PlusBay.Plus
,Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
b3 b3 b3 b3 b3 b3 b3 b3 b3
Chapter 1. Examination and Diagnosis of the Psychiatric Patient
b3 b3 b3 b3 b3 b3 b3 b3
Multiple Choice b 3
Identify the choice that best completes the statement or answers the question.
b3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b3 b 3 b 3
1. A nurse is assessing a client who is experiencing occasional f b3 b3 b3 b3 b3 b3 v# b3 b3 b3
ee lings of sadness because of the recent death of a beloved pet. The client’s appeti
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 v# b3 b3 b3 b3
te, sle ep patterns, and daily routine have not changed. How should
b3 b3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b
3 the nurse inter pret the client’s behaviors?
b 3 b 3 b3 b3 b3 b 3
The client’s behaviors demonstrate mental illne
b3 b3 b3 b3 b3
1.
ss in the form of depression.
b3 b3 b3 b3 b3 b3
The client’s behaviors are extensive, which ind
b3 b3 b3 b3 b3 b3
2.
i cates the presence of mental illness.
b3 b3 b3 b3 b3 b3
The client’s behaviors are not congruent with
b3 b3 b3 b3 b3 b3 b3
3.
c ultural norms.
b3 b 3
The client’s behaviors demonstrate no functio n
b3 b3 b3 b3 b3 b3 b
4. 3al impairment, indicating no mental
b3 b3 b3 b3
illness.
2. At what point should the nurse determine that a client is at ri b3 b3 b3 b3 b3 b3 b3 v# b3 b3 b3 b3
sk for developing a mental illness?
b3 b3 b3 b3 b3
When thoughts, feelings, and behaviors a b 3 b 3 b 3 b 3 b 3
1.
re
not reflective of the DSM-5 criteria. b3 b 3 b3 b3 b3
When maladaptive responses to stress are coupl v# b3 b3 v# b3 b3 b
2. ed with interference in daily 3 b3 b3 b3 b3
functioning.
When a client communicates significant b 3 b 3 b 3 b 3
3.
distress.
When a client uses defense mechanisms a b3 b 3 b 3 b 3 b 3 b 3
4.
s
ego protection. b 3
3. A nurse is assessing a set of 15-year- b3 b3 b3 b3 b3 v# b3
old identical twins who respond very differently to stress. One twin becomes anxi
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
ou s and irritable, and the other withdraws and cries. How should the nurse expl
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
ain the se different stress responses to the parents?
b3 b3 b3 b3 b3 b3 b3 b 3
Reactions to stress are relative rather than absol b3 b3 b3 b3 b3 b3 v# b
1. ute; individual responses to stress 3 b3 b3 b3 b3
vary.
PlusBay.Plus
, It is abnormal for identical twins to react diffe
2.
b3 b3 b3 b3 b3 b3 b3 b3
re ntly to similar stressors.
b3 b3 b3 b3
Identical twins should share the same tempera
b3 b3 b3 b3 b3 b3
3.
m ent and respond similarly to stress.
b3 b3 b 3 b 3 b 3 b3
Environmental influences to stress weigh mo
4.
b3 b3 b3 b3 b3
re heavily than genetic influences.
b3 b3 b3 b3 b3
4. Which client should the nurse anticipate to be mo b3 b3 b3 b3 b3 b3 b3 b3
st receptive to psychiatric treatment?
vb 3 b3 b3 b3
1. A Jewish, female social worker. b3 b 3 b 3 b 3
2. A Baptist, homeless male. b3 b 3 b 3
3. A Catholic, black male. b3 b 3 b 3
4. A Protestant, Swedish business executive. b3 b 3 b 3 b 3
5. A psychiatric nurse intern states, “This client’s use of defen
b3 b3 b3 b3 b3 b3 b3 b3 b3
se mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s
b3 b3 b3 b3 b3 b3 b3 b3 v# b3 b3 b3 b
state ment?
