PSYCHOTIC DISORDERS

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PSYCHOTIC DISORDERS


PSYCHOTIC DISORDERSVersión en línea health por Mark Kevin Cosico Diacos 1 A patient says, “The voices tell me you will hurt me if I eat.” What is the best response by the Nursing Assistant? a “The voices are not real. You must ignore them.” b “Why would voices tell you that?” c “I understand you feel afraid. You are safe here. I will inform the nurse.” d “If you don’t eat, you will get sick.” e “Stop listening to voices.” f “That doesn’t make sense.” 2 A patient insists the TV is sending secret messages meant only for them. What should the Nursing Assistant do? a Agree with the patient b Argue and explain reality c Ignore the patient d Validate feelings without reinforcing the delusion 3 While assisting with bathing, the patient says, “You are poisoning the water.” What is the best action? a Continue bathing quickly b Force the patient to comply c Stop the task and report to the nurse d Argue the water is safe e Leave without telling anyone f Tell the patient they are imagining things 4 A patient with schizophrenia has not bathed for several days and shows no interest. What is the best approach? a Force the patient to bathe b Ignore hygiene needs c Break tasks into small steps and encourage d Threaten consequences e Ask family to scold the patient f Wait until discharge 5 A patient shows little facial expression and speaks very little. This is known as: a Mania b Delusion c Hallucination d Flat affect e Anxiety f Paranoia 6 A patient suddenly shouts, “I will hurt someone if they come closer!” What should the Nursing Assistant do FIRST? a Approach closely to calm them b Argue to stop behavior c Maintain distance and notify the nurse immediately d Leave the unit e Restrain the patient alone f Ignore the statement 7 Which statement demonstrates therapeutic communication? a “That’s impossible.” b “You shouldn’t feel that way.” c “I understand this is upsetting for you.” d “You are wrong.” e “Everyone feels that way.” 8 A patient jumps from topic to topic and makes little sense. This symptom is called: a Delusion b Hallucination c Disorganized speech d Depression e Mania f Flat affect 9 Which task is NOT within the Nursing Assistant’s role? a Observing behavior b . Reporting symptoms c Assisting with hygiene d Administering antipsychotic medication e Ensuring safety f Encouraging meals 10 Why should a Nursing Assistant avoid sudden touch with paranoid patients? a It wastes time b It can increase fear and aggression c It improves trust d It is hospital policy only 11 A patient is pacing rapidly and talking nonstop. What should the Nursing Assistant do? a Encourage excitement b Provide a calm, low-stimulation environment c Argue to make them sit d Ignore behavior e Give coffee f Leave patient alone 12 The best communication style with a manic patient is: a Loud and firm b Fast and direct c Calm and simple d Long explanations 13 A patient says, “There’s no reason to live.” What does this indicate? a Normal sadness b Attention-seeking c Emergency requiring immediate reporting d Hallucination e Mania f Confusion only 14 When a patient expresses suicidal thoughts, the Nursing Assistant should: a Stay with the patient and notify the nurse immediately b Promise to keep it secret c Leave them alone d Argue against suicide 15 A patient says, “Angels are calling me because I am too sad to stay.” What is the priority? a Ensure safety and notify the nurse b Ask about angels c Tell patient angels aren’t real d Turn on music 16 Schizoaffective disorder includes symptoms of schizophrenia plus: a Anxiety only b Mood disorders (mania or depression) c Dementia d Personality disorder 17 A manic patient tries to leave the unit suddenly. What should the NA do? a Physically restrain alone b Ignore it c Ensure safety and call the nurse d Lock doors secretly e Argue loudly f Encourage running 18 Which action best supports ADLs for psychotic patients? a Providing routine and structure b Giving many instructions at once c Rushing tasks d Doing everything without involvement 19 Which observation MUST be reported immediately? a Quiet behavior b Suicidal statements c Refusing one meal d Slow movement 20 Which action should be avoided? a Validating feelings b Arguing with delusions c Staying calm d Using simple language

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PSYCHOTIC DISORDERSVersión en línea

por Mark Kevin Cosico Diacos

A patient says, “The voices tell me you will hurt me if I eat.” What is the best response by the Nursing Assistant?

A patient insists the TV is sending secret messages meant only for them. What should the Nursing Assistant do?

While assisting with bathing, the patient says, “You are poisoning the water.” What is the best action?

A patient with schizophrenia has not bathed for several days and shows no interest. What is the best approach?

A patient shows little facial expression and speaks very little. This is known as:

A patient suddenly shouts, “I will hurt someone if they come closer!” What should the Nursing Assistant do FIRST?

Which statement demonstrates therapeutic communication?

A patient jumps from topic to topic and makes little sense. This symptom is called:

Which task is NOT within the Nursing Assistant’s role?

Why should a Nursing Assistant avoid sudden touch with paranoid patients?

A patient is pacing rapidly and talking nonstop. What should the Nursing Assistant do?

The best communication style with a manic patient is:

A patient says, “There’s no reason to live.” What does this indicate?

When a patient expresses suicidal thoughts, the Nursing Assistant should:

A patient says, “Angels are calling me because I am too sad to stay.” What is the priority?

Schizoaffective disorder includes symptoms of schizophrenia plus:

A manic patient tries to leave the unit suddenly. What should the NA do?

Which action best supports ADLs for psychotic patients?

Which observation MUST be reported immediately?

Which action should be avoided?