Synopsis of Psychiatry Test Bank

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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.

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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. What is the nurse’s next action?

  • A. Continue the current plan without changes.
  • B. Remove this nursing diagnosis from the plan of care.
  • C. Write a new nursing diagnosis that better reflects the problem.
  • D. Examine interventions for possible revision of the target date.
Correct Answer: D

Rationale: When goals are partially met, the plan of care should be re-evaluated, and adjustments should be made to interventions or timelines.

Which response is appropriate when a patient’s mother expresses guilt over causing my child to be schizophrenic?

  • A. I can see how you would be upset over this turn of events
  • B. New findings suggest this disorder is biological in nature.
  • C. Don’t be so hard on yourself; your daughter needs you to be strong
  • D. It’s difficult to see what produces stress for the child at the time it’s occurring.
Correct Answer: B

Rationale: Schizophrenia is primarily linked to biological factors, including genetic predispositions, neurochemical imbalances, and brain structure abnormalities. This response helps dispel guilt and provides reassurance to the mother.

For which patient is the nurse most likely to need to schedule a pre-ECT workup and teaching?

  • A. Patient A, who is newly diagnosed with dysthymic disorder
  • B. Patient B, who has melancholic depression that responded well to ECT 2 years ago
  • C. Patient C, who was unresponsive to a 6-week trial of SSRI antidepressant therapy
  • D. Patient D, who has depression associated with diagnosis of inoperable
Correct Answer: D

Rationale: The nurse is most likely to need to schedule a pre-electroconvulsive therapy (ECT) workup and teaching for Patient D, who has depression associated with the diagnosis of an inoperable brain tumor. In such cases, ECT may be considered as a treatment option due to the severity of the depression and the limitations in using other treatments. Before ECT can be initiated in a patient with such complex medical conditions, it is crucial to conduct a thorough evaluation and preparation process, which includes obtaining informed consent, assessing the patient's medical history, conducting pre-ECT laboratory tests, and providing patient and family education about the procedure. Given the unique circumstances of Patient D's inoperable brain tumor, the nurse must ensure all necessary steps are taken to ensure the safety and efficacy of ECT as a treatment option.

Which complaint is representative of anxiety in a 6-year-old child?

  • A. I worry that my dad will get hurt at work.
  • B. I get a stomach ache when it's my weekend at my dad's house.
  • C. I can't sleep when I stay at Grandma's because I worry about my mom.
  • D. I'm not going to sports camp because I don't like being away from my friends.
Correct Answer: B

Rationale: Children often express anxiety through physical complaints like stomachaches, especially in situations that cause distress or discomfort, such as visiting a noncustodial parent.

Which nursing diagnosis is appropriate for a patient who insists on being called "Your Highness" and demonstrates loosely associated thoughts?

  • A. Risk for violence
  • B. Defensive coping
  • C. Impaired memory
  • D. Disturbed thought processes
Correct Answer: D

Rationale: nsisting on being called "Your Highness" and demonstrating loose associations suggests a disturbance in thought processing typical of schizophrenia.

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