3 b3
Defense mechanisms can be appropriate respon b3 b3 b3 b3 b3 b3
1. ses to stress and need not be b3 b3 b3 b3 b3 b3
eliminated.
Defense mechanisms are a maladaptive attem b3 b3 b3 b3 b3 b
2. pt of the ego to manage anxiety and 3 b3 b3 b3 b3 b3 b3 b3
should always be eliminated. b 3 b 3 b 3
Defense mechanisms, used by individuals wit b3 b3 b3 b3 b3 v#
3. h weak ego integrity, should be b 3 b3 b3 b3 b3
discouraged and not eliminated. b 3 b 3 b 3
Defense mechanisms cause disintegration of t
b3 b3 b3 b3 b3 b
4. he ego and should be fostered and
3 b3 b3 b3 b3 b3 b3
encouraged.
6. During an intake assessment, a nurse asks both physiologic
b3 b3 b3 b3 b3 b3 b3 b3
al and psychosocial questions. The client angrily responds, “I’m here for my hear
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
t, no t my head problems.” Which is the nurse’s best response?
b3 b 3 b3 b3 b3 b3 b3 b3 b3 b3 b3
“It is just a routine part of our assessment. All c b3 b3 b3 b3 b3 v# b3 b3 b3 b3
1. lients are asked these same b3 b3 b3 b3 b 3
questions.”
“Why are you concerned about these types of
2.
b3 b3 b3 b3 b3 b3 b3 b3
q uestions?” b3
“Psychological factors, like excessive stress, ha b3 b3 b3 b3 b3 b3
3. ve been found to affect medical b3 b3 v# b3 b3
conditions.”
PlusBay.Plus
, “We can skip these questions, if you like. It i
b3 b3 b3 b3 b3 b3 v# b3 b3
4. sn’t imperative that we complete this
b3 b3 b3 b3 b3 b3
section.”
7. An employee uses the defense mechanism of displacement w
b3 b3 b3 b3 b3 b3 b3 b3
h en the boss openly disagrees with suggestions. What behavior would be expecte
b3 v# b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
d fro m this employee?
b3 b3 b3 b 3
1. The employee assertively confronts the b b 3 b 3 b 3 b 3 b 3
oss.
The employee leaves the staff meeting to w
2.
b3 b3 b3 b3 b3 b3 b3
or k out in the gym. b3 b3 v# v# b3
3. The employee criticizes a coworker. b 3 b 3 b 3 b 3
4. The employee takes the boss out to lunch b 3 b 3 b3 b 3 b 3 b 3 b3
.
8. A fourth- b3
grade boy teases and makes jokes about a cute girl in his class. This behavior sh
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
oul d be identified by a nurse as indicative of which defense mechanism?
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
1. Displacement
2. Projection
3. Reaction formation b 3
4. Sublimation
9. Which nursing statement about the concept of neurosis is most
b 3 b 3 accurate?
b 3 b 3 b 3 b 3 b 3 b 3 b 3
An individual experiencing neurosis is unawa b3 b3 b3 b3 b3 v
1. re that he or she is experiencing b 3 b3 b3 b3 b3 b3 b3
distress.
An individual experiencing neurosis feels h b 3 b 3 b 3 b 3 b3
2.
el pless to change his or her situation. b3 b3 b3 b3 b3 b3 b3
An individual experiencing neurosis is aware b3 b3 b3 b3 b3 b3
3. of the psychological causes of his or b3 b3 b3 b3 b3 b3
her behavior. b3
An individual experiencing neurosis has a lo b3 b3 b3 b3 b3 b3
4.
ss of contact with reality. b3 b3 b3 b3 b3
10. Which nursing b 3 b 3 statement regarding the b 3 b 3 b 3 concept b 3 of psychosis
b 3 b 3 is b 3 most
accurate?
