Synopsis of Psychiatry Test Bank

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A patient asks the nurse manager to help resolve a situation between her and another patient. Which action would best support the patient’s feelings of safety when experimenting with new ways of being?

  • A. Encouraging the patient to report the incident to the other patient’s physician
  • B. Intervening on the patient’s behalf and sorting out the incident with the other patient
  • C. Suggesting that the patient ignore the situation since the other patient was probably not aware of her behavior
  • D. Offering to be present and help the patient discusses her feelings about the incident with the other patient
Correct Answer: D

Rationale: Offering to be present and help the patient discuss her feelings about the incident with the other patient would best support the patient’s feelings of safety when experimenting with new ways of being. This option encourages open communication between the two patients in a safe and mediated environment. It allows the patient to express her feelings assertively while feeling supported by the nurse manager. Mediation can help both patients understand each other's perspectives, resolve conflicts, and potentially prevent similar incidents in the future. Ultimately, this approach empowers the patient to address the situation directly while providing a sense of safety and support.

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A young woman had just learned of the accidental death of her husband. She begins to cry and states, “It’s not fair! How could he do this to me?” This remark is assessed as:

  • A. An explosive episode
  • B. An expression of anger
  • C. Fear of making decisions alone
  • D. A sign of despair.
Correct Answer: B

Rationale: The woman's statement, "It's not fair! How could he do this to me?" expresses a sense of anger and injustice over her husband's accidental death. She is questioning why this has happened to her, which suggests feelings of anger and frustration. This expression is not necessarily a plea for help or a manifestation of fear of making decisions alone, but it is a clear display of anger and a sense of unfairness in the situation.

A patient is in a smoking cessation program that encourages self-control therapy interventions. Which intervention would the nurse suggest?


  • A. Limiting smoking to certain times of the day
  • B. Keeping a behavioral diary that tracks when the patient smokes
  • C. Identifying factors that encouraged the patient to start smoking
  • D. Making plans to spend money saved when smoking stops
Correct Answer: B

Rationale: Self-control therapy emphasizes self-monitoring to identify triggers and patterns, enabling the patient to implement strategies for behavioral change.

A 34-year-old male with catatonic schizophrenia has been mute and motionless for several days. Which nursing intervention would be an initial priority?

  • A. Orienting the patient to the unit.
  • B. Reinforcing reality with the patient.
  • C. Establishing a nonthreatening relationship.
  • D. Administer prescribed medications or intervention
Correct Answer: C

Rationale: Building trust and rapport is essential when working with patients in a catatonic or withdrawn state.

An outcome for a patient experiencing anticipatory grieving for a spouse diagnosed with
terminal cancer would be that the patient will:

  • A. Continue to be emotionally involved with the dying spouse
  • B. Develop protective mental mechanisms to allay the pain of spousal loss
  • C. Not voice threats of physical violence that is either self or others directed
  • D. Agree to stay at home and care for the spouse with appropriate assistance
Correct Answer: D

Rationale: Anticipatory grieving involves preparing emotionally for the upcoming loss. The patient may begin to focus on caregiving and emotional preparation. Agreeing to care for the spouse with assistance reflects an adaptive coping mechanism during this period.

Which strategy will the nurse include in the plan of care for a 6-year-old child for whom operant conditioning has been recommended?


  • A. Periodically asking the child to attempt increasingly difficult puzzles
  • B. Consistently offering praiseace their dirty dishes in the sink
  • C. Expecting the child to rinse and place their dirty dishes in the sink
  • D. Conditioning the child to expect punishment when misbehaving
Correct Answer: B

Rationale: Operant conditioning, based on Skinner’s theory, involves reinforcing desired behaviors. Positive reinforcement (praise) encourages repetition of the behavior.

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