ATI PN MENTAL HEALTH PROCTORED ACTUAL EXAM
What are cognitive symptoms of psychotic disorders - ANSWER: -disordered thinking
-inability to make decisions
-poor problem solving ability
-difficult concentrating to perform tasks
-Memory deficits
Misconstrues trivial events and attaches personal significance to them, such as
believing that others, who are discussing the next meal, are talking about them -
ANSWER: ideas of reference
Feels singled out for harm by others (being hunted down by FBI) - ANSWER:
Persecution
Believes that she is all powerful and important like a god - ANSWER: grandeur
believes that his body is changing in an unusual way, scubas growing a third arm -
ANSWER: somatic delusions
May feel that her spouse is sexually involved with another individual - ANSWER:
Jealousy
Believes that a force outside his body is controlling him - ANSWER: being controlled
believes that her thoughts are heard by others - ANSWER: thought broacasting
believes that others thoughts are being inserted into his mind - ANSWER: thought
insertion
Believe that her thoughts have been removed form her mind by an outside agency -
ANSWER: thought withdrawal
is obsessed with religious beliefs - ANSWER: religiosity
The client may say sentence after sentence but each sentence may relate to another
topic and the listeniner is bale to follow the clients thoughts - ANSWER: flight of
ideas
Made up words that have meaning only to the client such as i tranged and flitted. -
ANSWER: neologisms
What are the standardized screen tools for psychotic disorders - ANSWER: -Global
assessment of functioning scale
-scale for assessment of negative symptoms
-brief psychiatric rating scale
, -Brief psychiatric rating scale
-abnormal involuntary movement scale (AIMS)
What antidepressants are prescribed for psychotic disorders - ANSWER: Paxil
(Peroxetine)
-monitor for SI
-Notify for deepened depression
-Do not stop abruptly
What are the anxiolytics/ benzo's used for psychotic disorders? - ANSWER: -Ativan
(Lorazepam)
-Klonopin
-sedative effects
-need to get blood tests for ANC
-use caution in older adults
What are the personality disorders in cluster A - ANSWER: (Odd and eccentric traits)
-Paranoid
-Schizoid
-Schizotypal
Characterized by odd beliefs leading to interpersonal difficulties, an eccentric
appearance, and magical thinking or perceptual distortions that are not clear
delusions or hallucinations - ANSWER: schizotypal
Dealing with anxiety by reaching out to others.
Ex: a nurse who lost a family member in a fire is a volunteer firefighter - ANSWER:
Altruism
Dealing with unacceptable feelings or impulses by unconsciously substitute
acceptable forms of expression.
Ex: a person who has feelings of anger and hostility toward his work supervisor
sublimates those feelings by working out vigorously a the gym during his lunch
period - ANSWER: Sublimation
Voluntarily denying unpleasant thoughts and feelings.
Ex: A person who has lost his job states he will worry about paying his bills next week
- ANSWER: Suppression
Putting unacceptable ideas, thoughts, and emotions out of conscious awareness.
Ex: a person who has a fear of the dentist's drill continually "forgets" his dental
appointments. - ANSWER: Repression
What are healthy defense mechanisms? - ANSWER: alturism and sublimation
What are cognitive symptoms of psychotic disorders - ANSWER: -disordered thinking
-inability to make decisions
-poor problem solving ability
-difficult concentrating to perform tasks
-Memory deficits
Misconstrues trivial events and attaches personal significance to them, such as
believing that others, who are discussing the next meal, are talking about them -
ANSWER: ideas of reference
Feels singled out for harm by others (being hunted down by FBI) - ANSWER:
Persecution
Believes that she is all powerful and important like a god - ANSWER: grandeur
believes that his body is changing in an unusual way, scubas growing a third arm -
ANSWER: somatic delusions
May feel that her spouse is sexually involved with another individual - ANSWER:
Jealousy
Believes that a force outside his body is controlling him - ANSWER: being controlled
believes that her thoughts are heard by others - ANSWER: thought broacasting
believes that others thoughts are being inserted into his mind - ANSWER: thought
insertion
Believe that her thoughts have been removed form her mind by an outside agency -
ANSWER: thought withdrawal
is obsessed with religious beliefs - ANSWER: religiosity
The client may say sentence after sentence but each sentence may relate to another
topic and the listeniner is bale to follow the clients thoughts - ANSWER: flight of
ideas
Made up words that have meaning only to the client such as i tranged and flitted. -
ANSWER: neologisms
What are the standardized screen tools for psychotic disorders - ANSWER: -Global
assessment of functioning scale
-scale for assessment of negative symptoms
-brief psychiatric rating scale
, -Brief psychiatric rating scale
-abnormal involuntary movement scale (AIMS)
What antidepressants are prescribed for psychotic disorders - ANSWER: Paxil
(Peroxetine)
-monitor for SI
-Notify for deepened depression
-Do not stop abruptly
What are the anxiolytics/ benzo's used for psychotic disorders? - ANSWER: -Ativan
(Lorazepam)
-Klonopin
-sedative effects
-need to get blood tests for ANC
-use caution in older adults
What are the personality disorders in cluster A - ANSWER: (Odd and eccentric traits)
-Paranoid
-Schizoid
-Schizotypal
Characterized by odd beliefs leading to interpersonal difficulties, an eccentric
appearance, and magical thinking or perceptual distortions that are not clear
delusions or hallucinations - ANSWER: schizotypal
Dealing with anxiety by reaching out to others.
Ex: a nurse who lost a family member in a fire is a volunteer firefighter - ANSWER:
Altruism
Dealing with unacceptable feelings or impulses by unconsciously substitute
acceptable forms of expression.
Ex: a person who has feelings of anger and hostility toward his work supervisor
sublimates those feelings by working out vigorously a the gym during his lunch
period - ANSWER: Sublimation
Voluntarily denying unpleasant thoughts and feelings.
Ex: A person who has lost his job states he will worry about paying his bills next week
- ANSWER: Suppression
Putting unacceptable ideas, thoughts, and emotions out of conscious awareness.
Ex: a person who has a fear of the dentist's drill continually "forgets" his dental
appointments. - ANSWER: Repression
What are healthy defense mechanisms? - ANSWER: alturism and sublimation