Kaplan and Sadocks Synopsis of Psychiatry 12th Edition Test

Question 1 of 5

A nurse and patient are entering the termination phase in the group experience. An important nursing intervention will be to:

A. Encourage the group to describe goals for change. B. Inquire whether the group needs more time to accomplish goals. C. Assist the group to explore alternative coping strategies for problems D. Discuss feelings about leaving the group and the support found with the group.

Correct Answer: D

Rationale: The correct answer is D because discussing feelings about leaving the group and the support found within the group is crucial during the termination phase. This allows for processing emotions, reflecting on progress, and providing closure.
Choice A focuses on future goals, not on the current phase.
Choice B addresses time constraints, not emotional support.
Choice C is about coping strategies, which may not be the priority during termination. Thus, D is the most appropriate intervention for this phase.

Question 2 of 5

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.

Question 3 of 5

Which patient behavior supports the diagnosis of residual schizophrenia with negative symptoms?

A. Communicating using only rhyming phases B. Claims that worms are crawling in my brain C. Maintaining both arms suspended awkwardly overhead D. Shows no emotion when telling the story of a sister’s recent death

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

The spouse of a patient recently diagnosed with early-stage Alzheimer's disease asks, "Is there anything I can do to help delay the progression of this disease?" Which strategy has the greatest potential for preserving the protective abilities of immune cells related to the disease?

A. Minimize contact with the public during cold and flu season. B. Enroll the patient in an exercise program that meets regularly. C. Provide supplements to enhance the patient’s immune system. D. Identify creative ways to keep the patient mentally challenged.

Correct Answer: B

Rationale: The correct answer is B: Enroll the patient in an exercise program that meets regularly. Regular exercise has been shown to have numerous benefits for brain health, including improving cognitive function and reducing the risk of cognitive decline. Exercise also helps in maintaining a healthy immune system by promoting the circulation of immune cells throughout the body. This can help support the protective abilities of immune cells related to Alzheimer's disease.

Minimizing contact with the public during cold and flu season (
Choice
A) may reduce the risk of infections but does not directly address immune cell function. Providing supplements to enhance the patient's immune system (
Choice
C) may not be supported by scientific evidence and can potentially have adverse effects. Identifying creative ways to keep the patient mentally challenged (
Choice
D) is beneficial for cognitive health but does not directly target immune cell function as effectively as regular exercise.

Question 5 of 5

The patient’s daughter was murdered while they were customers in a local bank. Which statements would support the patient’s diagnosis of posttraumatic stress disorder (PTSD)? Select all that apply:

A. “I feel numb, like a robot going through the motions of existing.” B. “I’m so nervous and jump at the slightest noise.” C. “I have not slept very well at all since I lost her.” D. “I can’t stop reliving the last time I saw her alive.”

Correct Answer: A

Rationale: The correct answer is A because feeling numb and detached from emotions is a common symptom of PTSD known as emotional numbing. This symptom is often seen in individuals who have experienced a traumatic event, such as the murder of a loved one. It is a defense mechanism that helps the person cope with overwhelming emotions.

The other choices are incorrect:
B: Being nervous and easily startled (hypervigilance) is more indicative of the hyperarousal symptom of PTSD, not emotional numbing.
C: Difficulty sleeping is a common symptom of PTSD, known as insomnia, but it does not directly relate to emotional numbing.
D: Reliving the traumatic event through flashbacks or intrusive memories is a symptom of PTSD, but it is not directly related to emotional numbing.

Kaplan and Sadocks Synopsis of Psychiatry 12th Edition Test Bank -Nurselytic

Nurselytic

ATI RN

ATI RN