Synopsis of Psychiatry Test Bank

Questions 28

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Synopsis of Psychiatry Test Bank Questions

Question 1 of 5

A friend says to a nurse, �I am not going to get vaccines for my baby. I hear that vaccines cause autism.� The nurse�s best reply is:

Correct Answer: C

Rationale: This response provides factual, evidence-based information to address the common misconception linking vaccines to autism. It is clear and reassuring for the parent.

Question 2 of 5

A young woman had just learned of the accidental death of her husband. She begins to cry and states, �It�s not fair! How could he do this to me?� This remark is assessed as:

Correct Answer: B

Rationale: The woman's statement, "It's not fair! How could he do this to me?" expresses a sense of anger and injustice over her husband's accidental death. She is questioning why this has happened to her, which suggests feelings of anger and frustration. This expression is not necessarily a plea for help or a manifestation of fear of making decisions alone, but it is a clear display of anger and a sense of unfairness in the situation.

Question 3 of 5

The desired outcome for a patient experiencing insomnia is, "Patient will sleep for a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. What is the nurse�s next action?

Correct Answer: D

Rationale: When goals are partially met, the plan of care should be re-evaluated, and adjustments should be made to interventions or timelines.

Question 4 of 5

Which complaint is representative of anxiety in a 6-year-old child?

Correct Answer: B

Rationale: Children often express anxiety through physical complaints like stomachaches, especially in situations that cause distress or discomfort, such as visiting a noncustodial parent.

Question 5 of 5

The physician has ordered atropine 5 mg intramuscularly (IM) for a patient to be administered 30 minutes prior to ECT. The rationale for use of this medication is that it reduces secretions and:

Correct Answer: A

Rationale: The rationale for using atropine 5 mg IM prior to ECT is to protect against vagal bradycardia, not to improve the scope of convulsive activity, reduce the need for recovery room staff, or prevent incontinence of bladder and bowel. Atropine is a muscarinic antagonist that blocks the effects of acetylcholine on muscarinic receptors, leading to an increase in heart rate and protection against bradycardia that can occur during ECT.

Similar Questions

The physician has ordered atropine 5 mg intramuscularly (IM) for a patient to be administered 30 minutes prior to ECT. The rationale for use of this medication is that it reduces secretions and:
A patient returned from attending the service memorializing his wife, who died after a sudden illness. Although those around him were visibly saddened, he smiled and remained in control. He refused support from friends, stating, �I can handle anything that comes my way.� The patient�s behavior is an example of grief.
A nurse plans a staff education program for employees of a senior living community. Which topic has priority?
An advance directive gives legally binding direction for health care interventions when a patient:
A new nurse asks the mentor, �How can I be sure I�m developing a therapeutic environment for my unit?� The mentor uses as a basis for the response the fact that a therapeutic milieu is characterized by:

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