KAPLAN AND SADOCK'S SYNOPSIS OF
PSYCHIATRY: BEHAVIORAL
SCIENCES/CLINICAL PSYCHIATRY
11TH EDITION
, Table Of Contents
Chapter 1: Neural Sciences ..................................................................................................................................... 3
Chapter 2: Contributions Of The Psychosocial Sciences ........................................................................................ 7
Chapter 3: Contributions Of The Sociocultural Sciences ...................................................................................... 10
Chapter 4: Theories Of Personality And Psychopathology ................................................................................... 13
Chapter 5: Examination And Diagnosis Of The Psychiatric Patient ..................................................................... 18
Chapter 6: Classification In Psychiatry ................................................................................................................. 24
Chapter 7: Schizophrenia Spectrum And Other Psychotic Disorders ................................................................... 28
Chapter 8: Mood Disorders ................................................................................................................................... 34
Chapter 9: Anxiety Disorders ................................................................................................................................ 42
Chapter 10: Obsessive-Compulsive And Related Disorders ................................................................................. 45
Chapter 11: Trauma- And Stressor-Related Disorders .......................................................................................... 51
Chapter 12: Dissociative Disorders ....................................................................................................................... 53
Chapter 13: Psychosomatic Medicine ................................................................................................................... 57
Chapter 14: Chronic Fatigue Syndrome And Fibromyalgia .................................................................................. 60
Chapter 15: Feeding And Eating Disorders........................................................................................................... 61
Chapter 16: Normal Sleep And Sleep-Wake Disorders ........................................................................................ 66
Chapter 17: Normal Sexuality And Sexual Dysfunctions ..................................................................................... 69
Chapter 18: Gender Dysphoria .............................................................................................................................. 73
Chapter 19: Disruptive, Impulse Control, And Conduct Disorders ....................................................................... 77
Chapter 20: Substance Use And Addictive Disorders ........................................................................................... 82
Chapter 21: Neurocognitive Disorders .................................................................................................................. 87
Chapter 22: Personality Disorders ......................................................................................................................... 93
Chapter 23: Emergency Psychiatric Medicine ...................................................................................................... 98
Chapter 24: Complementary And Alternative Medicine In Psychiatry ............................................................... 103
Chapter 25: Other Conditions That May Be A Focus Of Clinical Attention ....................................................... 107
Chapter 26: Physical And Sexual Abuse Of Adults............................................................................................. 112
Chapter 27: Psychiatry And Reproductive Medicine .......................................................................................... 118
Chapter 28: Psychotherapies ............................................................................................................................... 123
Chapter 29: Psychopharmacological Treatment .................................................................................................. 145
Chapter 30: Brain Stimulation Methods .............................................................................................................. 163
Chapter 31: Child Psychiatry............................................................................................................................... 167
Chapter 32: Adulthood ........................................................................................................................................ 172
Chapter 33: Geriatric Psychiatry ......................................................................................................................... 177
Chapter 34: End Of Life Issues ........................................................................................................................... 178
Chapter 35: Public Psychiatry ............................................................................................................................. 191
Chapter 36: Forensic Psychiatry And Ethics In Psychiatry................................................................................. 194
Chapter 37: World Aspects Of Psychiatry ........................................................................................................... 196
,Chapter 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 InDamage 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
AlwaysPrescribed 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 AResponse On The Understanding That It Is:
1. Necessary But Generally For Psychiatric Nurses Who Focus
Primarily OnBehavioral Interventions
1. A Complex Undertaking That Advance Practice Psychiatric Nurses Frequently
Use InTheir Practice
1. Important Primarily For The Nursing Assessment Of Patients With
BrainTraumacaused Cognitive Symptoms
1. Necessary For Planning Psychiatric Care For All Patients Especially
ThoseExperiencing Psychiatric Disorders
, 5. A Patient Asks The Nurse, My Wife Has Breast Cancer. Could It Be Caused By Her
ChronicDepression? 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
RehabilitationNeeds.
Of The Aspects Of Functioning Listed, Which Will The Nurse Identify As A Focus
Of NursingIntervention?
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 RightCerebral 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
IndividualizeThe 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
CalmAnd Relaxed
1. Encouraging The Patient To Crush Or Dissolve The Medication To
Help WithSwallowing
9. The Physician Tells The Nurse, The Medication Im Prescribing For The Patient
Enhances TheGaminobutyric 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.
