to factitious disorders rather than somatic symptom disorders?PainfulAuthenticDependentIntentional

During the care of a patient with somatic symptom disorder, the nurse tries to build an effective relationship with the patient. Which benefit does this action provide in the treatment process?Decreases the medical tests and procedures for the illnessEncourages the patient's beliefs about the origin of the symptomsReduces the patient's tendency to go from one caregiver to anotherHelps the patient to derive secondary gains through illness behaviors

Which biological cause is related to a male patient's lack of sexual desire?DepressionSpiritual distressExcessive masturbationReduced testosterone levels

Which other disorder is related to somatic symptom disorder?DepersonalizationDissociative fugueConversion disorderDissociative identity disorder

A member of the military service prepares for discharge. Just before the exit physical examination, this person consumes large amounts of caffeine to increase blood pressure in an effort to qualify for disability benefits. Which term is most applicable to this individual's behavior?ResilienceMalingeringSomatizationHypochondriasis

Which statement best defines somatization?The holistic approach to managing stressThe psychological and behavioral response to stressThe expression of stress through physical symptomsThe conversion of stress into a physical and emotional form

Which disorder is characterized by the patient frequently self-scanning for signs of illness?Somatic symptom disorderFactitious disorderIllness anxiety disorderConversion disorder

Which comment is most likely if a patient is experiencing tension headaches?"I have more headaches when I eat chocolate.""The pain almost always starts around supper time.""I have more headaches in the spring and fall seasons.""I see flashing lights above my head just before the headache starts."

Which datum is gathered routinely during assessment of a patient with a somatoform disorder?Level of confusionPotential for violenceDependence on medicationPersonal identity disturbance

Which knowledge would help guide the response when a patient asks, "What's wrong with my brain that causes me to have such a problem with aggression?"Personality type plays a much greater part in anger and aggression than physical factors.The prevailing theory is that diminishment of stress hormones causes anger and aggression.No abnormalities of the brain have been identified that correlate with anger and aggression.The limbic system, the prefrontal cortex, and neurotransmitters have been implicated in playing a part in aggression.

The nurse is caring for a patient with symptoms of sudden left arm weakness. After extensive testing, the healthcare provider diagnosed conversion disorder. Which medication would the nurse teach the patient and the family about?Antianxiety medicationAntidiabetic medicationMedications for cardiac diseasesMedications for brain hemorrhage