Psy Study Guide Questions With Complete Solutions

1.A 42-year-old man comes to the emergency room with the chief com- plaint that "the men are following me." He also complains of hearing a voice telling him to hurt others. He tells the examiner that the news anchorman gives him special messages about the state of the world every night through the TV. Which of the following psychiatric findings best describes this last belief of the patient? a. Grandiose delusion b. Illusion c. Loose association d. Idea of reference e. Clouding of consciousness correct answer: D 2.A 32-year-old woman is seen in an outpatient psychiatric clinic for the chief complaint of a depressed mood for 4 months. During the interview, she gives very long, complicated explanations and many unnecessary details before finally answering the original questions. Which of the fol- lowing psychiatric findings best describes this style of train of thought? a. Loose association b. Circumstantiality c. Neologism d. Perseveration e. Flight of ideas correct answer: B 3.A 23-year-old man comes to the psychiatrist with a chief complaint of a depressed mood. He is very anxious and obviously uncomfortable in the physician's office. Which of the following actions should be used to help develop rapport with this patient? a. Inform the patient that his problem is simple and easily fixed. b. Express compassion with the difficult position the patient is in. c. Tell the patient that you too are nervous when you see new patients. d. Ask the patient why he is so unusually anxious about seeing a psychiatrist. e. Get right to the patient's complaint so that the patient can leave as soon as possible. correct answer: B 4.An 18-year-old man is seen by a psychiatrist in the emergency room. During the history, the patient is asked to describe his mood. He answers the following, "My mood is flextitating, I am up and down." The patient is exhibiting which of the following thought disorders? a. Clang association b. Thought blocking c. No thought disorder is apparent d. Tangentiality e. Neologism correct answer: E 5.A 56-year-old man has been hospitalized for a myocardial infarction. Two days after admission, he awakens in the middle of the night and screams that there is a man standing by the window in his room. When the nurse enters the room and turns on a light, the patient is relieved to learn that the "man" was actually a drape by the window. This misperception of reality is best described by which of the following psychiatric terms? a. Delusion