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Which of the following are considered the positive signs of schizophrenia?
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The patient's symptoms, including delusions of grandeur, extreme talkativeness, intrusiveness, irresponsible spending, and lack of sleep for 4 days, are characteristic of a manic episode. Manic episodes are a hallmark of Bipolar Affective Disorder.
- b) Bipolar affective disorder
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Haloperidol is a typical antipsychotic medication. Its primary mechanism of action in treating schizophrenia is to block dopamine D2 receptors in the brain, which helps to reduce positive symptoms like delusions and hallucinations.
- c) As a dopamine D2 receptor antagonist
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During the termination phase of the nurse-patient relationship, the focus is on preparing the patient for independence and ensuring they can manage their health needs after the relationship ends. Developing a realistic solution for ongoing care and self-management is a key nursing task.
- c) Developing realistic solution.
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Mood disorders are a category of mental health conditions that primarily affect a person's emotional state. They are also commonly referred to as Affective Disorders.
- a) Affective Disorders
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Hypomania is a milder form of mania. It involves similar symptoms to mania (e.g., elevated mood, increased energy, decreased need for sleep) but is less severe, typically does not cause significant functional impairment, and does not involve psychotic features. It can sometimes be unmasked or induced by certain medications, including antipsychotics.
- d) Hypomania
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Lithium is a well-established mood stabilizer and is a primary medication used in the treatment of bipolar disorder to manage both manic and depressive episodes.
- b) Lithium
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Positive symptoms of schizophrenia are experiences that are added to a person's normal functioning. These include delusions (false beliefs), hallucinations (perceiving things that aren't there), and disorganized thought (incoherent speech or thought patterns).
- a) Delusions, hallucinations, disorganized thought
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Agoraphobia is an anxiety disorder characterized by fear of situations where escape might be difficult or help unavailable. The most effective treatment technique is often gradual desensitization by controlled exposure (a form of exposure therapy), where the client is slowly and systematically exposed to the feared situations in a safe and controlled manner.
- a) Gradual desensitization by controlled exposure to the situation the client fears
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Paranoid delusions are a type of delusion characterized by intense and irrational suspiciousness or mistrust of others, often believing that others are trying to harm or deceive them, without any factual basis.
- b) Suspiciousness without basis
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For question 10, only options 'a) Be confrontational' and 'b) Blame patient about this abuse' are visible. Both of these actions are inappropriate and unethical nursing practices when interviewing a client who may have been abused. Therefore, a correct and appropriate answer cannot be selected from the visible options.
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