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

, Chapter 1: Neural Sciences
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nn Test Bank MULTIPLE
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CHOICE
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1. A patient with depression mentions to the nurse, My mother says depression is a
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chemical disorder. What does she mean? The nurses response is based on the theory
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that depression primarily involves which of the following neurotransmitters?
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1. Cortisol and GABA nn nn


2. COMT and glutamate nn nn


3. Monamine and glycine nn nn


4. Serotonin and norepinephrine nn nn




2. A patient has experienced a stroke (cerebral vascular accident) that has
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resulted in damage to the Broca area. Which evaluation does the nurse
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conduct to reinforce this diagnosis?
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1. Observing the patient pick up a spoon nn nn nn nn nn nn


2. Asking the patient to recite the alphabet
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3. Monitoring the patients blood pressure nn nn nn nn


4. Comparing the patients grip strength in both hands nn nn nn nn nn nn nn




3. The patient diagnosed with schizophrenia asks why psychotropic medications are
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always prescribed by the doctor. The nurses answer will be based on information that
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the therapeutic action of psychotropic drugs is the result of their effect on:
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1. The temporal lobe; especially Wernickes area
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2. Dendrites and their ability to transmit electrical impulses
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3. The regulation of neurotransmitters especially dopamine
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4. The peripheral nervous system sensitivity to the psychotropic medications
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4. A student nurse mutters that it seems entirely unnecessary to have to struggle with
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understanding the anatomy and physiology of the neurologic system. The mentor would
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base a response on the understanding that it is:
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1. Necessary but generally for psychiatric nurses who focus primarily on
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behavioral interventions
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,1. A complex undertaking that advance practice psychiatric nurses frequently use in
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their practice
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1. Important primarily for the nursing assessment of patients with brain
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traumacaused cognitive symptoms
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1. Necessary for planning psychiatric care for all patients especially those
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experiencing psychiatric disorders
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5. A patient asks the nurse, My wife has breast cancer. Could it be caused by her
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chronic depression? Which response is supported by research data? 1. Too much
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stress has been proven to cause all kinds of cancer.
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2. There have been no research studies done on stress and disease yet.
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3. Stress does cause the release of factors that suppress the immune system.
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4. There appears to be little connection between stress and diseases of the body
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6. A patient who has a parietal lobe injury is being evaluated for psychiatric
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rehabilitation needs.
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Of the aspects of functioning listed, which will the nurse identify as a focus of nursing
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intervention?
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1. Expression of emotion nn nn


2. Detecting auditory stimuli nn nn


3. Receiving visual images nn nn


4. Processing associations nn




7. At admission, the nurse learns that some time ago the patient had an infarct in
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the right cerebral cortex. During assessment, the nurse would expect to find that
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the patient:
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1. Demonstrates major deficiencies in speech nn nn nn nn


2. Is unable to effectively hold a spoon in the left hand
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3. Has difficulty explaining how to go about using the telephone
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8. A patient with chronic schizophrenia had a stroke involving the hippocampus.
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The patient will be discharged on low doses of haloperidol. The nurse will need to
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individualize the patients medication teaching by:
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1. Including the patients caregiver in the education nn nn nn nn nn nn



2. Being careful to stress the importance of taking the medication as prescribed 3.
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Providing the education at a time when the patient is emotionally nn nn nn nn nn nn nn nn nn nn


calm and relaxed nn nn nn


1. Encouraging the patient to crush or dissolve the medication to help nn nn nn nn nn nn nn nn nn nn


with swallowing
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, 9. The physician tells the nurse, The medication Im prescribing for the patient
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enhances the gaminobutyric acid (GABA) system. Which patient behavior will provide
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evidence that the medication therapy is successful?
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1. The patient is actively involved in playing cards with other patients.
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2. The patient reports that, I dont feel as anxious as I did a couple of days ago.
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3. The patient reports that both auditory and visual hallucinations have decreased.
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4. The patient says that, I am much happier than before I came to the hospital.
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10. The patients family asks whether a diagnosis of Parkinsons disease creates an
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increased risk for any mental health issues. What question would the nurse ask to
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assess for such a comorbid condition?
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1. Has your father exhibited any signs of depression?
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2. Does your father seem to experience mood swings?
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3. Have you noticed your father talking about seeing things you cant see?
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4. Is your dad preoccupied with behaviors that he needs to repeat over and over?
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11. Which explanation for the prescription of donepezil (Aricept) would the nurse provide
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for a patient in the early stage of Alzheimers disease?
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1. It will increase the metabolism of excess GABA.
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2. Excess dopamine will be prevented from attaching to receptor sites.
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3. Serotonin deficiency will be managed through a prolonged reuptake period.
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4. The acetylcholine deficiency will be managed by inhibiting cholinesterase.
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12. There remains a stigma attached to psychiatric illnesses. The psychiatric nurse
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makes the greatest impact on this sociological problem when:
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1. Providing educational programming for patients and the public nn nn nn nn nn nn nn


2. Arranging for adequate and appropriate social support for the patient
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3. Assisting the patient to achieve the maximum level of independent functioning 4.
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Regularly praising the patient for seeking and complying with nn nn nn nn nn nn nn nn


appropriate treatment
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13. The wife of a patient with paranoid schizophrenia tells the nurse, Ive learned that
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my husband has several close relatives with the same disorder. Does this problem run
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in families? The response based on recent discoveries in the field of genetics would
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be:
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1. Your children should be monitored closely for the disorder.
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2. Research tends to support a familiar tendency to schizophrenia.
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3. There is no concrete evidence; it is just as likely a coincidence.
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4. Only bipolar disorder has been identified to have a genetic component.
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14. A patient whose symptoms of mild depression have been managed with
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antidepressants is concerned about the affect of accepting a promotion that will
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require working the night shift. What will be the basis of the response the nurse gives
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to address the patients concern?
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