Kaplan and Sadocks Synopsis of Psychiatry Test Bank

Kaplan and Sadocks Synopsis of Psychiatry Test Bank Related

Review Kaplan and Sadocks Synopsis of Psychiatry Test Bank related questions and content

A teenage boy has lost his best friend as a result of a hunting accident. His parents report that he is eating and sleeping very little and expresses little interest in school. They are concerned that he talks about the accident repeatedly. These behaviors are generally seen as:

  • A. Expressing responsibility for his friends death
  • B. Attempts to avoid dealing with his pain
  • C. Expressions of a normal grief reaction
  • D. Indications of a risk for self-harm
Correct Answer: C

Rationale: The correct answer is C: Expressions of a normal grief reaction. The teenage boy's behaviors of poor appetite, insomnia, lack of interest in school, and repetitive discussions about the accident are common manifestations of grief. This grief reaction is a normal response to losing a close friend in a traumatic manner like a hunting accident. It is important to acknowledge and validate his emotions during this difficult time.

Incorrect Choices:
A: Expressing responsibility for his friend's death - This choice suggests guilt or blame on the part of the boy, which is not evident in the scenario.
B: Attempts to avoid dealing with his pain - The boy's behaviors indicate he is processing his grief rather than avoiding it.
D: Indications of a risk for self-harm - While it is important to monitor for signs of self-harm, the behaviors described are more indicative of grief rather than immediate self-harm risk.

You may also like to solve these questions

Which intervention best reflects the nursing role regarding effective implementation of behavioral therapy goals?

  • A. Administering the prescribed medications accurately
  • B. Interacting effectively with members of the health care team
  • C. Being aware of all the patient related therapeutic modalities
  • D. Evaluating patient behaviors to reward economic tokens appropriately
Correct Answer: D

Rationale: The correct answer is D because evaluating patient behaviors to reward economic tokens appropriately is a key aspect of behavioral therapy. By assessing and reinforcing positive behaviors with rewards, nurses can encourage patients to continue working towards their therapy goals. Administering medications accurately (choice A) is important but not directly related to behavioral therapy goals. Interacting effectively with the health care team (choice B) is important for overall patient care but does not specifically address behavioral therapy. Being aware of therapeutic modalities (choice C) is important but does not directly contribute to implementing behavioral therapy goals like choice D does.

About an hour after the patient has ECT, he complains of having a headache. The nurse should:

  • A. Notify the physician stat.
  • B. Administer an as needed (prn) dose of acetaminophen.
  • C. Take the patient through a progressive relaxation sequence.
  • D. Advise going to activities to expend energy and relieve tension.
Correct Answer: B

Rationale: The correct answer is B: Administer an as needed (prn) dose of acetaminophen. After ECT, it is common for patients to experience headaches as a side effect. Administering acetaminophen will help alleviate the headache and provide relief for the patient. It is important to address the patient's discomfort promptly and effectively.

Choice A is incorrect because headaches after ECT are a common side effect and do not typically require immediate physician notification. Choice C is incorrect as progressive relaxation may not address the immediate headache symptoms. Choice D is also incorrect as physical activities may exacerbate the headache rather than provide relief. Administering acetaminophen is the most appropriate and efficient intervention in this situation.

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.

An 85-year-old has difficulty walking after a knee replacement. The patient tells the nurse, “It’s awful to be old. Every day is a struggle. No one cares about old people.” Select the nurse’s best response.

  • B. It sounds like you’re having a difficult time. Tell me about it.
  • C. Let’s not focus on the negative. Tell me something good.
  • D. You are still able to get around, and your mind is alert.
Correct Answer: B

Rationale: The correct answer is B because it shows empathy and active listening. By encouraging the patient to share their feelings, the nurse validates their emotions and builds a therapeutic relationship. This approach helps the nurse understand the patient's perspective and provides an opportunity for emotional support.

Choice A does not actively invite the patient to share their feelings and may come off as dismissive. Choice C ignores the patient's emotional distress and may seem invalidating. Choice D, while positive, fails to address the patient's emotional concerns and misses an opportunity for meaningful communication.

A grief support group is held at the local community center to assist persons who are dealing with issues of loss. Which remark by one of the members would the nurse interpret as indicating unresolved feelings of guilt?

  • A. “I know that my husband had a good life.”
  • B. “It seems I miss my son more as time goes on.”
  • C. “I am still wishing I had gotten help to him sooner.”
  • D. "The holidays are always so hard for me now."
Correct Answer: C

Rationale: The correct answer is C because the statement indicates feelings of guilt about not getting help sooner, suggesting the member may blame themselves for the loss. This remark reflects a sense of responsibility and regret, common in unresolved guilt. Choice A expresses acceptance, B reflects natural grief progression, and D highlights difficulty during specific times, not necessarily linked to guilt. By analyzing the content of each statement, the nurse can identify cues related to unresolved feelings of guilt.

Copyright © 2025 Nokea. All rights reserved.