Psychology of Denial and Manipulation

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What is the purpose of confronting someone who denies they have a problem?

To make them feel guilty
To attack the person
To ignore the problem
To point out the difference between what they say and what they do (correct)

What is a common characteristic of bad answer choices on a board exam?

They are short answers
They use 'I' pronouns
They use 'you' pronouns (correct)
They are open-ended questions

What is Wernicke's syndrome?

A type of encephalopathy (correct)
A type of psychosis
A type of depression
A type of anxiety disorder

What is the first stage of grief in the DABDA model?

Denial (C) Signup and view all the answers

How should you approach someone who is in denial about their problem?

Support them and point out their denial (D) Signup and view all the answers

What is Korsakoff's syndrome?

A type of psychosis (B) Signup and view all the answers

What is the primary innervation site of the diaphragm?

Cervical spine (D) Signup and view all the answers

What is the most important pre-op assessment for a thoracic laminectomy?

Bowel sounds and cough mechanism (B) Signup and view all the answers

What is innervated by the lumbar spine?

Bladder and legs (D) Signup and view all the answers

Why is location important in neuro assessments?

Because it determines symptoms, prognosis, and treatment (B) Signup and view all the answers

What is the most important pre-op assessment for a cervical laminectomy?

Breathing and arm function (D) Signup and view all the answers

What is the definition of diabetes mellitus?

An error of glucose metabolism (A) Signup and view all the answers

What is a characteristic of Flight of Ideas?

Producing coherent phrases that are not connected (B) Signup and view all the answers

What is Neologism?

Making up imaginary words (D) Signup and view all the answers

What is the primary role of a nurse when working with patients experiencing psychotic symptoms?

To teach reality (B) Signup and view all the answers

What is NPH insulin?

A type of intermediate-acting insulin (B) Signup and view all the answers

Why is it not recommended to put cloudy substances in an IV bag?

Because the particles can precipitate and clog the IV (C) Signup and view all the answers

What type of delusion involves a false, fixed, idea or belief with no sensory component?

Delusion (A) Signup and view all the answers

What is the first step in teaching reality to a patient with delusions?

Acknowledge feeling (A) Signup and view all the answers

What is the opposite syndrome of diabetes insipidus?

SIADH (B) Signup and view all the answers

What type of delusion involves a belief that one's body is malfunctioning or has a problem?

Somatic Delusion (A) Signup and view all the answers

What is the goal of setting a limit when working with patients with delusions?

To establish structure (B) Signup and view all the answers

What is the primary difference between a delusion and a hallucination?

A delusion involves a false, fixed, idea, while a hallucination involves a sensory experience (D) Signup and view all the answers

What happens to Lithium when Sodium levels are low?

It becomes more toxic (A) Signup and view all the answers

What is Prozac?

A Selective Serotonin Reuptake Inhibitor (B) Signup and view all the answers

What is a common side effect of Prozac?

Insomnia (A) Signup and view all the answers

What is a special consideration when changing the dosage of Prozac for a young adult/adolescent?

Monitoring for increased suicidal risk (C) Signup and view all the answers

What is a significant side effect of Haldol?

Neuroleptic Malignant Syndrome (NMS) (A) Signup and view all the answers