Kaplan and Sadocks Synopsis of Psychiatry 12th Edition Test Bank

Questions 29

ATI RN

ATI RN Test Bank

Kaplan and Sadocks Synopsis of Psychiatry 12th Edition Test Bank Questions

Question 1 of 5

A 79-year-old white male tells a nurse, �I have felt very sad lately. I do not have much to live for. My family and friends are all dead, and my own health is failing.� The nurse should analyze this comment as:

Correct Answer: C

Rationale: The correct answer is C: Evidence of risks for suicide. The statement contains indicators such as feeling very sad, lack of purpose, isolation, and declining health, which are red flags for suicide risk in older adults. It is crucial for healthcare providers to assess and intervene promptly in such cases to prevent harm. Choices A, B, and D are incorrect because they do not address the seriousness of the situation or the potential risk for self-harm.

Question 2 of 5

The patient�s daughter was murdered while they were customers in a local bank. Which statements would support the patient�s diagnosis of posttraumatic stress disorder (PTSD)? Select all that apply:

Correct Answer: A

Rationale: The correct answer is A because feeling numb and detached from emotions is a common symptom of PTSD known as emotional numbing. This symptom is often seen in individuals who have experienced a traumatic event, such as the murder of a loved one. It is a defense mechanism that helps the person cope with overwhelming emotions. The other choices are incorrect: B: Being nervous and easily startled (hypervigilance) is more indicative of the hyperarousal symptom of PTSD, not emotional numbing. C: Difficulty sleeping is a common symptom of PTSD, known as insomnia, but it does not directly relate to emotional numbing. D: Reliving the traumatic event through flashbacks or intrusive memories is a symptom of PTSD, but it is not directly related to emotional numbing.

Question 3 of 5

A nurse plans care based upon the fact that anticipatory grief:

Correct Answer: A

Rationale: The correct answer is A because anticipatory grief allows individuals to gradually accept the impending loss, leading to fewer feelings of guilt. This process helps the individual prepare emotionally and psychologically for the eventual loss, reducing guilt related to not being able to prevent it. Choice B is incorrect because anticipatory grief does not prevent symptoms of depression, but rather helps individuals cope with them. Choice C is incorrect as anticipatory grief does not necessarily require a longer period of time for resolution; it varies for each individual. Choice D is incorrect, as mentioned earlier, because anticipatory grief does not prevent symptoms of depression but helps individuals navigate through them.

Question 4 of 5

The mother of a child describes her child's annoying behavior as not being able to sit still or to stop jerking his arms when told to. Which disorder does the nurse suspect?

Correct Answer: B

Rationale: The correct answer is B: Tourette�s disorder. The child's inability to sit still and jerking arms suggest motor tics, which are common in Tourette's disorder. Tourette's is characterized by involuntary repetitive movements or sounds. Choice A is incorrect as oppositional-defiant disorder does not involve physical tics. Choice C is a duplicate. Choice D is incorrect as it assumes defiance rather than considering a neurological explanation for the behavior.

Question 5 of 5

What is the basis for the reduction in disturbed thought processes when a patient is administered haloperidol (Haldol)?

Correct Answer: D

Rationale: The correct answer is D because haloperidol is a dopamine receptor antagonist. By blocking dopamine receptors, it reduces the activity of dopamine in the brain, which helps in reducing disturbed thought processes. Option A is incorrect as dopamine craving is not related to the mechanism of action of haloperidol. Option B is incorrect as enhancing dopamine receptors would increase dopamine activity, opposite to the intended effect of haloperidol. Option C is incorrect as increasing cellular production of dopamine would also increase dopamine activity, contradicting the purpose of using haloperidol.

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