Kaplan and Sadock’s Synopsis of
m m m m
Psychiatry 11th Edition Sadock Test Bank T
m m m m m m
est
Chapterm1:mNeuralmSciencesm
Test mBankmMULTIPLEmCHOICE
1. Ampatientmwithmdepressionmmentionsmtomthemnurse,mMymmother msaysmdepressionmismamchem
icalmdisorder.mWhatmdoesmshemmean?mThemnursesmresponsemismbasedmonmthemtheorymthatmdepr
essionmprimarilyminvolvesmwhichmofmthemfollowing mneurotransmitters?
1. CortisolmandmGABA
2. COMTmandmglutamate
3. Monaminemandmglycine
4. Serotoninmandmnorepinephrine
2. Ampatientmhasmexperiencedmamstrokem(cerebral mvascular maccident)mthatmhasmresulte
dminmdamagemtomthemBrocamarea.mWhichmevaluationmdoesmthemnursemconductmtomreinfo
rcemthismdiagnosis?
1. Observing mthempatientmpickmupmamspoon
2. Asking mthempatientmtomrecitemthemalphabet
3. Monitoring mthempatientsmbloodmpressure
4. Comparing mthempatientsmgripmstrengthminmbothmhands
3. Thempatientmdiagnosedmwithmschizophrenia masksmwhympsychotropicmmedicationsmaremalway
smprescribedmbymthemdoctor.mThemnursesmanswer mwillmbembasedmonminformationmthatmthemthera
peuticmactionmofmpsychotropicmdrugsmismthemresultmofmtheirmeffectmon:
1. Themtemporalmlobe;mespeciallymWernickesmarea
2. Dendritesmandmtheir mabilitymtomtransmitmelectrical mimpulses
3. Themregulationmofmneurotransmittersmespeciallymdopamine
4. Themperipheral mnervousmsystemmsensitivitymtomthempsychotropicmmedications
4. Amstudentmnursemmuttersmthatmitmseemsmentirelymunnecessarymtomhavemtomstrugglemwithmun
derstanding mthemanatomymandmphysiologymofmthemneurologicmsystem.mThemmentormwouldmbasem
amresponsemonmthemunderstanding mthatmitmis:
1. Necessarymbutmgenerallymformpsychiatricmnursesmwhomfocusmprimarilymonmbehavio
ralminterventions
,1. Amcomplexmundertaking mthatmadvancempracticempsychiatricmnursesmfrequentlymuseminmth
eirmpractice
1. Importantmprimarilymformthemnursing massessmentmofmpatientsmwithmbrainmtraumacaus
edmcognitivemsymptoms
1. Necessarymformplanning mpsychiatricmcaremformallmpatientsmespeciallymthosemexperienc
ingmpsychiatricmdisorders
5. Ampatientmasksmthemnurse,mMymwifemhasmbreastmcancer.mCouldmitmbemcausedmbymhermchr
onicmdepression?mWhichmresponsemismsupportedmbymresearchmdata?m1.mToommuchmstressmh
asmbeenmprovenmtomcausemallmkindsmofmcancer.
2. Theremhavembeenmnomresearchmstudiesmdonemonmstressmandmdiseasemyet.
3. Stressmdoesmcausemthemreleasemofmfactorsmthatmsuppressmthemimmunemsystem.
4. Theremappearsmtombemlittlemconnectionmbetweenmstressmandmdiseasesmofmthembody
6. Ampatientmwhomhasmamparietalmlobeminjurymismbeing mevaluatedmformpsychiatricmrehabilitat
ionmneeds.
Ofmthemaspectsmofmfunctioning mlisted,mwhichmwillmthemnursemidentifymasmamfocusmofmnursing minterv
ention?
