Kaplan and Sadock's Synopsis of Psychiatry 12th Edition Test
Bank - All Chapters 2023\2024 Graded A+
Chapter 1 Chemical neurotransmission
MULTIPLE CHOICE
1. Which instructions will the nurse include? Select all that apply.
There will likely be a 30 to 45 minute wait between the injection and the
a. beginning of the scan.
A blindfold and earplugs may be used to help decrease reaction to the
b. environment during the scan.
Make every attempt to lie still during the scan because movement will affect
c. the imaging produced.
No food or fluids are to be ingested for at least 8 full hours before the scan and
d. none during the scan.
Staying awake during the scan is important since the results are altered when
e. the patient is in any phase of the sleep state.
ANS: A, B, C, E
Appropriate patient preparation for a PET scan would include information regarding
the time interval between injection of the isotope and the actual scan, the fact that
steps will be taken to minimize the effects of sights and sounds during the scan, lying
still is critical to achieving a quality image, and that being asleep during the scan will
alter the results. It is not necessary to fast before or during the scan.
2. A patient with schizophrenia is described as having difficulty with executive
functions. What patient dysfunction can the nurse expect to assess behaviorally?
Select all that apply.
a. Invades the personal space of others frequently
b. Consistently fails to bring money when going to buy snacks
c. Cannot remember the names of staff who often provide care
d. Requires repeated reinforcement on how to make a sandwich
e. Frequently speaks of hurting himself or of hurting other patients
ANS: A, B, D
Executive functions include reasoning, planning, prioritizing, sequencing behavior,
insight, flexibility, judgment, focusing on tasks, responding to social cues, and
attending in appropriate ways to incoming stimuli. Memory is not considered an
,executive function and risk for harm to self and others is not generally a diagnosis
appropriate for such a patient.
3. The unit physicians have ordered magnetic resonance imaging (MRI) tests for the
following patients. For which patients would the nurse decline to make test
arrangements without further discussion with the physician? Select all that apply.
a. A patient who is claustrophobic
b. A patient who is breastfeeding
c. A patient who has an allergy to iodine
d. A patient who had a total knee replacement
e. A patient who is taking a neuroleptic medication
ANS: A, D
Patients with claustrophobia are often unable to complete this type of study, because
the MRI machine is enclosed, and patients are required to remain motionless. Metal
implants are contraindications for MRIs since metal affects the scan. Breastfeeding,
iodine sensitivity, and neuroleptic medication therapy are not contraindications for an
MRI.
,Chapter 2 Transporters, receptors, and enzymes as targets of psychopharmacological
drug action
1. The somatic nervous system provides sensory and motor innervation for:
A) peripheral nerves.
B) abdominal viscera.
C) secretory glands.
D) smooth muscle.
ANS.A
The proteins and other materials used by the axon are synthesized and
2. then flow down the axon through its cytoplasm.
A) in the cell body
B) by Nissl bodies
C) through dendrites
, 5. Chemical synapses rely on in order to provide communication
between neurons.
A) diffusion
B) gap junctions
C) satellite cells
D) transmitter molecules
ANS.D
The blood-brain and CSF-brain barriers control the chemical environment of
6. the brain by allowing easy entrance to only a few chemicals that include:
A) oxygen.
B) protein.
C) glutamate.
D) potassium.
ANS.A
The perception of where a stimulus is in space and in relation to body parts is a
7. function of the:
A) occipital lobe.
B) parietal lobe.
C) hypothalamus.
D) prefrontal cortex.
ANS.B
The pia mater is a connective tissue sheath that covers the spinal cord and also
8. contains:
A) spinal fluid.
B) fibrocartilage.
C) blood vessels.
D) segmental nerves.
ANS.B
Bank - All Chapters 2023\2024 Graded A+
Chapter 1 Chemical neurotransmission
MULTIPLE CHOICE
1. Which instructions will the nurse include? Select all that apply.
There will likely be a 30 to 45 minute wait between the injection and the
a. beginning of the scan.
A blindfold and earplugs may be used to help decrease reaction to the
b. environment during the scan.
Make every attempt to lie still during the scan because movement will affect
c. the imaging produced.
No food or fluids are to be ingested for at least 8 full hours before the scan and
d. none during the scan.
Staying awake during the scan is important since the results are altered when
e. the patient is in any phase of the sleep state.
ANS: A, B, C, E
Appropriate patient preparation for a PET scan would include information regarding
the time interval between injection of the isotope and the actual scan, the fact that
steps will be taken to minimize the effects of sights and sounds during the scan, lying
still is critical to achieving a quality image, and that being asleep during the scan will
alter the results. It is not necessary to fast before or during the scan.
2. A patient with schizophrenia is described as having difficulty with executive
functions. What patient dysfunction can the nurse expect to assess behaviorally?
Select all that apply.
a. Invades the personal space of others frequently
b. Consistently fails to bring money when going to buy snacks
c. Cannot remember the names of staff who often provide care
d. Requires repeated reinforcement on how to make a sandwich
e. Frequently speaks of hurting himself or of hurting other patients
ANS: A, B, D
Executive functions include reasoning, planning, prioritizing, sequencing behavior,
insight, flexibility, judgment, focusing on tasks, responding to social cues, and
attending in appropriate ways to incoming stimuli. Memory is not considered an
,executive function and risk for harm to self and others is not generally a diagnosis
appropriate for such a patient.
3. The unit physicians have ordered magnetic resonance imaging (MRI) tests for the
following patients. For which patients would the nurse decline to make test
arrangements without further discussion with the physician? Select all that apply.
a. A patient who is claustrophobic
b. A patient who is breastfeeding
c. A patient who has an allergy to iodine
d. A patient who had a total knee replacement
e. A patient who is taking a neuroleptic medication
ANS: A, D
Patients with claustrophobia are often unable to complete this type of study, because
the MRI machine is enclosed, and patients are required to remain motionless. Metal
implants are contraindications for MRIs since metal affects the scan. Breastfeeding,
iodine sensitivity, and neuroleptic medication therapy are not contraindications for an
MRI.
,Chapter 2 Transporters, receptors, and enzymes as targets of psychopharmacological
drug action
1. The somatic nervous system provides sensory and motor innervation for:
A) peripheral nerves.
B) abdominal viscera.
C) secretory glands.
D) smooth muscle.
ANS.A
The proteins and other materials used by the axon are synthesized and
2. then flow down the axon through its cytoplasm.
A) in the cell body
B) by Nissl bodies
C) through dendrites
, 5. Chemical synapses rely on in order to provide communication
between neurons.
A) diffusion
B) gap junctions
C) satellite cells
D) transmitter molecules
ANS.D
The blood-brain and CSF-brain barriers control the chemical environment of
6. the brain by allowing easy entrance to only a few chemicals that include:
A) oxygen.
B) protein.
C) glutamate.
D) potassium.
ANS.A
The perception of where a stimulus is in space and in relation to body parts is a
7. function of the:
A) occipital lobe.
B) parietal lobe.
C) hypothalamus.
D) prefrontal cortex.
ANS.B
The pia mater is a connective tissue sheath that covers the spinal cord and also
8. contains:
A) spinal fluid.
B) fibrocartilage.
C) blood vessels.
D) segmental nerves.
ANS.B
