A patient living in community housing for the elderly says,...

The nurse counseling a patient with acute grief would assess the patient for:

A. Severe depressive symptoms
B. Conflicted and unresolved issues
C. Increased arousal and hypervigilance
D. Preoccupation with the image of the deceased

Correct Answer: B

Rationale: The correct answer is B because acute grief typically involves conflicting and unresolved emotions and thoughts related to the loss. The nurse would assess for unresolved issues to provide appropriate support and interventions. Choice A is incorrect as severe depressive symptoms may indicate complicated grief, not typical acute grief. Choice C is incorrect as increased arousal and hypervigilance are more characteristic of post-traumatic stress disorder. Choice D is incorrect as preoccupation with the image of the deceased may be a common experience in grief but does not encompass the full range of emotions and conflicts that acute grief entails.

The patient states, "Everybody picks on me. They frobitz me." The patient’s communication exhibits:

A. A neologism
B. Loose associations
C. Delusional thinking
D. Circumstantial speech

Correct Answer: A

Rationale: The correct answer is A: A neologism. A neologism is a made-up word or phrase that only has meaning to the individual. In this case, "frobitz" is not a known word in the English language, indicating a neologism. This suggests possible language or thought disorder. B: Loose associations involve disconnected or tangential thoughts. C: Delusional thinking involves fixed false beliefs. D: Circumstantial speech includes excessive, irrelevant detail before reaching the main point.

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?

A. It indicates regression and her lack of readiness to terminate.
B. Unconsciously, she is hoping she will be permitted to continue the group.
C. She is demonstrating normal feelings associated with termination of therapy.
D. She needs further evaluation by her therapist to determine readiness to

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.

The desired outcome for a patient experiencing insomnia is, "Patient will sleep for a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. The nurse will document the outcome as:

A. Consistently demonstrated.
B. Often demonstrated.
C. Sometimes demonstrated
D. Never demonstrated.

Correct Answer: C

Rationale: The correct answer is C: Sometimes demonstrated. The rationale is that the patient is not consistently meeting the desired outcome of sleeping for a minimum of 5 hours nightly within 7 days. Although the patient is sleeping for an average of 4 hours nightly, the 2-hour afternoon nap indicates that the patient is not achieving the desired outcome consistently. Therefore, the nurse would document the outcome as "Sometimes demonstrated" to reflect that the patient is making progress towards the goal but has not fully achieved it. Choices A, B, and D are incorrect because the patient's sleep behavior does not align with being consistently, often, or never demonstrated based on the desired outcome criteria.

Which response demonstrates both empathy and understanding of the relationship genetics has to the development of schizophrenia in twins?

A. In fraternal twins, the chance of the other twin developing the disorder is quite small.
B. No one can say what will happen, so we will hope for the best for you and both of your sons.
C. You poor woman! I wish I could tell you that your other son will be free of the disorder
D. Studies show that 50% of twins develop schizophrenia when it is present in the other twin.

Correct Answer: D

Rationale: The correct answer is D because it provides an empathetic response by acknowledging the concern of the parent and demonstrating an understanding of the genetic link between twins and schizophrenia. By citing a specific statistic (50%), it shows knowledge of the relationship between genetics and the development of schizophrenia in twins.

Choice A is incorrect because it downplays the genetic influence by suggesting a small chance, which is not accurate.

Choice B is incorrect because it dismisses the seriousness of the situation and does not address the genetics aspect of the disorder.

Choice C is incorrect because it is not based on factual information and offers sympathy without addressing the genetic component of schizophrenia in twins.

Kaplan and Sadocks Synopsis of Psychiatry Test Bank

Kaplan and Sadocks Synopsis of Psychiatry Test Bank Related

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