ATI RN
Kaplan and Sadocks Synopsis of Psychiatry 12th Edition Test Bank Questions
Question 1 of 9
The nurse determines that the most effective point of intervention for bereavement is:
Correct Answer: C
Rationale: The correct answer is C because intervening immediately after the loss has occurred allows for timely support and processing of emotions. This is crucial for healthy grieving and preventing complications. Choice A is too broad and not specific to the immediate need post-loss. Choice B focuses on pre-loss, which is not the most effective time for intervention. Choice D puts the responsibility on the patient, which may delay necessary support.
Question 2 of 9
A community health nurse visits an elderly person whose spouse died 6 months ago. Two vodka bottles are in the trash. When the nurse asks about alcohol use, this person says, “I get lonely and drink a little to help me forget.” Select the nurse’s most therapeutic intervention.
Correct Answer: B
Rationale: The correct answer is B: Teach the person about risks for alcoholism and suggest other coping strategies. This intervention is the most therapeutic because it addresses the underlying issue of using alcohol as a coping mechanism for loneliness and grief. By educating the person about the risks of alcoholism, the nurse can help the individual understand the potential harm of their current coping strategy. Additionally, suggesting alternative coping strategies can provide healthier ways to deal with loneliness and grief, ultimately promoting better overall well-being. Choice A is incorrect because while assessing drinking and driving is important, it does not directly address the underlying emotional reasons for the alcohol use. Choice C is incorrect as it focuses on the risks of injury rather than addressing the emotional aspects of the person's drinking behavior. Choice D is incorrect as it jumps to a specific intervention without first addressing the person's understanding of their alcohol use and providing alternative coping strategies.
Question 3 of 9
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 4 of 9
The highest priority for assessment by nurses caring for older adults who self-administer medications is:
Correct Answer: A
Rationale: The correct answer is A: Use of multiple drugs with anticholinergic effects. This is the highest priority as anticholinergic medications can have severe side effects in older adults, including confusion, constipation, and increased risk of falls. Nurses need to assess for potential harm caused by these medications. Choice B (Overuse of medications for erectile dysfunction) is not the highest priority as it may not pose an immediate threat to the health and safety of older adults compared to anticholinergic effects. Choice C (Missed doses of medications for arthritis) is important but not as critical as assessing for the potential harm caused by anticholinergic medications. Choice D (Trading medications with acquaintances) is concerning but not as urgent as assessing for the harmful effects of anticholinergic medications, which can lead to serious health complications.
Question 5 of 9
Which assessment observation supports a patient’s diagnosis of disorganized schizophrenia?
Correct Answer: C
Rationale: The correct answer is C because consistent inappropriate laughing is a characteristic symptom of disorganized schizophrenia. This observation aligns with the disorganized behavior and affect commonly seen in this subtype of schizophrenia. Option A is not specific to disorganized schizophrenia. Option B does not directly relate to disorganized symptoms. Option D suggests paranoia, which is more indicative of paranoid schizophrenia rather than disorganized schizophrenia.
Question 6 of 9
When asked, the nurse explains that “grief work” refers to:
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 7 of 9
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 8 of 9
A nurse plans care based upon the fact that anticipatory grief:
Correct Answer: A
Rationale: The correct answer is A because anticipatory grief allows individuals to gradually accept the impending loss, leading to fewer feelings of guilt. This process helps the individual prepare emotionally and psychologically for the eventual loss, reducing guilt related to not being able to prevent it. Choice B is incorrect because anticipatory grief does not prevent symptoms of depression, but rather helps individuals cope with them. Choice C is incorrect as anticipatory grief does not necessarily require a longer period of time for resolution; it varies for each individual. Choice D is incorrect, as mentioned earlier, because anticipatory grief does not prevent symptoms of depression but helps individuals navigate through them.
Question 9 of 9
To effectively plan care for a patient, the nurse will understand that activity and adjunct therapies may be more useful in some situations than verbal therapies because adjunct therapies: a. Are readily available in the treatment setting
Correct Answer: C
Rationale: The correct answer is C because adjunct therapies provide the patient with the opportunity to use ego-protective mechanisms, such as denial or displacement, which can help them cope with difficult emotions or situations more effectively. This is important in situations where verbal therapies may not be as effective in reaching the patient's underlying emotional needs. Choice A is incorrect because adjunct therapies may require specific training or expertise to facilitate effectively. Choice B is incorrect because while adjunct therapies can allow for expression of feelings, they do not necessarily do so on multiple levels simultaneously. Choice D is also incorrect because the availability of adjunct therapies in the treatment setting does not necessarily make them more useful than verbal therapies.