Kaplan and Sadocks Synopsis of Psychiatry 12th Edition Test Bank

Kaplan and Sadocks Synopsis of Psychiatry 12th Edition Test Bank Related

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A patient presents to the emergency department with mixed psychiatric symptoms. The admission nurse suspects the symptoms may be the result of a medical problem. Lab results show elevated BUN (blood urea nitrogen) and creatinine. What is the nurse’s next best action?

  • A. Report the findings to the health care provider.
  • B. Assess the patient for a history of renal problems.
  • C. Assess the patient’s family history for cardiac problems.
  • D. Arrange for the patient’s hospitalization on the psychiatric unit.
Correct Answer: A

Rationale: Rationale for Correct Answer (A): Reporting the findings to the health care provider is the next best action because elevated BUN and creatinine levels indicate possible renal dysfunction, which could be causing the psychiatric symptoms. The health care provider needs this information to determine appropriate treatment and further evaluation.

Summary of Incorrect Choices:
B: Assessing the patient for a history of renal problems is not the next best action because the lab results already indicate potential renal issues.
C: Assessing the patient’s family history for cardiac problems is irrelevant to the elevated BUN and creatinine levels and the psychiatric symptoms.
D: Arranging for the patient’s hospitalization on the psychiatric unit is premature without addressing the underlying medical issue indicated by the lab results.

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A nursing instructor is teaching about electroconvulsive therapy (ECT). Which student statement indicates that learning has occurred?

  • A. During ECT a state of euphoria is induced
  • B. ECT induces a grand mal seizure.
  • C. During ECT a state of catatonia is induced
  • D. ECT induces a petit mal seizure
Correct Answer: B

Rationale: The correct answer is B: ECT induces a grand mal seizure. This indicates learning has occurred because ECT does indeed induce a controlled grand mal seizure to treat severe depression. Euphoria (A) and catatonia (C) are not accurate states induced by ECT. A petit mal seizure (D) is a mild form of seizure not associated with ECT.

Which action will best facilitate the development of trust between a nurse and patient?

  • A. Responding positively to the patient’s demands
  • B. Clarifying with the patient whenever there is doubt
  • C. Staying available to the patient for the entire shift
  • D. Following through with whatever was promised
Correct Answer: B

Rationale: The correct answer is B, clarifying with the patient whenever there is doubt. This action shows active listening, respect, and a willingness to understand the patient's needs. By seeking clarification, the nurse demonstrates genuine interest in the patient's perspective, which helps build trust. Responding positively to demands (A) may not always be appropriate or feasible. Staying available for the entire shift (C) is important but not the sole factor in trust-building. Following through with promises (D) is crucial but does not address the patient's concerns or doubts directly. Clarifying doubts fosters clear communication and mutual understanding, establishing a foundation of trust.

When asked, the nurse explains that “grief work” refers to:

  • A. Establishing new methods of coping with stress
  • B. Evaluating progress made toward accepting the loss
  • C. The means by which one moves through the grief process
  • D. Actively seeking assistance to cope with the loss.
Correct Answer: C

Rationale: The correct answer is C because "grief work" refers to the psychological process of actively working through and resolving the emotions and thoughts associated with a loss. This involves facing and processing the feelings of grief rather than avoiding them, ultimately leading to acceptance and healing. Choice A is incorrect as it focuses on coping with stress, not specifically grief. Choice B is incorrect as it emphasizes evaluating progress rather than the process of grieving itself. Choice D is incorrect as it pertains to seeking assistance, which is a part of coping but not the definition of grief work.

The mother of a child describes her child's annoying behavior as not being able to sit still or to stop jerking his arms when told to. Which disorder does the nurse suspect?

  • A. Oppositional-defiant disorder
  • B. Tourette’s disorder
  • C. Oppositional-defiant disorder
  • D. What makes you think he is doing that out of defiance?
Correct Answer: B

Rationale: The correct answer is B: Tourette’s disorder. The child's inability to sit still and jerking arms suggest motor tics, which are common in Tourette's disorder. Tourette's is characterized by involuntary repetitive movements or sounds. Choice A is incorrect as oppositional-defiant disorder does not involve physical tics. Choice C is a duplicate. Choice D is incorrect as it assumes defiance rather than considering a neurological explanation for the behavior.

Which remark by one of the grief support group members would the nurse interpret as indicating unresolved feelings of guilt?

  • A. The Christmas season is always a sad time for me.
  • B. I know that my husband had a good life.
  • C. It seems I miss my son more as time goes on.
  • D. I am still wishing I had gotten help to him sooner.
Correct Answer: D

Rationale: The correct answer is D because expressing a wish for getting help sooner implies a sense of responsibility and guilt for not doing so. This indicates unresolved feelings of guilt. Choice A refers to sadness during a specific time of the year, not guilt. Choice B reflects acceptance and closure. Choice C indicates a natural progression of grief, not necessarily guilt.

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