Kaplan and Sadocks Synopsis of Psychiatry 12th Edition Test Bank

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: C

Rationale: The correct answer is C because intervening immediately after the loss has occurred allows for timely support and processing of emotions. This is crucial for healthy grieving and preventing complications. Choice A is too broad and not specific to the immediate need post-loss. Choice B focuses on pre-loss, which is not the most effective time for intervention. Choice D puts the responsibility on the patient, which may delay necessary support.

Correct Answer: B

Rationale: The correct answer is B: Implementation. In the nursing process, implementation involves putting the plan of care into action. Encouraging the patient to attend a psychoeducational group daily is an action that is carried out as part of the plan to build social skills. This step focuses on executing interventions to achieve the desired outcomes. In contrast, assessment (A) involves collecting data, analysis (C) involves interpreting data, and evaluation (D) involves determining the effectiveness of interventions. Therefore, the correct placement for recording this item is in the implementation phase.

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: C

Rationale: The correct answer is C because adjunct therapies provide the patient with the opportunity to use ego-protective mechanisms, such as denial or displacement, which can help them cope with difficult emotions or situations more effectively. This is important in situations where verbal therapies may not be as effective in reaching the patient's underlying emotional needs. Choice A is incorrect because adjunct therapies may require specific training or expertise to facilitate effectively. Choice B is incorrect because while adjunct therapies can allow for expression of feelings, they do not necessarily do so on multiple levels simultaneously. Choice D is also incorrect because the availability of adjunct therapies in the treatment setting does not necessarily make them more useful than verbal therapies.