PSYCHIATRY: BEHAVIORAL
SCIENCES/CLINICAL PSYCHIATRY
11TH EDITION
, Table Of Contents
Chapter 1: Neural Sciences ..................................................................................................................................... 3
Chapter 2: Contributions Of The Psychosocial Sciences ........................................................................................ 7
Chapter 3: Contributions Of The Sociocultural Sciences ...................................................................................... 10
Chapter 4: Theories Of Personality And Psychopathology ................................................................................... 13
Chapter 5: Examination And Diagnosis Of The Psychiatric Patient ..................................................................... 18
Chapter 6: Classification In Psychiatry ................................................................................................................. 24
Chapter 7: Schizophrenia Spectrum And Other Psychotic Disorders ................................................................... 28
Chapter 8: Mood Disorders ................................................................................................................................... 34
Chapter 9: Anxiety Disorders ................................................................................................................................ 42
Chapter 10: Obsessive-Compulsive And Related Disorders ................................................................................. 45
Chapter 11: Trauma- And Stressor-Related Disorders .......................................................................................... 51
Chapter 12: Dissociative Disorders ....................................................................................................................... 53
Chapter 13: Psychosomatic Medicine ................................................................................................................... 57
Chapter 14: Chronic Fatigue Syndrome And Fibromyalgia .................................................................................. 60
Chapter 15: Feeding And Eating Disorders........................................................................................................... 61
Chapter 16: Normal Sleep And Sleep-Wake Disorders ........................................................................................ 66
Chapter 17: Normal Sexuality And Sexual Dysfunctions ..................................................................................... 69
Chapter 18: Gender Dysphoria .............................................................................................................................. 73
Chapter 19: Disruptive, Impulse Control, And Conduct Disorders ....................................................................... 77
Chapter 20: Substance Use And Addictive Disorders ........................................................................................... 82
Chapter 21: Neurocognitive Disorders .................................................................................................................. 87
Chapter 22: Personality Disorders ......................................................................................................................... 93
Chapter 23: Emergency Psychiatric Medicine ...................................................................................................... 98
Chapter 24: Complementary And Alternative Medicine In Psychiatry ............................................................... 103
Chapter 25: Other Conditions That May Be A Focus Of Clinical Attention ....................................................... 107
Chapter 26: Physical And Sexual Abuse Of Adults............................................................................................. 112
Chapter 27: Psychiatry And Reproductive Medicine .......................................................................................... 118
Chapter 28: Psychotherapies ............................................................................................................................... 123
Chapter 29: Psychopharmacological Treatment .................................................................................................. 145
Chapter 30: Brain Stimulation Methods .............................................................................................................. 163
Chapter 31: Child Psychiatry............................................................................................................................... 167
Chapter 32: Adulthood ........................................................................................................................................ 172
Chapter 33: Geriatric Psychiatry ......................................................................................................................... 177
Chapter 34: End Of Life Issues ........................................................................................................................... 178
Chapter 35: Public Psychiatry ............................................................................................................................. 191
Chapter 36: Forensic Psychiatry And Ethics In Psychiatry................................................................................. 194
Chapter 37: World Aspects Of Psychiatry ........................................................................................................... 196
,Chapter 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 InDamage 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
AlwaysPrescribed 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 AResponse On The Understanding That It Is:
1. Necessary But Generally For Psychiatric Nurses Who Focus
Primarily OnBehavioral Interventions
1. A Complex Undertaking That Advance Practice Psychiatric Nurses Frequently
Use InTheir Practice
1. Important Primarily For The Nursing Assessment Of Patients With
BrainTraumacaused Cognitive Symptoms
1. Necessary For Planning Psychiatric Care For All Patients Especially
ThoseExperiencing Psychiatric Disorders
, 5. A Patient Asks The Nurse, My Wife Has Breast Cancer. Could It Be Caused By Her
ChronicDepression? 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
RehabilitationNeeds.
Of The Aspects Of Functioning Listed, Which Will The Nurse Identify As A Focus
Of NursingIntervention?
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 RightCerebral 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
IndividualizeThe 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
CalmAnd Relaxed
1. Encouraging The Patient To Crush Or Dissolve The Medication To
Help WithSwallowing
9. The Physician Tells The Nurse, The Medication Im Prescribing For The Patient
Enhances TheGaminobutyric 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.