1. Expressionmofmemotion
2. Detecting mauditorymstimuli
3. Receiving mvisualmimages
4. Processing massociations
7. Atmadmission,mthemnursemlearnsmthatmsomemtimemagomthempatientmhadmanminfarctminmthemr
ightmcerebralmcortex.mDuring massessment,mthemnursemwouldmexpectmtomfindmthatmthempatient
:
1. Demonstratesmmajormdeficienciesminmspeech
2. Ismunablemtomeffectivelymholdmamspoonminmthemleftmhand
3. Hasmdifficultymexplaining mhowmtomgomaboutmusing mthemtelephone
8. Ampatientmwithmchronicmschizophrenia mhadmamstrokeminvolving mthemhippocampus.mThem
patientmwillmbemdischargedmonmlowmdosesmofmhaloperidol.mThemnursemwillmneedmtomindividua
lizemthempatientsmmedicationmteaching mby:
1. Including mthempatientsmcaregiver minmthemeducation
2. Being mcarefulmtomstressmthemimportancemofmtaking mthemmedicationmasmprescribedm3.
Providing mthemeducationmatmamtimemwhenmthempatientmismemotionallymcal
mmandmrelaxed
1. Encouraging mthempatientmtomcrushmormdissolvemthemmedicationmtomhelpmw
ithmswallowing
,9. Themphysicianmtellsmthemnurse,mThemmedicationmImmprescribing mformthempatientmenhancesm
themgaminobutyricmacidm(GABA)msystem.mWhichmpatientmbehavior mwillmprovidemevidencemthat
m them medicationm therapym ism successful?
1. Thempatientmismactivelyminvolvedminmplaying mcardsmwithmother mpatients.
2. Thempatientmreportsmthat,mImdontmfeelmasmanxiousmasmImdidmamcouplemofmdaysmago.
3. Thempatientmreportsmthatmbothmauditorymandmvisualmhallucinationsmhavemdecreased.
4. Thempatientmsaysmthat,mImammmuchmhappier mthanmbeforemImcamemtomthemhospital.
10. Thempatientsmfamilymasksmwhether mamdiagnosismofmParkinsonsmdiseasemcreatesmanmincrease
dmriskmformanymmentalmhealthmissues.mWhatmquestionmwouldmthemnursemaskmtomassessmformsuch
m a m comorbidm condition?
1. Hasmyourmfather mexhibitedmanymsignsmofmdepression?
2. Doesmyourmfather mseemmtomexperiencemmoodmswings?
3. Havemyoumnoticedmyourmfather mtalking maboutmseeing mthingsmyoumcantmsee?
4. Ismyourmdadmpreoccupiedmwithmbehaviorsmthatmhemneedsmtomrepeatmover mandmover?
11. Whichmexplanationmformthemprescriptionmofmdonepezilm(Aricept)mwouldmthemnursemprovidemf
ormampatientminmthemearlymstagemofmAlzheimersmdisease?
1. ItmwillmincreasemthemmetabolismmofmexcessmGABA.
2. Excessmdopaminemwillmbempreventedmfrommattaching mtomreceptor msites.
3. Serotoninmdeficiencymwillmbemmanagedmthroughmamprolongedmreuptakemperiod.
4. Themacetylcholinemdeficiencymwillmbemmanagedmbyminhibiting mcholinesterase.
12. Theremremainsmamstigmamattachedmtompsychiatricmillnesses.mThempsychiatricmnursemmakesm
themgreatestmimpactmonmthismsociological mproblemmwhen:
1. Providing meducational mprogramming mformpatientsmandmthempublic
2. Arranging mformadequatemandmappropriatemsocialmsupportmformthempatient
3. Assisting mthempatientmtomachievemthemmaximummlevelmofmindependentmfunctioning m4.
Regularlympraising mthempatientmformseeking mandmcomplying mwithmappropr
iatemtreatment
13. Themwifemofmampatientmwithmparanoidmschizophrenia mtellsmthemnurse,mIvemlearnedmthatmmym
husbandmhasmseveralmclosemrelativesmwithmthemsamemdisorder.mDoesmthismproblemmrunminmfamili
es?mThemresponsembasedmonmrecentmdiscoveriesminmthemfieldmofmgeneticsmwouldmbe:
