Synopsis of Psychiatry Test Bank

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A patient returned from attending the service memorializing his wife, who died after a sudden illness. Although those around him were visibly saddened, he smiled and remained in control. He refused support from friends, stating, “I can handle anything that comes my way.” The patient’s behavior is an example of grief.

  • A. Inhibited
  • B. Distorted
  • C. Conflicted
  • D. Normal
Correct Answer: B

Rationale: The patient's behavior of smiling and remaining in control while refusing support from friends, despite attending a service memorializing his wife's death, is indicative of distorted grief. In distorted grief, individuals may show seemingly inappropriate reactions or behaviors that do not align with the typical grieving process. The patient's avoidance of accepting support and expression of excessive self-reliance in the face of a significant loss suggest a distorted way of coping with grief. In normal grief, individuals may experience a range of emotions and accept support from others as they navigate through the grieving process.

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Which person has the greatest potential for developing dysfunctional grief?

  • A. A teen who has always been one of the ‘popular kids’
  • B. A widow who regularly states, “I really loved my deceased wife”
  • C. A woman whose husband died as a result of a sudden, traumatic injury
  • D. An adult who has dealt with the loss of several family members over the
Correct Answer: D

Rationale: The person with the greatest potential for developing dysfunctional grief is an adult who has dealt with the loss of several family members over their lifetime. Losing multiple family members can create a cumulative effect, leading to unresolved grief and complicated bereavement reactions. These repeated losses can overwhelm an individual's coping mechanisms and increase the risk of developing dysfunctional grief patterns. The ongoing experience of loss and grief can make it challenging for the individual to process their emotions effectively and adjust to their new reality, potentially leading to prolonged and complicated mourning.

The treatment team was engaged in planning how group therapy could be included as a part of the structured daily activities of the unit. A new team member asked, “Why is it so important to include group therapy for the patients?” The most accurate response would be based on the assumption that:

  • A. Hidden agendas frequently surface in group sessions.
  • B. Some persons do not relate well on an individual therapy
  • C. Psychopathology has its source in disordered relationships.
  • D. Group therapy is far more cost effective for the patients.
Correct Answer: D

Rationale: Group therapy is important because psychopathology often has its roots in disordered relationships. Many mental health issues are influenced by one's interactions with others, whether it be issues with communication, trust, boundaries, or other relational dynamics. Group therapy provides a structured environment where patients can explore and work through these relational difficulties with the support and feedback of peers. By addressing these relational patterns in a group setting, patients can gain insight into their behavior and develop healthier ways of relating to others. This can be a valuable component of their overall treatment plan and can help facilitate lasting change and growth.

A nurse plans a staff education program for employees of a senior living community. Which topic has priority?

  • A. Late-onset schizophrenia
  • B. Dementia
  • C. Depression and suicide
  • D. Delirium
Correct Answer: C

Rationale: Depression and suicide are serious concerns for elderly individuals and should be prioritized in education for caregivers to ensure early identification and intervention.

A 19-year-old patient with undifferentiated schizophrenia is acutely psychotic. The nurse assesses the primary deficit as:

  • A. Social isolation
  • B. Disturbed thinking
  • C. Altered mood states
  • D. Poor impulse control
Correct Answer: B

Rationale: Acute psychosis primarily affects thought processes, evidenced by delusions or disorganized thinking.

A novice mental health nurse shares that, “I’ll never get used to playing cards or other games with patients. It seems like a poor use of scarce nursing time.” The best response for the nurse’s mentor would be:

  • A. “Perhaps you’ll want to rethink your transfer to this unit if you’re really uncomfortable.”
  • B. “Your comments make a point about scarce resources. I’ll ask the treatment team to review our position on activities.”
  • C. “Activity co-leadership puts us in a position to help patients develop social skills and support them as they take small risks.”
  • D. “Managed care has cost us activities therapists. Activities are
Correct Answer: C

Rationale: The best response for the nurse’s mentor would be to highlight the importance of activities in mental health nursing. Participating in activities such as playing cards or games with patients is not just about passing time, but it also serves a therapeutic purpose. Engaging in activities helps patients to develop social skills, build relationships, and take small risks in a safe environment. As mental health nurses, it is crucial to understand that these activities are not a waste of time but rather an essential part of the therapeutic process. By participating in activities with patients, nurses can actively support their mental well-being and contribute to their overall treatment and recovery.

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