Synopsis of Psychiatry Test Bank

Correct Answer: C

Rationale: Grief work involves actively processing emotions, integrating the loss, and adapting to life without the deceased. It is not solely about stress coping or progress evaluation.

Correct Answer: B, C

Rationale: he immunologic theory of aging suggests that aging is associated with increased autoimmunity. Conditions like multiple sclerosis, rheumatoid arthritis, and Graves� disease reflect immune dysfunction.

Correct Answer: B

Rationale: The patient's behavior of smiling and remaining in control while refusing support from friends, despite attending a service memorializing his wife's death, is indicative of distorted grief. In distorted grief, individuals may show seemingly inappropriate reactions or behaviors that do not align with the typical grieving process. The patient's avoidance of accepting support and expression of excessive self-reliance in the face of a significant loss suggest a distorted way of coping with grief. In normal grief, individuals may experience a range of emotions and accept support from others as they navigate through the grieving process.

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.

Correct Answer: D

Rationale: The person with the greatest potential for developing dysfunctional grief is an adult who has dealt with the loss of several family members over their lifetime. Losing multiple family members can create a cumulative effect, leading to unresolved grief and complicated bereavement reactions. These repeated losses can overwhelm an individual's coping mechanisms and increase the risk of developing dysfunctional grief patterns. The ongoing experience of loss and grief can make it challenging for the individual to process their emotions effectively and adjust to their new reality, potentially leading to prolonged and complicated mourning.