Author Question: A patient with fluctuating levels of awareness, confusion, and disturbed orientation shouts, Bugs ... (Read 85 times)

PhilipSeeMore · **on:** Jul 19, 2018

A patient with fluctuating levels of awareness, confusion, and disturbed orientation shouts, Bugs are crawling on my legs Get them off Which problem is the patient experiencing?

a. Aphasia
b. Dystonia
c. Tactile hallucinations
d. Mnemonic disturbance

Question 2

A nurse at the mental health clinic plans a series of psychoeducational groups for persons with schizophrenia. Which two topics would take priority?

a. How to complete an application for employment
b. The importance of correctly taking your medication
c. How to dress when attending community events
d. How to give and receive compliments
e. Ways to quit smoking

smrtceo · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: C
The patient feels bugs crawling on both legs, although no sensory stimulus is actually present. This description coincides with the definition of a hallucination, a false sensory perception. Tactile hallucinations may be part of the symptom constellation of delirium. Aphasia refers to a speech disorder. Dystonia refers to excessive muscle tonus. Mnemonic disturbance is associated with dementia rather than delirium.

Answer to Question 2

ANS: B, E
Stabilization is maximized by the adherence to the antipsychotic medication regimen. Because so many patients with schizophrenia smoke cigarettes, this topic relates directly to the patients' physiologic well-being. The other topics are also important but are not priority topics.