Working on a take home open book psych quiz.. having problems with two questions mostly because I cannot find any reference in our text.
1. The physician mentions that R's dementia may be due to Alzheimer's disease or multiple infarcts. For the physician to make a differential diagnosis using the lease expensive test, the nurse might expect to have to prepare R for a
PET or SPECT scan
The group of us that got together were leaning towards CT or MRI but couldn't decide which would give a better differential view and or the costs involved.
2. A psychiatric nurse worked with a client throughout the client 6-week short term outpatient psychiatric treatment and is guiding the client to formulate followup independent self care plans
. The nurse gently teases the client about a momentary lapse into an old maladaptive behavior. The client responds by smiling and saying " You're right I'm so much better now. The old me would have stormed out and cursed if you had said that the first day we met" The client's response indicates that the nurse's primary purpose in this use of humor with the client succeeded because it promotes the client's:
insight and control of symptoms
acceptance of a lifelong problem
conscious use of defense mechanisms
awareness of the need for longterm treatment
Again the group was split on this one. The majority went for insight and control of symptoms while others though conscious use of defense mechanisms was more likely.
If anyone has some insight into these questions.. gotta love those critical thinking psych questions.