Mark Klimek NCLEX notes: Psych Questions and Answers

the first thing you should do with a psych question is to: - determine if the patient is psychotic or nonpsychotic with a non psychotic patient, pick an answer that focuses on: - good therapeutic communication a person is non psychotic if: - they have insight into their problem and how if affects their life. If a patient is psychotic, they are: - not reality based and have no insight into their problems. Non reality-based thinking means: - they think everyone else is the problem. deny being sick. may have hallucinations, allusions, or delusions. Insight with psych patients means that they: - know they have a problem and how if affects them. Psychotic patients will have: - hallucinations, allusions, or delusions. Dellusions are: - false, fixed, idea or belief without a sensory components (see, taste, smell). Paranoid delusion means the patient thinks: - people are out to get them. grandiose delusions are: - you are superior/godSomatic dellusion are: - false belief about body: worms are in my arm, my body is hollow, false pregnancy, can shoot lasers out eyes Hallucinations are: - false sensory experiences. most common hallucinations are: - auditory the most common auditory hallucination are: - hearing voices telling you to harm yourself. 2nd most common hallucination is: - visual 3rd most common hallucination is: - tactile. least common types of hallucinations: - gustatory and olfactory. An Illusion is: - a misinterpretation on reality based on a sensory experience. illusions have a: - grain of truth / referent in reality. patient hears someone in the hallway, but thinks they are demon voices. there were actually voices, so it's not a hallucination, but they misinterpreted, making it an illusion. Functional psychosis is: - when you can still function in every day life. jobs, marriage, kids. etc.. brain is not damaged. chemicals are out of balance. three types is psychosis - 1) functional 2) dementia 3) delirium4 diseases that make up functional psychosis: - schizo, schizo, major, manic schizophrenia schizo affective major depression manic dementia psychosis is due to: - actual brain damage. stroke, senile, dementia The functional psychotic: - has the potential to learn reality. The nurses role with a patient who is functionally psychotic is to: - teach reality. The 4 steps to dealing with a functional psychotic are: - 1) acknowledge feelings 2) present reality 3) set limits/boundries 4) enforce limits/boundries the first thing you say to a functional psychotic should: - acknowledge their feelings. might have the word "feel" in it or state "that must be hard" or "you seem to be upset" Examples of classic forms for presenting reality: - I know that ____ is real to you, but I do not _____. I am a nurse. this is a hospital. this is your breakfast.Presenting reality with a functional psychotic is: - not the first thing you should do! Enforcing a limit with a functional psychotic is: - the only enforcement is ending the conversation, NOT punishing. cannot take priveledges away. a schizophrenic is a ______ psychotic. - functional a patient with schizoaffective disorder is a _____ psychotic. - functional