Kaplan and Sadocks Synopsis of Psychiatry 12th Edition Test Bank

Correct Answer: A

Rationale: Rationale for Correct Answer (A): Reporting the findings to the health care provider is the next best action because elevated BUN and creatinine levels indicate possible renal dysfunction, which could be causing the psychiatric symptoms. The health care provider needs this information to determine appropriate treatment and further evaluation. Summary of Incorrect Choices: B: Assessing the patient for a history of renal problems is not the next best action because the lab results already indicate potential renal issues. C: Assessing the patient�s family history for cardiac problems is irrelevant to the elevated BUN and creatinine levels and the psychiatric symptoms. D: Arranging for the patient�s hospitalization on the psychiatric unit is premature without addressing the underlying medical issue indicated by the lab results.

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.

Correct Answer: A

Rationale: Rationale for Correct Answer (A): Reporting the findings to the health care provider is the next best action because elevated BUN and creatinine levels indicate possible renal dysfunction, which could be causing the psychiatric symptoms. The health care provider needs this information to determine appropriate treatment and further evaluation. Summary of Incorrect Choices: B: Assessing the patient for a history of renal problems is not the next best action because the lab results already indicate potential renal issues. C: Assessing the patient�s family history for cardiac problems is irrelevant to the elevated BUN and creatinine levels and the psychiatric symptoms. D: Arranging for the patient�s hospitalization on the psychiatric unit is premature without addressing the underlying medical issue indicated by the lab results.

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.

Correct Answer: B

Rationale: The correct answer is B: Teach the person about risks for alcoholism and suggest other coping strategies. This intervention is the most therapeutic because it addresses the underlying issue of using alcohol as a coping mechanism for loneliness and grief. By educating the person about the risks of alcoholism, the nurse can help the individual understand the potential harm of their current coping strategy. Additionally, suggesting alternative coping strategies can provide healthier ways to deal with loneliness and grief, ultimately promoting better overall well-being. Choice A is incorrect because while assessing drinking and driving is important, it does not directly address the underlying emotional reasons for the alcohol use. Choice C is incorrect as it focuses on the risks of injury rather than addressing the emotional aspects of the person's drinking behavior. Choice D is incorrect as it jumps to a specific intervention without first addressing the person's understanding of their alcohol use and providing alternative coping strategies.