Test Bank for Kaplan and Sadock’s Synopsis of Psychiatry 11th Edition Sadock graded A+

Kaplan and Sadock’s Synopsis of
Psychiatry 11th Edition Sadock Test Bank
Test

ter |1: |Neural |Sciences |Test

Bank |MULTIPLE |CHOICE
|


1. A |patient |with |depression |mentions |to |the |nurse, |My |mother |says |depression |is |a
|chemical |disorder. |What |does |she |mean? |The |nurses |response |is |based |on |the |theory |that


|depression |primarily |involves |which |of |the |following |neurotransmitters?


1. Cortisol |and |GABA
2. COMT |and |glutamate
3. Monamine |and |glycine
4. Serotonin |and |norepinephrine

2. A |patient |has |experienced |a |stroke |(cerebral |vascular |accident) |that |has |resulted
|in |damage |to |the |Broca |area. |Which |evaluation |does |the |nurse |conduct |to |reinforce

|this |diagnosis?


1. Observing |the |patient |pick |up |a |spoon
2. Asking |the |patient |to |recite |the |alphabet
3. Monitoring |the |patients |blood |pressure
4. Comparing |the |patients |grip |strength |in |both |hands

3. The |patient |diagnosed |with |schizophrenia |asks |why |psychotropic |medications |are |always
|prescribed |by |the |doctor. |The |nurses |answer |will |be |based |on |information |that |the

|therapeutic |action |of |psychotropic |drugs |is |the |result |of |their |effect |on:


1. The |temporal |lobe; |especially |Wernickes |area
2. Dendrites |and |their |ability |to |transmit |electrical |impulses
3. The |regulation |of |neurotransmitters |especially |dopamine
4. The |peripheral |nervous |system |sensitivity |to |the |psychotropic |medications

4. A |student |nurse |mutters |that |it |seems |entirely |unnecessary |to |have |to |struggle |with
|understanding |the |anatomy |and |physiology |of |the |neurologic |system. |The |mentor |would |base

|a |response |on |the |understanding |that |it |is:


1. Necessary |but |generally |for |psychiatric |nurses |who |focus |primarily |on
|behavioral |interventions

,1. A |complex |undertaking |that |advance |practice |psychiatric |nurses |frequently |use |in
|their |practice


1. Important |primarily |for |the |nursing |assessment |of |patients |with |brain
|traumacaused |cognitive |symptoms


1. Necessary |for |planning |psychiatric |care |for |all |patients |especially |those
|experiencing |psychiatric |disorders




5. A |patient |asks |the |nurse, |My |wife |has |breast |cancer. |Could |it |be |caused |by |her
|chronic |depression? |Which |response |is |supported |by |research |data? |1. |Too |much |stress

|has |been |proven |to |cause |all |kinds |of |cancer.




2. There |have |been |no |research |studies |done |on |stress |and |disease |yet.
3. Stress |does |cause |the |release |of |factors |that |suppress |the |immune |system.
4. There |appears |to |be |little |connection |between |stress |and |diseases |of |the |body

6. A |patient |who |has |a |parietal |lobe |injury |is |being |evaluated |for |psychiatric
|rehabilitation |needs.


Of |the |aspects |of |functioning |listed, |which |will |the |nurse |identify |as |a |focus |of |nursing
|intervention?


1. Expression |of |emotion
2. Detecting |auditory |stimuli
3. Receiving |visual |images
4. Processing |associations

7. At |admission, |the |nurse |learns |that |some |time |ago |the |patient |had |an |infarct |in |the
|right |cerebral |cortex. |During |assessment, |the |nurse |would |expect |to |find |that |the


|patient:


1. Demonstrates |major |deficiencies |in |speech
2. Is |unable |to |effectively |hold |a |spoon |in |the |left |hand
3. Has |difficulty |explaining |how |to |go |about |using |the |telephone

8. A |patient |with |chronic |schizophrenia |had |a |stroke |involving |the |hippocampus. |The
|patient |will |be |discharged |on |low |doses |of |haloperidol. |The |nurse |will |need |to

|individualize |the |patients |medication |teaching |by:


1. Including |the |patients |caregiver |in |the |education
2. Being |careful |to |stress |the |importance |of |taking |the |medication |as |prescribed |3.
Providing |the |education |at |a |time |when |the |patient |is |emotionally |calm
|and |relaxed


1. Encouraging |the |patient |to |crush |or |dissolve |the |medication |to |help
|with |swallowing

,9. The |physician |tells |the |nurse, |The |medication |Im |prescribing |for |the |patient |enhances
|the |gaminobutyric |acid |(GABA) |system. |Which |patient |behavior |will |provide |evidence |that

|the |medication |therapy |is |successful?


1. The |patient |is |actively |involved |in |playing |cards |with |other |patients.
2. The |patient |reports |that, |I |dont |feel |as |anxious |as |I |did |a |couple |of |days |ago.
3. The |patient |reports |that |both |auditory |and |visual |hallucinations |have |decreased.
4. The |patient |says |that, |I |am |much |happier |than |before |I |came |to |the |hospital.

