Author Question: A 55-year-old man was admitted to the psychiatric unit after an incident in a department store in ... (Read 130 times)

chads108 · **on:** Jul 19, 2018

A 55-year-old man was admitted to the psychiatric unit after an incident in a department store in which he accused a sales clerk of following him around the store and stealing his keys.

He was subdued by the police after destroying a window display because voices had told him that it was evil. As the nurse approached the client, he says, You're all out to get me, and you're one of them. They're Rostoputians and grog babies here. This demonstrates what?

A) Loose associations and flight of ideas
B) Suspiciousness and neologisms
C) Illusions and loss of ego boundaries
D) Echolalia and echopraxia

Question 2

Cognitive psychotherapy is most likely to be appropriate in the care of a client who has been diagnosed with which one of the following?

A) Anaclitic depression
B) Moderate depression
C) A mood disorder due to a general medical condition
D) Postpartum psychosis

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

Answer to Question 1

Ans: B
The client is demonstrating suspiciousness (you're all out to get me) and neologisms (use of the words Rostoputians and grog babies). Loose associations and flight of ideas occur when the client talks about many topics in rapid sequence, but they are not connected with each other. Illusions are when the client sees something that is not there; echolalia is the repetition of words (or words that sound similar) said by someone else.

Answer to Question 2

Ans: B
Cognitive psychotherapy is as effective as antidepressant medication in the treatment of mild-to-moderate depression. It is less likely to address depression that has a demonstrated medical etiology. The primary treatment for postpartum psychosis is medication. Therapy is not relevant in cases of anaclitic depression since the problem occurs in infants.