Kaplan and Sadock’s Comprehensive
Textbook of Psychiatry 10th Edition
Sadock Test Bank
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Kaplan and Sadock’s Comprehensive Textbook of Psychiatry 10th
Edition Sadock Test Bank
Chapter 1 Neural Sciences
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
practice nurse to perform which additional intervention?
a Conduct mental health c Establish therapeutic
. assessments. . relationships.
b Prescribe psychotropic d Individualize nursing care plans.
. medication. .
ANS: B
In most states, prescriptive privileges are granted to masters-prepared nurse practitioners who
have taken special courses on prescribing medication. The nurse prepared at the basic level is
permitted to perform mental health assessments, establish relationships, and provide
individualized care planning.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Page 15 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
2. When a nursing student expresses concerns about how mental health nurses lose all their
nursing skills, the best response by the mental health nurse is:
a Psychiatric nurses practice in safer environments than other specialties. Nurse-
. to-patient ratios must be better because of the nature of the patients problems.
b Psychiatric nurses use complex communication skills as well as critical thinking
. to solve multidimensional problems. I am challenged by those situations.
c
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c Thats a misconception. Psychiatric nurses frequently use high technology
. monitoring equipment and manage complex intravenous therapies.
d Psychiatric nurses do not have to deal with as much pain and suffering as
. medical-surgical nurses do. That appeals to me.
ANS: B
The practice of psychiatric nursing requires a different set of skills than medical-surgical nursing,
though there is substantial overlap. Psychiatric nurses must be able to help patients with medical
as well as mental health problems, reflecting the holistic perspective these nurses must have.
Nurse-patient ratios and workloads in psychiatric settings have increased, just like other
specialties. Psychiatric nursing involves clinical practice, not just documentation. Psychosocial
pain and suffering are as real as physical pain and suffering.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Page 10 | Page 13-14 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
3. When a new bill introduced in Congress reduces funding for care of persons with mental
illness, a group of nurses writes letters to their elected representatives in opposition to the
legislation. Which role have the nurses fulfilled?
a Recovery c Advocacy
. .
b Attending d Evidence-based practice
. .
ANS: C
An advocate defends or asserts anothers cause, particularly when the other person lacks the
ability to do that for self. Examples of individual advocacy include helping patients understand
their rights or make decisions. On a community scale, advocacy includes political activity, public
speaking, and publication in the interest of improving the human condition. Since funding is
necessary to deliver quality programming for persons with mental illness, the letter- writing
campaign advocates for that cause on behalf of patients who are unable to articulate their own
needs.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Page 16 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
4. Which comment best indicates that a patient perceived the nurse was caring? My nurse:
a always asks me which type of juice I want to help me swallow my medication.
.
b explained my treatment plan to me and asked for my ideas about how to make it
. better.
c spends time listening to me talk about my problems. That helps me feel like I
. am not alone.
d told me that if I take all the medicines the doctor prescribes, then I will get
. discharged sooner.
ANS: C
Caring evidences empathetic understanding as well as competency. It helps change pain and
suffering into a shared experience, creating a human connection that alleviates feelings of
isolation. The distracters give examples of statements that demonstrate advocacy or giving
advice.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Page 7 |Page 10 TOP: Nursing Process: Evaluation
MSC: Client Needs: Psychosocial Integrity
5. Which assessment finding most clearly indicates that a patient may be experiencing a mental
illness? The patient:
a reports occasional sleeplessness and anxiety.
.
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