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Test Bank for Kaplan and Sadock's Synopsis of Psychiatry 11th Edition| 9781975145569| All Chapters 1-37|LATEST $17.99   Add to cart
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Test Bank for Kaplan and Sadock's Synopsis of Psychiatry 11th Edition| 9781975145569| All Chapters 1-37|LATEST
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Test Bank for Kaplan and Sadock's Synopsis of Psychiatry 11th Edition| 9781975145569| All Chapters 1-37|LATEST

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  • November 11, 2024
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  • 11th edition
  • kaplan and sadocks synopsis of psychiatry
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Kaplan and Sadock’s Synopsis of q q q q




Psychiatry 11th Edition Sadock Test Bank q q q q q




Test
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Chapter 1: Neural Sciences
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q 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 chemical
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disorder. What does she mean? The nurses response is based on the theory that depression
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primarily involves which of the following neurotransmitters?
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1. Cortisol and GABA q q


2. COMT and glutamate q q


3. Monamine and glycine q q


4. Serotonin and norepinephrine q q




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


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


3. Monitoring the patients blood pressure q q q q


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




3. The patient diagnosed with schizophrenia asks why psychotropic medications are always
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prescribed by the doctor. The nurses answer will be based on information that the
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therapeuticaction 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 q q q q q q q


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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qunderstanding the anatomy and physiology of the neurologic system. The mentor would base a
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response on the understanding that it is:
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1. Necessary but generally for psychiatric nurses who focus primarily on behavioral
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interventions
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,1. A complex undertaking that advance practice psychiatric nurses frequently use in their
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practice
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1. Important primarily for the nursing assessment of patients with brain traumacaused
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cognitive symptoms
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1. Necessary for planning psychiatric care for all patients especially those experiencing
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psychiatric disorders
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5. A patient asks the nurse, My wife has breast cancer. Could it be caused by her chronic
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depression? Which response is supported by research data? 1. Too much stress has
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beenproven 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 rehabilitation
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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 q q


2. Detecting auditory stimuli q q


3. Receiving visual images q q


4. Processing associations q




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


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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qpatient will be discharged on low doses of haloperidol. The nurse will need to individualize
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the patients medication teaching by:
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1. Including the patients caregiver in the education q q q q q q



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 calm q q q q q q q q q q q


and relaxed q q


1. Encouraging the patient to crush or dissolve the medication to help with q q q q q q q q q q q


swallowing
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,9. The physician tells the nurse, The medication Im prescribing for the patient enhances the
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gaminobutyric acid (GABA) system. Which patient behavior will provide evidence that the
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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 increased
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risk for any mental health issues. What question would the nurse ask to assess for such a
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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?q q q q q q q


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 for
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apatient 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. q q q q q q q q q


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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thegreatest impact on this sociological problem when:
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1. Providing educational programming for patients and the public q q q q q q q


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


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 q q q q q q q q


appropriate treatmentq q




13. The wife of a patient with paranoid schizophrenia tells the nurse, Ive learned that my
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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 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. q q q q q q q q



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 antidepressants
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isconcerned about the affect of accepting a promotion that will require working the night
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shift. What will be the basis of the response the nurse gives to address the patients 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. The
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change in sleep routine can be managed with a healthy sleep hygiene 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 the
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symptoms. The mentors remark that helps place the problem in perspective is:
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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. q q q q q q q q q q


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



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


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


2. Uncharacteristically aggressive q


3. Affect fluctuates dramatically q q


4. Increased interest in sexual behaviors q q q q


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




2. A patient has begun experiencing dysfunction of the hypothalamus. What nursing
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interventions will the nurse include in the patients plan of care? Select all that apply.
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1. Reinforcing clear physical boundaries q q q


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


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


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



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




3. The nurse is preparing a patient for a positron emission tomography (PET) scan. Which
q q q q q q q q q q q q q q


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
q q q q q q q q q q q q q q


qbeginningof the scan. q q q


1. A blindfold and earplugs may be used to help decrease reaction to the environment
q q q q q q q q q q q q q


during the scan.
q q q


1. Make every attempt to lie still during the scan because movement will affect
q q q q q q q q q q q q


qtheimaging 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 during
q q q q q q q q q q q q q q q q q q q q


the scan.
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1. Staying awake during the scan is important since the results are altered when the
q q q q q q q q q q q q q


patient is in any phase of the sleep state.
q q q q q q q q q

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