1. Yourmchildrenmshouldmbemmonitoredmcloselymformthemdisorder.
2. Researchmtendsmtomsupportmamfamiliar mtendencymtomschizophrenia.
3. Theremismnomconcretemevidence;mitmismjustmasmlikelymamcoincidence.
4. Onlymbipolar mdisorder mhasmbeenmidentifiedmtomhavemamgeneticmcomponent.
14. Ampatientmwhosemsymptomsmofmmildmdepressionmhavembeenmmanagedmwithmantidepressant
smismconcernedmaboutmthemaffectmofmaccepting mampromotionmthatmwillmrequiremworking mthemnig
htmshift.mWhatmwillmbemthembasismofmthemresponsemthemnursemgivesmtomaddressmthempatientsmcon
cern?
, 1. Themconnectionmbetweenmamnewmjobmandmpossiblemdepressionmdoesmexist.
2. Themmedicationmcanmbemadjustedmtommanagemanymincreaseminmdepression.
3. Theminterruptionminmnormalmwake-
sleepmpatternsmcanminfluencemmoodmdisorders.m4.mThemchangeminmsleepmroutinemcanmb
emmanagedmwithmamhealthymsleepmhygienemroutine.
15. Themnursemismdiscouragedmbecausemthempatientmexhibiting mnegativemsymptomsmofmsc
hizophreniamhasmshownmnomimprovementmwithmthemplannedminterventionsmtomreducemth
emsymptoms.mThemmentorsmremarkmthatmhelpsmplacemthemproblemminmperspectivemis:
1. Youmarentmresponsiblemformthembehavior mofmanymother mperson.
2. Patientsmcanmbemperversemandmcling mtomsymptomsmdespitemourmefforts.
3. Negativemsymptomsmhavembeenmassociatedmwithmgeneticmpathology.
4. Itmwillmtakemseveralmtrailmandmerror mattemptsmtomgetmthemrightmcombinationmcare.
MULTIPLEmRESPONSE
1. Whatmassessmentmdatamwouldmreinforcemthemdiagnosismofmtemporalmlobeminjuryminmpati
entmwhomexperiencedmheadmtrauma?mSelectmallmthatmapply.
1. Inabilitymtombalancemamcheckbook
2. Uncharacteristicallymaggressive
3. Affectmfluctuatesmdramatically
4. Increasedminterestminmsexualmbehaviors
5. Difficultymremembering mthemnamesmofmfamilymmembers
2. Ampatientmhasmbegunmexperiencing mdysfunctionmofmthemhypothalamus.mWhatmnursi
ngminterventionsmwillmthemnursemincludeminmthempatientsmplanmofmcare?mSelectmallmthat
m apply.
1. Reinforcing mclear mphysicalmboundaries
2. Assisting mthempatientmwithmcompleting mdailymmenus
3. Learning maboutmhealthymsleepmhygienemhabits
4. Monitoring mandmrecording mtemperaturemeverym4mhours
5. Monitoring mandmrecording mbloodmpressuremeverym4mhours
3. Themnursemismpreparing mampatientmformampositronmemissionmtomographym(PET)mscan.mW
hichminstructionsmwillmthemnurseminclude?mSelectmallmthatmapply.
1.
Theremwillmlikelymbemam30mtom45mminutemwaitmbetweenmtheminjectionmandmthembegin
ning mofmthemscan.
1.
Amblindfoldmandmearplugsmmaymbemusedmtomhelpmdecreasemreactionmtomthemenvironm
entmduring mthemscan.
1.
Makemeverymattemptmtomliemstillmduring mthemscanmbecausemmovementmwillmaffectm
themimaging mproduced.
1.m Nomfoodmormfluidsmaremtombemingestedmformatmleastm8mfullmhoursmbeforemthemscanmandmnonemd
uring mthemscan.
1.