Individuals experiencing psychoses are aware
1.
b3 b3 b 3 b3 b3
t hat their behaviors are maladaptive.
b3 b3 b3 b3 b3
PlusBay.Plus
,Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
b3 b3 b3 b3 b3 b3 b3 b3 b3
Chapter 1. Examination and Diagnosis of the Psychiatric Patient
b3 b3 b3 b3 b3 b3 b3 b3
Multiple Choice b 3
Identify the choice that best completes the statement or answers the question.
b3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b3 b 3 b 3
1. A nurse is assessing a client who is experiencing occasional f b3 b3 b3 b3 b3 b3 v# b3 b3 b3
ee lings of sadness because of the recent death of a beloved pet. The client’s appeti
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 v# b3 b3 b3 b3
te, sle ep patterns, and daily routine have not changed. How should
b3 b3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b
3 the nurse inter pret the client’s behaviors?
b 3 b 3 b3 b3 b3 b 3
The client’s behaviors demonstrate mental illne
b3 b3 b3 b3 b3
1.
ss in the form of depression.
b3 b3 b3 b3 b3 b3
The client’s behaviors are extensive, which ind
b3 b3 b3 b3 b3 b3
2.
i cates the presence of mental illness.
b3 b3 b3 b3 b3 b3
The client’s behaviors are not congruent with
b3 b3 b3 b3 b3 b3 b3
3.
c ultural norms.
b3 b 3
The client’s behaviors demonstrate no functio n
b3 b3 b3 b3 b3 b3 b
4. 3al impairment, indicating no mental
b3 b3 b3 b3
illness.
2. At what point should the nurse determine that a client is at ri b3 b3 b3 b3 b3 b3 b3 v# b3 b3 b3 b3
sk for developing a mental illness?
b3 b3 b3 b3 b3
When thoughts, feelings, and behaviors a b 3 b 3 b 3 b 3 b 3
1.
re
not reflective of the DSM-5 criteria. b3 b 3 b3 b3 b3
When maladaptive responses to stress are coupl v# b3 b3 v# b3 b3 b
2. ed with interference in daily 3 b3 b3 b3 b3
functioning.
When a client communicates significant b 3 b 3 b 3 b 3
3.
distress.
When a client uses defense mechanisms a b3 b 3 b 3 b 3 b 3 b 3
4.
s
ego protection. b 3
3. A nurse is assessing a set of 15-year- b3 b3 b3 b3 b3 v# b3
old identical twins who respond very differently to stress. One twin becomes anxi
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
ou s and irritable, and the other withdraws and cries. How should the nurse expl
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
ain the se different stress responses to the parents?
b3 b3 b3 b3 b3 b3 b3 b 3
Reactions to stress are relative rather than absol b3 b3 b3 b3 b3 b3 v# b
1. ute; individual responses to stress 3 b3 b3 b3 b3
vary.
PlusBay.Plus
, It is abnormal for identical twins to react diffe
2.
b3 b3 b3 b3 b3 b3 b3 b3
re ntly to similar stressors.
b3 b3 b3 b3
Identical twins should share the same tempera
b3 b3 b3 b3 b3 b3
3.
m ent and respond similarly to stress.
b3 b3 b 3 b 3 b 3 b3
Environmental influences to stress weigh mo
4.
b3 b3 b3 b3 b3
re heavily than genetic influences.
b3 b3 b3 b3 b3
4. Which client should the nurse anticipate to be mo b3 b3 b3 b3 b3 b3 b3 b3
st receptive to psychiatric treatment?
vb 3 b3 b3 b3
1. A Jewish, female social worker. b3 b 3 b 3 b 3
2. A Baptist, homeless male. b3 b 3 b 3
3. A Catholic, black male. b3 b 3 b 3
4. A Protestant, Swedish business executive. b3 b 3 b 3 b 3
5. A psychiatric nurse intern states, “This client’s use of defen
b3 b3 b3 b3 b3 b3 b3 b3 b3
se mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s
b3 b3 b3 b3 b3 b3 b3 b3 v# b3 b3 b3 b
state ment?
