ATI RN
Kaplan and Sadocks Synopsis of Psychiatry 12th Edition Test Bank Questions
Question 1 of 5
An adult patient shares that, When my mother died when we were children, I never saw my father show any emotion. What do you think will happen with those unexpressed feelings? Which response is most appropriate?
Correct Answer: A
Rationale: Step 1: Pent-up emotions are emotions that are suppressed or not expressed. Step 2: Unexpressed feelings, especially from past traumatic events, can lead to emotional distress. Step 3: Long-term suppression can manifest as depression or other mental health disorders. Step 4: Therefore, choice A is the most appropriate response as it highlights the potential negative consequences of unexpressed emotions. Summary: - Choice B assumes the father has processed his grief, which may not be the case. - Choice C oversimplifies the complexity of emotional expression and may not address the root issue. - Choice D jumps to an extreme outcome without considering the range of possible consequences.
Question 2 of 5
A patient begins a new program to assist with building social skills. In which part of the plan of care should a nurse record the item, Encourage patient to attend one psychoeducational group daily?
Correct Answer: B
Rationale: The correct answer is B: Implementation. In the nursing process, implementation involves putting the plan of care into action. Encouraging the patient to attend a psychoeducational group daily is an action that is carried out as part of the plan to build social skills. This step focuses on executing interventions to achieve the desired outcomes. In contrast, assessment (A) involves collecting data, analysis (C) involves interpreting data, and evaluation (D) involves determining the effectiveness of interventions. Therefore, the correct placement for recording this item is in the implementation phase.
Question 3 of 5
Which action will best facilitate the development of trust between a nurse and patient?
Correct Answer: B
Rationale: The correct answer is B, clarifying with the patient whenever there is doubt. This action shows active listening, respect, and a willingness to understand the patient's needs. By seeking clarification, the nurse demonstrates genuine interest in the patient's perspective, which helps build trust. Responding positively to demands (A) may not always be appropriate or feasible. Staying available for the entire shift (C) is important but not the sole factor in trust-building. Following through with promises (D) is crucial but does not address the patient's concerns or doubts directly. Clarifying doubts fosters clear communication and mutual understanding, establishing a foundation of trust.
Question 4 of 5
Which statement by a 16-year-old is considered as positive evidence that the family’s involvement in therapy is moving them towards effective functioning?
Correct Answer: D
Rationale: The correct answer is D because it shows positive evidence of improved family dynamics through increased communication and awareness of each other's needs. Eating dinner together signifies a commitment to spending quality time and fostering connections. Choice A indicates a lack of interference but not necessarily improved functioning. Choice B suggests withdrawal from activities, which may not be positive. Choice C implies a sacrifice that may not directly lead to effective functioning.
Question 5 of 5
A nurse and patient are entering the termination phase in the group experience. An important nursing intervention will be to:
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.