Psychiatry Test Bank

Psychiatry Test Bank Related

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A patient is being seen for symptoms of insomnia and significant weight loss that has occurred during the 2 months since her husband’s death. What is the purpose of the query, “Describe how it has been for you since your husband died?”

  • A. To display an attitude of concern and sympathy to the patient
  • B. To learn whether the patient has a significant support system
  • C. To rule out factors that may interfere with diagnosing her illness
  • D. To determine the risk for pathologic grief and the need for grief therapy
Correct Answer: D

Rationale: The purpose of the query "Describe how it has been for you since your husband died?" is to determine the risk for pathologic grief and the need for grief therapy. The patient is experiencing symptoms of insomnia and significant weight loss following her husband's death, which could indicate complicated or pathologic grief. By asking this open-ended question, the healthcare provider can gain insight into the patient's emotional well-being, coping mechanisms, and overall adjustment to the loss. The response can help assess whether the patient might benefit from additional support or interventions, such as grief therapy, to help her navigate through the grieving process in a healthy manner. It is essential to identify and address any potential complications related to grieving to provide appropriate care and support to the patient.

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A patient tries to gouge out their eye in response to auditory hallucinations. The nurse would analyze this behavior as indicating:

  • A. Derealization
  • B. Inappropriate affect
  • C. Impaired impulse control
  • D. Inability to manage anger
Correct Answer: C

Rationale: Self-harm in response to hallucinations reflects impaired ability to control impulses and respond safely to internal stimuli.

What milieu factor would need most attention from the nurse who is caring for a patient who has received six ECT treatments and has two more sc\

  • A. Therapeutic activities
  • B. Boundary maintenance
  • C. Safety
  • D. Trust attainment
Correct Answer: C

Rationale: When caring for a patient who has received multiple electroconvulsive therapy (ECT) treatments and has more scheduled, the most critical milieu factor that needs attention is safety. ECT is a medical procedure that involves inducing seizures through electrical stimulation, and patients may be at risk of physical harm during or after the treatments. The nurse should prioritize ensuring the patient's safety during and after the ECT sessions, including monitoring for any adverse effects, providing support, and taking necessary precautions to prevent accidents. Safety measures, such as fall prevention protocols and close observation, are essential in the care of patients undergoing ECT to ensure their well-being. Therefore, safety is the milieu factor that requires the most attention in this situation.

Which statement would the nurse use to describe the primary purpose of boundaries?

  • A. Boundaries define responsibilities and duties to one’s self in relation to others.
  • B. Boundaries determine objectives of the various working stage of the relationship.
  • C. Boundaries differentiate the assumed roles of both the nurse and of the patient.
  • D. Boundaries prevent undesired material from emerging during the interaction.
Correct Answer: A

Rationale: Boundaries define responsibilities and duties to one’s self in relation to others. Setting boundaries is essential in establishing a safe and professional therapeutic relationship between a nurse and a patient. These boundaries help to create a clear understanding of each person's roles and responsibilities within the relationship. Boundaries also help protect both the nurse and the patient from potential harm, maintain professionalism, and ensure effective communication and focus on the therapeutic goals. By defining these boundaries, the nurse can better maintain appropriate relationships with patients and avoid conflicts of interest or ethical dilemmas.

When differentiating between bereavement symptoms and depression, the nurse will base the formulation on knowledge that in bereavement:

  • A. Suicide thoughts are common.
  • B. Symptoms remit and exacerbate.
  • C. Guilt feelings are overwhelming.
  • D. Psychomotor retardation is obvious.
Correct Answer: B

Rationale: Bereavement involves waves of emotional pain, often triggered by reminders of the loss, whereas depression typically causes persistent symptoms such as guilt or hopelessness.

When a hospitalized patient dies, his wife stares blankly at the nurse and states, “It can’t be.” The nurse assesses this as indicating:

  • A. Shock and disbelief
  • B. Anger and hostility
  • C. Disorganization and confusion
  • D. Despair and protest.
Correct Answer: A

Rationale: The wife's statement, "It can't be," indicates that she is experiencing shock and disbelief at the news of her husband's death. This response is common when individuals are faced with a sudden and unexpected loss. The wife's blank stare and statement suggest that she is struggling to accept the reality of the situation, which aligns with the symptoms of shock and disbelief.

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