Staying mawakemduring mthemscanmismimportantmsincemthemresultsmaremalteredmwhenm
m m m m
Psychiatry 11th Edition Sadock Test Bank T
m m m m m m
est
Chapterm1:mNeuralmSciencesm
Test mBankmMULTIPLEmCHOICE
1. Ampatientmwithmdepressionmmentionsmtomthemnurse,mMymmother msaysmdepressionmismamchem
icalmdisorder.mWhatmdoesmshemmean?mThemnursesmresponsemismbasedmonmthemtheorymthatmdepr
essionmprimarilyminvolvesmwhichmofmthemfollowing mneurotransmitters?
1. CortisolmandmGABA
2. COMTmandmglutamate
3. Monaminemandmglycine
4. Serotoninmandmnorepinephrine
2. Ampatientmhasmexperiencedmamstrokem(cerebral mvascular maccident)mthatmhasmresulte
dminmdamagemtomthemBrocamarea.mWhichmevaluationmdoesmthemnursemconductmtomreinfo
rcemthismdiagnosis?
1. Observing mthempatientmpickmupmamspoon
2. Asking mthempatientmtomrecitemthemalphabet
3. Monitoring mthempatientsmbloodmpressure
4. Comparing mthempatientsmgripmstrengthminmbothmhands
3. Thempatientmdiagnosedmwithmschizophrenia masksmwhympsychotropicmmedicationsmaremalway
smprescribedmbymthemdoctor.mThemnursesmanswer mwillmbembasedmonminformationmthatmthemthera
peuticmactionmofmpsychotropicmdrugsmismthemresultmofmtheirmeffectmon:
1. Themtemporalmlobe;mespeciallymWernickesmarea
2. Dendritesmandmtheir mabilitymtomtransmitmelectrical mimpulses
3. Themregulationmofmneurotransmittersmespeciallymdopamine
4. Themperipheral mnervousmsystemmsensitivitymtomthempsychotropicmmedications
4. Amstudentmnursemmuttersmthatmitmseemsmentirelymunnecessarymtomhavemtomstrugglemwithmun
derstanding mthemanatomymandmphysiologymofmthemneurologicmsystem.mThemmentormwouldmbasem
amresponsemonmthemunderstanding mthatmitmis:
1. Necessarymbutmgenerallymformpsychiatricmnursesmwhomfocusmprimarilymonmbehavio
ralminterventions
,1. Amcomplexmundertaking mthatmadvancempracticempsychiatricmnursesmfrequentlymuseminmth
eirmpractice
1. Importantmprimarilymformthemnursing massessmentmofmpatientsmwithmbrainmtraumacaus
edmcognitivemsymptoms
1. Necessarymformplanning mpsychiatricmcaremformallmpatientsmespeciallymthosemexperienc
ingmpsychiatricmdisorders
5. Ampatientmasksmthemnurse,mMymwifemhasmbreastmcancer.mCouldmitmbemcausedmbymhermchr
onicmdepression?mWhichmresponsemismsupportedmbymresearchmdata?m1.mToommuchmstressmh
asmbeenmprovenmtomcausemallmkindsmofmcancer.
2. Theremhavembeenmnomresearchmstudiesmdonemonmstressmandmdiseasemyet.
3. Stressmdoesmcausemthemreleasemofmfactorsmthatmsuppressmthemimmunemsystem.
4. Theremappearsmtombemlittlemconnectionmbetweenmstressmandmdiseasesmofmthembody
6. Ampatientmwhomhasmamparietalmlobeminjurymismbeing mevaluatedmformpsychiatricmrehabilitat
ionmneeds.
Ofmthemaspectsmofmfunctioning mlisted,mwhichmwillmthemnursemidentifymasmamfocusmofmnursing minterv
ention?
