Kaplan and Sadocks Synopsis of Psychiatry Test Bank

Questions 29

ATI RN

ATI RN Test Bank

Kaplan and Sadocks Synopsis of Psychiatry Test Bank Questions

Question 1 of 5

Which initial short-term outcome would be appropriate for a patient admitted with delusional thoughts?

Correct Answer: D

Rationale: The correct answer is D, engage in reality-oriented conversation. This is appropriate because it helps the patient ground themselves in reality and potentially reduce the intensity of their delusions. By discussing real-life events and situations, the patient is encouraged to recognize the disparity between their delusional thoughts and actual reality. Choice A is incorrect as simply accepting the delusion as illogical does not actively address the patient's condition. Choice B, distinguishing external boundaries, is not as effective in directly challenging the delusional thoughts. Choice C, explaining the basis for the delusions, may not be helpful initially as the patient may not be receptive to logical explanations due to their distorted thinking.

Question 2 of 5

A patient living in community housing for the elderly says, �I don�t go to the senior citizens club. They play cards and talk about the past because that�s all they can do.� The nurse analyzes these remarks to represent:

Correct Answer: D

Rationale: The correct answer is D: Thinking associated with ageism. This is because the patient's statement reflects a negative stereotype about older adults, assuming they are limited to playing cards and reminiscing about the past. Ageism involves discrimination or prejudice based on someone's age, which can lead to stereotyping and marginalization. A: Failure to achieve developmental tasks - This choice does not directly relate to the patient's statement about ageism. B: Hypercritical behavior - The patient's statement does not indicate hypercritical behavior, but rather a biased perspective on aging. C: Paranoid thinking - The patient's statement does not demonstrate paranoid thinking, but rather a biased view of older adults based on ageist beliefs. In summary, the correct answer is D as the patient's remarks reflect ageist thinking, while the other choices do not align with the content of the patient's statement.

Question 3 of 5

When sharing her feelings about separating from a therapy group, the patient stated, �I feel a bit sad and empty that I won�t be seeing you folks again.� What is the most accurate evaluation of the patient�s statement?

Correct Answer: C

Rationale: The correct answer is C because the patient expressing feeling sad and empty about leaving the therapy group is a normal response to the termination of therapy. This indicates that the patient has developed attachments and a sense of belonging within the group, which is a common aspect of group therapy. It shows emotional investment in the therapeutic process and signifies progress in the patient's emotional awareness and ability to express feelings. Choice A is incorrect because the statement does not necessarily indicate regression but rather a normal emotional response. Choice B is incorrect as it assumes unconscious motivations without evidence. Choice D is incorrect as it is not necessary to question the patient's readiness based on the provided statement.

Question 4 of 5

Which activities should the nurse evaluate in an assessment of an older patient�s functional status? (Select all that apply.)

Correct Answer: A,C

Rationale: The correct answers are A and C. A nurse should evaluate if the older patient can prepare nutritious meals independently, as this indicates their ability to meet basic nutritional needs and maintain independence in daily living. Additionally, assessing if the patient can perform regular, simple maintenance on their primary residence is important for gauging their ability to live safely and comfortably. Choices B and D are incorrect as financial resources and toileting abilities, while important, do not directly reflect functional status in the same way as meal preparation and home maintenance.

Question 5 of 5

The nurse is determining whether the patient�s needs could be best met in a task or a process group. The decision is based on the understanding that a task group focuses on:

Correct Answer: A

Rationale: The correct answer is A: The "here and now." In a task group, the focus is on addressing specific goals, tasks, and problem-solving in the present moment. This approach helps members work together efficiently to achieve objectives. Communication styles (B) are more relevant in a group focused on improving communication skills. Relations among the members (C) are typically emphasized in a process group, where the focus is on interpersonal dynamics and relationships. Choice D is incomplete and does not align with the purpose of a task group.

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