TEST BaNK FOR KaPLaN & SaDOCK’S
SYNOPSIS OF PSYCHIaTRY 12TH
EDITION BY ROBERT
BOLaND; MaRICa VERDIUN; PEDRO RUIZ
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, Kaplan & Sadock's Synopsis of Psychiatry Edition 12Chapter 1. Examination and
Diagnosis of the Psychiatric Patient
Multiple Choice
Identify the choice that best completes the statement or answers the
question.
1. A nurse is assessing a client who is
experiencing occasional feelings of sadness because of the
recent death of a beloved pet. The client’s appetite, sleep
patterns, and daily routine have not changed. How should the
nurse interpret the client’s behaviors?
The client’s behaviors
1.
demonstrate mental
illness in the form of depression.
The client’s behaviors are
2.
extensive, which
indicates the presence of mental
illness.
The client’s behaviors are not
3.
congruent with
cultural norms.
The client’s behaviors
4. demonstrate no functional
impairment, indicating no mental
illness.
2. At what point should the nurse determine that
a client is at risk for developing a mental illness?
When thoughts, feelings, and
1. behaviors are
not reflective of the DSM-5 criteria.
When maladaptive responses to
2. stress are coupled with
interference in daily
functioning.
When a client communicates
3. significant
distress.
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, When a client uses defense
4. mechanisms as
ego protection.
3. A nurse is assessing a set of 15-year-old
identical twins who respond very differently to stress. One
twin becomes anxious and irritable, and the other withdraws
and cries. How should the nurse explain these different
stress responses to the parents?
Reactions to stress are relative
1. rather than absolute; individual
responses to stress
vary.
It is abnormal for identical twins
2.
to react
differently to similar stressors.
Identical twins should share the
3.
same
temperament and respond
similarly to stress.
Environmental influences to stress
4.
weigh
more heavily than genetic
influences.
4. Which client should the nurse
anticipate to be most receptive to psychiatric
treatment?
1. A Jewish, female social worker.
2. A Baptist, homeless male.
3. A Catholic, black male.
4. A Protestant, Swedish business
executive.
5. A psychiatric nurse intern states, “This
client’s use of defense mechanisms should be eliminated.”
Which is a correct evaluation of this nurse’s statement?
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, Defense mechanisms can be
1. appropriate responses to stress
and need not be
eliminated.
Defense mechanisms are a
2. maladaptive attempt of the ego
to manage anxiety and
should always be eliminated.
Defense mechanisms, used by
3. individuals with weak ego
integrity, should be
discouraged and not eliminated.
Defense mechanisms cause
4. disintegration of the ego and
should be fostered and
encouraged.
6. During an intake assessment, a nurse asks
both physiological and psychosocial questions. The client
angrily responds, “I’m here for my heart, not my head
problems.” Which is the nurse’s best response?
“It is just a routine part of our
1. assessment. All clients are asked
these same
questions.”
“Why are you concerned about
2.
these types of
questions?”
“Psychological factors, like
3. excessive stress, have been found
to affect medical
conditions.”
“We can skip these questions, if
4. you like. It isn’t imperative that
we complete this
section.”
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