10. The |patients |family |asks |whether |a |diagnosis |of |Parkinsons |disease |creates |an |increased
|risk |for |any |mental |health |issues. |What |question |would |the |nurse |ask |to |assess |for |such |a

|comorbid |condition?

1. Has |your |father |exhibited |any |signs |of |depression?
2. Does |your |father |seem |to |experience |mood |swings?
3. Have |you |noticed |your |father |talking |about |seeing |things |you |cant |see?
4. Is |your |dad |preoccupied |with |behaviors |that |he |needs |to |repeat |over |and |over?

11. Which |explanation |for |the |prescription |of |donepezil |(Aricept) |would |the |nurse |provide |for
|a |patient |in |the |early |stage |of |Alzheimers |disease?


1. It |will |increase |the |metabolism |of |excess |GABA.
2. Excess |dopamine |will |be |prevented |from |attaching |to |receptor |sites.
3. Serotonin |deficiency |will |be |managed |through |a |prolonged |reuptake |period.
4. The |acetylcholine |deficiency |will |be |managed |by |inhibiting |cholinesterase.

12. There |remains |a |stigma |attached |to |psychiatric |illnesses. |The |psychiatric |nurse |makes
|the |greatest |impact |on |this |sociological |problem |when:


1. Providing |educational |programming |for |patients |and |the |public
2. Arranging |for |adequate |and |appropriate |social |support |for |the |patient
3. Assisting |the |patient |to |achieve |the |maximum |level |of |independent |functioning |4.
Regularly |praising |the |patient |for |seeking |and |complying |with
|appropriate |treatment




13. The |wife |of |a |patient |with |paranoid |schizophrenia |tells |the |nurse, |Ive |learned |that |my
|husband |has |several |close |relatives |with |the |same |disorder. |Does |this |problem |run |in


|families? |The |response |based |on |recent |discoveries |in |the |field |of |genetics |would |be:


1. Your |children |should |be |monitored |closely |for |the |disorder.
2. Research |tends |to |support |a |familiar |tendency |to |schizophrenia.
3. There |is |no |concrete |evidence; |it |is |just |as |likely |a |coincidence.
4. Only |bipolar |disorder |has |been |identified |to |have |a |genetic |component.

14. A |patient |whose |symptoms |of |mild |depression |have |been |managed |with |antidepressants
|is |concerned |about |the |affect |of |accepting |a |promotion |that |will |require |working |the |night

|shift. |What |will |be |the |basis |of |the |response |the |nurse |gives |to |address |the |patients


|concern?

, 1. The |connection |between |a |new |job |and |possible |depression |does |exist.
2. The |medication |can |be |adjusted |to |manage |any |increase |in |depression.
3. The |interruption |in |normal |wake-sleep |patterns |can |influence |mood |disorders. |4.
|The |change |in |sleep |routine |can |be |managed |with |a |healthy |sleep |hygiene |routine.




15. The |nurse |is |discouraged |because |the |patient |exhibiting |negative |symptoms |of
|schizophrenia |has |shown |no |improvement |with |the |planned |interventions |to |reduce

|the |symptoms. |The |mentors |remark |that |helps |place |the |problem |in |perspective |is:


1. You |arent |responsible |for |the |behavior |of |any |other |person.
2. Patients |can |be |perverse |and |cling |to |symptoms |despite |our |efforts.
3. Negative |symptoms |have |been |associated |with |genetic |pathology.
4. It |will |take |several |trail |and |error |attempts |to |get |the |right |combination |care.

MULTIPLE |RESPONSE
1. What |assessment |data |would |reinforce |the |diagnosis |of |temporal |lobe |injury |in
|patient |who |experienced |head |trauma? |Select |all |that |apply.


1. Inability |to |balance |a |checkbook
2. Uncharacteristically |aggressive
3. Affect |fluctuates |dramatically
4. Increased |interest |in |sexual |behaviors
5. Difficulty |remembering |the |names |of |family |members

2. A |patient |has |begun |experiencing |dysfunction |of |the |hypothalamus. |What
|nursing |interventions |will |the |nurse |include |in |the |patients |plan |of |care? |Select |all

|that |apply.


1. Reinforcing |clear |physical |boundaries
2. Assisting |the |patient |with |completing |daily |menus
3. Learning |about |healthy |sleep |hygiene |habits
4. Monitoring |and |recording |temperature |every |4 |hours
5. Monitoring |and |recording |blood |pressure |every |4 |hours

3. The |nurse |is |preparing |a |patient |for |a |positron |emission |tomography |(PET) |scan.
|Which |instructions |will |the |nurse |include? |Select |all |that |apply.


1. There |will |likely |be |a |30 |to |45 |minute |wait |between |the |injection |and |the
|beginning |of |the |scan.


1. A |blindfold |and |earplugs |may |be |used |to |help |decrease |reaction |to |the
|environment |during |the |scan.


1. Make |every |attempt |to |lie |still |during |the |scan |because |movement |will |affect
|the |imaging |produced.


1. | No |food |or |fluids |are |to |be |ingested |for |at |least |8 |full |hours |before |the |scan |and |none
|during |the |scan.


1. Staying |awake |during |the |scan |is |important |since |the |results |are |altered |when
|the |patient |is |in |any |phase |of |the |sleep |state.