3 b3
Defense mechanisms can be appropriate respon b3 b3 b3 b3 b3 b3
1. ses to stress and need not be b3 b3 b3 b3 b3 b3
eliminated.
Defense mechanisms are a maladaptive attem b3 b3 b3 b3 b3 b
2. pt of the ego to manage anxiety and 3 b3 b3 b3 b3 b3 b3 b3
should always be eliminated. b 3 b 3 b 3
Defense mechanisms, used by individuals wit b3 b3 b3 b3 b3 v#
3. h weak ego integrity, should be b 3 b3 b3 b3 b3
discouraged and not eliminated. b 3 b 3 b 3
Defense mechanisms cause disintegration of t
b3 b3 b3 b3 b3 b
4. he ego and should be fostered and
3 b3 b3 b3 b3 b3 b3
encouraged.
6. During an intake assessment, a nurse asks both physiologic
b3 b3 b3 b3 b3 b3 b3 b3
al and psychosocial questions. The client angrily responds, “I’m here for my hear
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
t, no t my head problems.” Which is the nurse’s best response?
b3 b 3 b3 b3 b3 b3 b3 b3 b3 b3 b3
“It is just a routine part of our assessment. All c b3 b3 b3 b3 b3 v# b3 b3 b3 b3
1. lients are asked these same b3 b3 b3 b3 b 3
questions.”
“Why are you concerned about these types of
2.
b3 b3 b3 b3 b3 b3 b3 b3
q uestions?” b3
“Psychological factors, like excessive stress, ha b3 b3 b3 b3 b3 b3
3. ve been found to affect medical b3 b3 v# b3 b3
conditions.”
PlusBay.Plus
, “We can skip these questions, if you like. It i
b3 b3 b3 b3 b3 b3 v# b3 b3
4. sn’t imperative that we complete this
b3 b3 b3 b3 b3 b3
section.”
7. An employee uses the defense mechanism of displacement w
b3 b3 b3 b3 b3 b3 b3 b3
h en the boss openly disagrees with suggestions. What behavior would be expecte
b3 v# b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
d fro m this employee?
b3 b3 b3 b 3
1. The employee assertively confronts the b b 3 b 3 b 3 b 3 b 3
oss.
The employee leaves the staff meeting to w
2.
b3 b3 b3 b3 b3 b3 b3
or k out in the gym. b3 b3 v# v# b3
3. The employee criticizes a coworker. b 3 b 3 b 3 b 3
4. The employee takes the boss out to lunch b 3 b 3 b3 b 3 b 3 b 3 b3
.
8. A fourth- b3
grade boy teases and makes jokes about a cute girl in his class. This behavior sh
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
oul d be identified by a nurse as indicative of which defense mechanism?
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
1. Displacement
2. Projection
3. Reaction formation b 3
4. Sublimation
9. Which nursing statement about the concept of neurosis is most
b 3 b 3 accurate?
b 3 b 3 b 3 b 3 b 3 b 3 b 3
An individual experiencing neurosis is unawa b3 b3 b3 b3 b3 v
1. re that he or she is experiencing b 3 b3 b3 b3 b3 b3 b3
distress.
An individual experiencing neurosis feels h b 3 b 3 b 3 b 3 b3
2.
el pless to change his or her situation. b3 b3 b3 b3 b3 b3 b3
An individual experiencing neurosis is aware b3 b3 b3 b3 b3 b3
3. of the psychological causes of his or b3 b3 b3 b3 b3 b3
her behavior. b3
An individual experiencing neurosis has a lo b3 b3 b3 b3 b3 b3
4.
ss of contact with reality. b3 b3 b3 b3 b3
10. Which nursing b 3 b 3 statement regarding the b 3 b 3 b 3 concept b 3 of psychosis
b 3 b 3 is b 3 most
accurate?
Individuals experiencing psychoses are aware
1.
b3 b3 b 3 b3 b3
t hat their behaviors are maladaptive.
b3 b3 b3 b3 b3
PlusBay.Plus
