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Psychiatric Nursing

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#1. The therapeutic approach in the care of an autistic child include the following EXCEPT

  • The child with autistic disorder does not want change.
  • Maintaining a consistent environment is therapeutic.
  1.  Angry outburst can be rechanneled through safe activities.
  2. Acceptance enhances a trusting relationship.
  3.  Ensure safety from self-destructive behaviors like head banging and hair pulling.
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#2. Primary level of prevention is exemplified by:

  • Primary level of prevention refers to the promotion of mental health and prevention of mental illness.
  • This can be achieved by rendering health teachings such as modifying ones responses to stress.
  • 1. This is tertiary level of prevention that deals with rehabilitation.
  • 2and 4. Secondary level of prevention which involves reduction of actual illness through early detection and treatment of illness.
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#3. A 10 year old child has very limited vocabulary and interaction skills. She has an I.Q. of 45. She is diagnosed to have Mental retardation of this classification:

  • The child with moderate mental retardation
  • has an I.Q. of 35-50 Profound Mental retardation
  • has an I.Q. of below 20; Mild mental retardation 50-70 and Severe mental retardation has an I.Q. of 20-35.
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#4. The superego is that part of the psyche that:

  • The critical censoring portion of one’s personality; the conscience.
  • 1. This refers to the ego function that protects itself from anything that threatens it..
  • 2. The Id is composed of the untamed, primitive drives and impulses
  • 3. This refers to the ego that acts as the moderator of the struggle between the id and the superego.
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#5. Freud explains anxiety as:

  • Freud explains anxiety as due to opposing action drives between the id and the superego.
  • 1. Sullivan identified 2 types of needs, satisfaction and security. Failure to gratify these needs may result in anxiety.
  • 3. Biomedical perspective of anxiety.
  • 4. Explanation of anxiety using the behavioral model.
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