ATI RN
Kaplan and Sadocks Synopsis of Psychiatry 12th Edition Test Bank Questions
Question 1 of 5
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?
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.
Question 2 of 5
The nurse determines that a patient is showing a decline in explicit memory. Which characterizes such a deficiency?
Correct Answer: B
Rationale: The correct answer is B because difficulty remembering the name of a place visited 20 years ago is a specific example of explicit memory decline. Explicit memory refers to the ability to consciously recall past events, facts, or experiences. This choice directly relates to a long-term memory retrieval issue, which is a hallmark of explicit memory decline.
Choices A, C, and D do not specifically address explicit memory decline but rather touch on different memory processes such as procedural memory (
A), short-term memory (
C), and semantic memory (
D).
Question 3 of 5
Which patient behavior supports the diagnosis of residual schizophrenia with negative symptoms?
Correct Answer: D
Rationale: The correct answer is D because showing no emotion when discussing a personal tragedy is indicative of blunted affect, a negative symptom commonly seen in residual schizophrenia. This behavior aligns with the diagnostic criteria for residual schizophrenia, which includes the presence of negative symptoms like flat affect.
Choices A, B, and C do not directly relate to negative symptoms of schizophrenia. A communicating style or claims about worms do not specifically indicate negative symptoms, and maintaining arms awkwardly overhead is not a typical symptom of residual schizophrenia.
Question 4 of 5
A health care provider writes these new prescriptions for a resident in a skilled nursing facility: 2 G sodium diet, Restraint as needed, Limit fluids to 1800 mL daily, Continue antihypertensive medication, Milk of magnesia 30 mL PO once if no bowel movement for 3 days. The nurse should:
Correct Answer: A
Rationale:
Step 1: Fluid restriction of 1800 mL may not be appropriate for all residents in a skilled nursing facility.
Step 2: Excessive fluid restriction can lead to dehydration, especially in elderly residents.
Step 3: It is crucial for the nurse to question the fluid restriction to ensure it is safe for the resident.
Therefore, the correct answer is A.
Summary:
- Option A is correct as questioning the fluid restriction is essential for the resident's safety.
- Option B is incorrect as restraining a resident should only be used as a last resort and should be questioned if not necessary.
- Option C is incorrect as blindly transcribing without assessing appropriateness can be harmful.
- Option D is incorrect as assessing bowel elimination is important but addressing the fluid restriction is more urgent in this scenario.
Question 5 of 5
Which behavior best supports the diagnosis of attention-deficit/hyperactivity disorder in an 8-year-old child?
Correct Answer: D
Rationale: The correct answer is D because the inability to concentrate for extended periods is a key characteristic of ADHD. This behavior aligns with the inattention aspect of the disorder.
Choice A is incorrect as separation anxiety does not directly relate to ADHD.
Choice B could indicate oppositional behavior rather than ADHD.
Choice C suggests sensory-seeking behavior, which is not a defining feature of ADHD.