Kaplan and Sadocks Synopsis of Psychiatry 12th Edition Test Bank

Correct Answer: A

Rationale: Step 1: Fluid restriction of 1800 mL may not be appropriate for all residents in a skilled nursing facility. Step 2: Excessive fluid restriction can lead to dehydration, especially in elderly residents. Step 3: It is crucial for the nurse to question the fluid restriction to ensure it is safe for the resident. Therefore, the correct answer is A. Summary: - Option A is correct as questioning the fluid restriction is essential for the resident's safety. - Option B is incorrect as restraining a resident should only be used as a last resort and should be questioned if not necessary. - Option C is incorrect as blindly transcribing without assessing appropriateness can be harmful. - Option D is incorrect as assessing bowel elimination is important but addressing the fluid restriction is more urgent in this scenario.

Correct Answer: B

Rationale: The correct answer is B: Recovering from conscious sedation. After ECT, patients are closely monitored as they recover from anesthesia and sedation. Nursing care involves assessing vital signs, mental status, and ensuring the patient's safety. This is similar to caring for a patient recovering from conscious sedation, where monitoring and observation are essential. A: Delirium tremens involves severe alcohol withdrawal symptoms, which require specialized care including managing agitation and hallucinations. C: Acute alcohol withdrawal requires specific interventions such as monitoring for seizures and providing medications to prevent complications. D: Routine diagnostic procedures do not typically involve sedation or anesthesia, so the level of monitoring and care needed is different from post-ECT care.

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.

Correct Answer: A

Rationale: The correct answer is A: Use of multiple drugs with anticholinergic effects. This is the highest priority as anticholinergic medications can have severe side effects in older adults, including confusion, constipation, and increased risk of falls. Nurses need to assess for potential harm caused by these medications. Choice B (Overuse of medications for erectile dysfunction) is not the highest priority as it may not pose an immediate threat to the health and safety of older adults compared to anticholinergic effects. Choice C (Missed doses of medications for arthritis) is important but not as critical as assessing for the potential harm caused by anticholinergic medications. Choice D (Trading medications with acquaintances) is concerning but not as urgent as assessing for the harmful effects of anticholinergic medications, which can lead to serious health complications.

Correct Answer: D

Rationale: The correct answer is D because it shows positive evidence of improved family dynamics through increased communication and awareness of each other's needs. Eating dinner together signifies a commitment to spending quality time and fostering connections. Choice A indicates a lack of interference but not necessarily improved functioning. Choice B suggests withdrawal from activities, which may not be positive. Choice C implies a sacrifice that may not directly lead to effective functioning.