Complete Kaplan And Sadock’s Synopsis Of Psychiatry 11th Edition Sadock Test Bank All Chapters Included

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Test
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Chapter 1: Neural Sciences ss ss ss




Test Bank MULTIPLE 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 that
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s depression primarily involves which of the following neurotransmitters?
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1. Cortisol and GABA ss ss




2. COMT and glutamate ss ss




3. Monamine and glycine ss ss




4. Serotonin and norepinephrine ss ss




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




2. Asking the patient to recite the alphabet ss ss ss ss ss ss




3. Monitoring the patients blood pressure ss ss ss ss




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




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 ss ss ss ss ss ss ss




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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s chronic depression? Which response is supported by research data? 1.
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Too much 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 ss ss




2. Detecting auditory stimuli ss ss




3. Receiving visual images ss ss




4. Processing associations ss




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




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. The
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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 ss ss ss ss ss ss




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 ss ss ss ss ss ss ss ss ss ss




calm and relaxed ss ss ss




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




with swallowing
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,9. The physician tells the nurse, The medication Im prescribing for the patient enhances
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the gaminobutyric acid (GABA) system. Which patient behavior will provide evidence that
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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
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s san increased risk for any mental health issues. What question would the nurse ask
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to assess for such a comorbid condition?
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1. Has your father exhibited any signs of depression? ss ss ss ss ss ss ss




2. Does your father seem to experience mood swings? ss ss ss ss ss ss ss




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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ssfor 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. ss ss ss ss ss ss ss ss ss




3. Serotonin deficiency will be managed through a prolonged reuptake period. ss ss ss ss ss ss ss ss ss




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 makes
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the greatest impact on this sociological problem when:
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1. Providing educational programming for patients and the public ss ss ss ss ss ss ss




2. Arranging for adequate and appropriate social support for the patient ss ss ss ss ss ss ss ss ss




3. Assisting the patient to achieve the maximum level of independent functioning 4. ss ss ss ss ss ss ss ss ss ss s s




Regularly praising the patient for seeking and complying with ss ss ss ss ss ss ss ss




appropriate treatment ss ss




13. The wife of a patient with paranoid schizophrenia tells the nurse, Ive learned that my
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s husband has several close relatives with the same disorder. Does this problem run in
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families? The response based on recent discoveries in the field of genetics
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would 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. ss ss ss ss ss ss ss ss




3. There is no concrete evidence; it is just as likely a coincidence. ss ss ss ss ss ss ss ss ss ss ss




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 antidepressants
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is concerned about the affect of accepting a promotion that will require working the night
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s shift. What will be the basis of the response the nurse gives to address the patients
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s concern?
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, 1. The connection between a new job and possible depression does exist.
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2. The medication can be adjusted to manage any increase in depression.
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3. The interruption in normal wake-sleep patterns can influence mood disorders. 4.
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The change in sleep routine can be managed with a healthy sleep hygiene
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routine.
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15. The nurse is discouraged because the patient exhibiting negative symptoms of
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schizophrenia has shown no improvement with the planned interventions to reduce
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the symptoms. The mentors remark that helps place the problem in
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ssperspective is: ss




1. You arent responsible for the behavior of any other person.
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2. Patients can be perverse and cling to symptoms despite our efforts. ss ss ss ss ss ss ss ss ss ss




3. Negative symptoms have been associated with genetic pathology. ss ss ss ss ss ss ss




4. It will take several trail and error attempts to get the right combination care.
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MULTIPLE RESPONSE ss




1. What assessment data would reinforce the diagnosis of temporal lobe injury in
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patient who experienced head trauma? Select all that apply.
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1. Inability to balance a checkbook ss ss ss ss




2. Uncharacteristically aggressive ss




3. Affect fluctuates dramatically ss ss




4. Increased interest in sexual behaviors ss ss ss ss




5. Difficulty remembering the names of family members ss ss ss ss ss ss




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




1. Reinforcing clear physical boundaries ss ss ss




2. Assisting the patient with completing daily menus ss ss ss ss ss ss




3. Learning about healthy sleep hygiene habits ss ss ss ss ss




4. Monitoring and recording temperature every 4 hours ss ss ss ss ss ss




5. Monitoring and recording blood pressure every 4 hours ss ss ss ss ss ss ss




3. The nurse is preparing a patient for a positron emission tomography (PET) scan.
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Which instructions will the nurse include? Select all that apply.
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1. There will likely be a 30 to 45 minute wait between the injection and the
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beginning of the scan.
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1. A blindfold and earplugs may be used to help decrease reaction to the
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environment during the scan.
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1. Make every attempt to lie still during the scan because movement will affect
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the imaging produced.
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1. No food or fluids are to be ingested for at least 8 full hours before the scan and none
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during the scan.
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1. Staying awake during the scan is important since the results are altered
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when the patient is in any phase of the sleep state.
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