1. Expressionmofmemotion
2. Detecting mauditorymstimuli
3. Receiving mvisualmimages
4. Processing massociations
7. Atmadmission,mthemnursemlearnsmthatmsomemtimemagomthempatientmhadmanminfarctminmthemr
ightmcerebralmcortex.mDuring massessment,mthemnursemwouldmexpectmtomfindmthatmthempatient
:
1. Demonstratesmmajormdeficienciesminmspeech
2. Ismunablemtomeffectivelymholdmamspoonminmthemleftmhand
3. Hasmdifficultymexplaining mhowmtomgomaboutmusing mthemtelephone
8. Ampatientmwithmchronicmschizophrenia mhadmamstrokeminvolving mthemhippocampus.mThem
patientmwillmbemdischargedmonmlowmdosesmofmhaloperidol.mThemnursemwillmneedmtomindividua
lizemthempatientsmmedicationmteaching mby:
1. Including mthempatientsmcaregiver minmthemeducation
2. Being mcarefulmtomstressmthemimportancemofmtaking mthemmedicationmasmprescribedm3.
Providing mthemeducationmatmamtimemwhenmthempatientmismemotionallymcal
mmandmrelaxed
1. Encouraging mthempatientmtomcrushmormdissolvemthemmedicationmtomhelpmw
ithmswallowing
,9. Themphysicianmtellsmthemnurse,mThemmedicationmImmprescribing mformthempatientmenhancesm
themgaminobutyricmacidm(GABA)msystem.mWhichmpatientmbehavior mwillmprovidemevidencemthat
m them medicationm therapym ism successful?
1. Thempatientmismactivelyminvolvedminmplaying mcardsmwithmother mpatients.
2. Thempatientmreportsmthat,mImdontmfeelmasmanxiousmasmImdidmamcouplemofmdaysmago.
3. Thempatientmreportsmthatmbothmauditorymandmvisualmhallucinationsmhavemdecreased.
4. Thempatientmsaysmthat,mImammmuchmhappier mthanmbeforemImcamemtomthemhospital.
10. Thempatientsmfamilymasksmwhether mamdiagnosismofmParkinsonsmdiseasemcreatesmanmincrease
dmriskmformanymmentalmhealthmissues.mWhatmquestionmwouldmthemnursemaskmtomassessmformsuch
m a m comorbidm condition?
1. Hasmyourmfather mexhibitedmanymsignsmofmdepression?
2. Doesmyourmfather mseemmtomexperiencemmoodmswings?
3. Havemyoumnoticedmyourmfather mtalking maboutmseeing mthingsmyoumcantmsee?
4. Ismyourmdadmpreoccupiedmwithmbehaviorsmthatmhemneedsmtomrepeatmover mandmover?
11. Whichmexplanationmformthemprescriptionmofmdonepezilm(Aricept)mwouldmthemnursemprovidemf
ormampatientminmthemearlymstagemofmAlzheimersmdisease?
1. ItmwillmincreasemthemmetabolismmofmexcessmGABA.
2. Excessmdopaminemwillmbempreventedmfrommattaching mtomreceptor msites.
3. Serotoninmdeficiencymwillmbemmanagedmthroughmamprolongedmreuptakemperiod.
4. Themacetylcholinemdeficiencymwillmbemmanagedmbyminhibiting mcholinesterase.
12. Theremremainsmamstigmamattachedmtompsychiatricmillnesses.mThempsychiatricmnursemmakesm
themgreatestmimpactmonmthismsociological mproblemmwhen:
1. Providing meducational mprogramming mformpatientsmandmthempublic
2. Arranging mformadequatemandmappropriatemsocialmsupportmformthempatient
3. Assisting mthempatientmtomachievemthemmaximummlevelmofmindependentmfunctioning m4.
Regularlympraising mthempatientmformseeking mandmcomplying mwithmappropr
iatemtreatment
13. Themwifemofmampatientmwithmparanoidmschizophrenia mtellsmthemnurse,mIvemlearnedmthatmmym
husbandmhasmseveralmclosemrelativesmwithmthemsamemdisorder.mDoesmthismproblemmrunminmfamili
es?mThemresponsembasedmonmrecentmdiscoveriesminmthemfieldmofmgeneticsmwouldmbe:
1. Yourmchildrenmshouldmbemmonitoredmcloselymformthemdisorder.
2. Researchmtendsmtomsupportmamfamiliar mtendencymtomschizophrenia.
3. Theremismnomconcretemevidence;mitmismjustmasmlikelymamcoincidence.
4. Onlymbipolar mdisorder mhasmbeenmidentifiedmtomhavemamgeneticmcomponent.
14. Ampatientmwhosemsymptomsmofmmildmdepressionmhavembeenmmanagedmwithmantidepressant
smismconcernedmaboutmthemaffectmofmaccepting mampromotionmthatmwillmrequiremworking mthemnig
htmshift.mWhatmwillmbemthembasismofmthemresponsemthemnursemgivesmtomaddressmthempatientsmcon
cern?
, 1. Themconnectionmbetweenmamnewmjobmandmpossiblemdepressionmdoesmexist.
2. Themmedicationmcanmbemadjustedmtommanagemanymincreaseminmdepression.
3. Theminterruptionminmnormalmwake-
sleepmpatternsmcanminfluencemmoodmdisorders.m4.mThemchangeminmsleepmroutinemcanmb
emmanagedmwithmamhealthymsleepmhygienemroutine.
15. Themnursemismdiscouragedmbecausemthempatientmexhibiting mnegativemsymptomsmofmsc
hizophreniamhasmshownmnomimprovementmwithmthemplannedminterventionsmtomreducemth
emsymptoms.mThemmentorsmremarkmthatmhelpsmplacemthemproblemminmperspectivemis:
1. Youmarentmresponsiblemformthembehavior mofmanymother mperson.
2. Patientsmcanmbemperversemandmcling mtomsymptomsmdespitemourmefforts.
3. Negativemsymptomsmhavembeenmassociatedmwithmgeneticmpathology.
4. Itmwillmtakemseveralmtrailmandmerror mattemptsmtomgetmthemrightmcombinationmcare.
MULTIPLEmRESPONSE
1. Whatmassessmentmdatamwouldmreinforcemthemdiagnosismofmtemporalmlobeminjuryminmpati
entmwhomexperiencedmheadmtrauma?mSelectmallmthatmapply.
1. Inabilitymtombalancemamcheckbook
2. Uncharacteristicallymaggressive
3. Affectmfluctuatesmdramatically
4. Increasedminterestminmsexualmbehaviors
5. Difficultymremembering mthemnamesmofmfamilymmembers
2. Ampatientmhasmbegunmexperiencing mdysfunctionmofmthemhypothalamus.mWhatmnursi
ngminterventionsmwillmthemnursemincludeminmthempatientsmplanmofmcare?mSelectmallmthat
m apply.
1. Reinforcing mclear mphysicalmboundaries
2. Assisting mthempatientmwithmcompleting mdailymmenus
3. Learning maboutmhealthymsleepmhygienemhabits
4. Monitoring mandmrecording mtemperaturemeverym4mhours
5. Monitoring mandmrecording mbloodmpressuremeverym4mhours
3. Themnursemismpreparing mampatientmformampositronmemissionmtomographym(PET)mscan.mW
hichminstructionsmwillmthemnurseminclude?mSelectmallmthatmapply.
1.
Theremwillmlikelymbemam30mtom45mminutemwaitmbetweenmtheminjectionmandmthembegin
ning mofmthemscan.
1.
Amblindfoldmandmearplugsmmaymbemusedmtomhelpmdecreasemreactionmtomthemenvironm
entmduring mthemscan.
1.
Makemeverymattemptmtomliemstillmduring mthemscanmbecausemmovementmwillmaffectm
themimaging mproduced.
1.m Nomfoodmormfluidsmaremtombemingestedmformatmleastm8mfullmhoursmbeforemthemscanmandmnonemd
uring mthemscan.
1.
Staying mawakemduring mthemscanmismimportantmsincemthemresultsmaremalteredmwhenm
