ATI RN Mental Health and Psychiatric NursingTestbank with answers & Rationale(Comprehensive Mental Health and Psychiatric Nursing)
(Set 8)
1. Ivy, who
... [Show More] is in the psychiatric unit is copying and imitating the movements of her primary nurse. During recovery, she says, “I thought the nurse was my mirror. I felt connected only whenI sawmy nurse.” This behavior is known by which of the following terms?
A. Modeling
B. Echopraxia
C. Ego-syntonicity
D. Ritualism
Correct Answer: B. Echopraxia
Echopraxia is the copying of another’s behaviors and is the result of the loss of ego boundaries. Theinvoluntary imitation of the movements of another person. Echopraxia is a feature of schizophrenia(especially the catatonic form), Tourette syndrome, and some other neurologic diseases. Fromecho+the Greek praxia meaning action. Option A: Modeling is the conscious copying of someone’s behaviors. Modeling is one way inwhichbehavior is learned. When a person observes the behavior of another and then imitates that
behavior, he or she is modeling the behavior. This is sometimes known as observational learningor
social learning. Modeling is a kind of vicarious learning in which direct instruction need not occur. Option C: Ego-syntonicity refers to behaviors that correspond with the individual’s sense of self. Thoughts, wishes, impulses, and behavior are said to be ego-syntonic when they formno threat tothe ego and can be acted upon without interference from the superego. Option D: Ritualism behaviors are repetitive and compulsive. Ritualism is a concept developedbyAmerican sociologist Robert K. Merton as a part of his structural strain theory. It refers to the
common practice of going through the motions of daily life even though one does not accept thegoals or values that align with those practices. 2. Charina, a college student who frequently visited the health center during the past year withmultiple vague complaints of GI symptoms before course examinations. Although physical
causes have been eliminated, the student continues to express her belief that she has a seriousillness. These symptoms are typically of which of the following disorders?
A. Conversion disorder
B. Depersonalization
C. Hypochondriasis
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D. Somatization disorder
Correct Answer: C. Hypochondriasis
Hypochondriasis, in this case, is shown by the client’s belief that she has a serious illness, althoughpathologic causes have been eliminated. The disturbance usually lasts at least 6 with identifiable lifestressor such as, in this case, course examinations. Hypochondriasis, which is now known as illness
anxiety disorder, and the other somatic symptom disorders (e.g., factitious disorder, conversion disorder)
are among the most difficult and most complex psychiatric disorders to treat in the general medical
setting. On the basis of many new developments in this field, the DMS-5 has revised diagnostic criteriato facilitate clinical care and research. While illness anxiety disorder is included in the category of “somatic symptom and related disorders” it continues to have much overlap with obsessive-compulsivedisorder and related illness [Show Less]