PlusBay.Plus
, Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
b 3 b 3 b 3 b 3 b3 b 3 b 3 b3 b 3
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
b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 question.
1. A nurse is assessing a client who is experiencing occasional
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
f e elings of sadness because of the recent death of a beloved pet. The c
b3 b3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3
lient’s app etit e, sleep patterns, and daily routine have not changed.
b 3 b3 b3 b3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3
How should the nu rse i nterpret the client’s behaviors?
b 3 b 3 b 3 b3 b 3 b3 qx b3 b 3
The client’s behaviors demonstrate mental
b 3 b 3 b 3 b 3 b
1.
3ill ness in the form of depression.
b3 b 3 b 3 b 3 b 3 b 3
The client’s behaviors are extensive, whi
2.
b 3 b 3 b 3 b 3 b 3
ch i ndicates the presence of mental illn
b3 b3 b 3 b 3 b 3 b 3 b 3
ess.
The client’s behaviors are not congruent
b 3 b 3 b 3 b 3 b 3 b
3.
3 wi th cultural norms.
b3 b3 b 3
The client’s behaviors demonstrate no functi o
b3 b3 b3 b3 b3 b3
4. n al impairment, indicating no mental
b3 b3 b3 b3 b3
illness.
2. At what point should the nurse determine that a client is at
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
b3 ri sk for developing a mental illness?
b3 b3 b3 b3 b3 b3
When thoughts, feelings, and behaviors b 3 b 3 b 3 b 3
1.
are b 3
not reflective of the DSM-5 criteria. b 3 b 3 b 3 b 3 b 3
When maladaptive responses to stress are cou qx b3 b3 b3 b3 b3 b3
2. p led with interference in daily b3 b3 b3 b3 qx
functioning.
PlusBay.Plus
, When a client communicates b 3 b 3 b 3 b 3 significant
3.
distress.
When a client uses defense b 3 b 3 b 3 b 3 b 3 mechanis
4.
ms as b 3
ego protection. b 3
3. A nurse is assessing a set of 15-year-
b3 b 3 b 3 b 3 b 3 b 3 b 3
old identical twins who respond very differently to stress. One twin becomes anx
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
io us and irritable, and the other withdraws and cries. How should the
b3 b3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 qx b 3 b 3 b 3 b 3
nurse expl a in these different stress responses to the parents?
b 3 b3 b3 b3 b3 b3 b3 b3 b3 b 3
Reactions to stress are relative rather than abs b3 b3 b3 b3 b3 b3 b3 b3
1. o lute; individual responses to stress b3 b3 b3 b3 b3
vary.
It is abnormal for identical twins to rea
2.
b 3 b 3 b 3 b 3 b 3 b 3 b 3
ct d ifferently to similar stressors. b3 b3 b 3 b 3 b 3
Identical twins should share the same te b 3 b 3 b 3 b 3 b 3 b3
3.
mp erament and respond similarly to st b3 b 3 b 3 b 3 b 3 b 3
ress.
Environmental influences to stress weigh
4.
b 3 b 3 b 3 b 3 b3
more heavily than genetic influences. b 3 b 3 b 3 b 3
4. Which client should the nurse anticipate to be b3 b3 b3 b3 b3 b3 b3 b3
mo st receptive to psychiatric treatment?
b3 b3 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 executiv b3 b 3 b 3 b 3
e.
5. A psychiatric nurse intern states, “This client’s use of def
b3 b 3 b3 b3 b3 b3 b3 b3 b 3
ens e mechanisms should be eliminated.” Which is a correct evaluation of this n
b3 b3 b3 b3 b3 b3 b3 qx b3 qx b3 b3 b3
urse’s q
statement?
Defense mechanisms can be appropriate respo b3 b3 b3 b3 b3
1. nses to stress and need not be b3 b3 b3 b3 b3 b3 b3
eliminated.
Defense mechanisms are a maladaptive atte b3 b3 b3 b3 b3
2. mpt of the ego to manage anxiety and b3 b3 b3 b3 b3 b3 b3 b3
should always be eliminated. b 3 b 3 b 3
PlusBay.Plus
, Defense mechanisms, used by individuals
b3 b3 qx b3 b3
3. w ith weak ego integrity, should
b3 b3 qx b3 be b3
discouraged and not eliminated.
b 3 b 3 b 3
Defense mechanisms cause disintegration of t
b3 b3 b3 b3 b3
4. h e ego and should be fostered and
b3 b3 b3 b3 b3 b3 b3
encouraged.
PlusBay.Plus
, Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
b 3 b 3 b 3 b 3 b3 b 3 b 3 b3 b 3
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
b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 question.
1. A nurse is assessing a client who is experiencing occasional
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
f e elings of sadness because of the recent death of a beloved pet. The c
b3 b3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3
lient’s app etit e, sleep patterns, and daily routine have not changed.
b 3 b3 b3 b3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 b 3
How should the nu rse i nterpret the client’s behaviors?
b 3 b 3 b 3 b3 b 3 b3 qx b3 b 3
The client’s behaviors demonstrate mental
b 3 b 3 b 3 b 3 b
1.
3ill ness in the form of depression.
b3 b 3 b 3 b 3 b 3 b 3
The client’s behaviors are extensive, whi
2.
b 3 b 3 b 3 b 3 b 3
ch i ndicates the presence of mental illn
b3 b3 b 3 b 3 b 3 b 3 b 3
ess.
The client’s behaviors are not congruent
b 3 b 3 b 3 b 3 b 3 b
3.
3 wi th cultural norms.
b3 b3 b 3
The client’s behaviors demonstrate no functi o
b3 b3 b3 b3 b3 b3
4. n al impairment, indicating no mental
b3 b3 b3 b3 b3
illness.
2. At what point should the nurse determine that a client is at
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
b3 ri sk for developing a mental illness?
b3 b3 b3 b3 b3 b3
When thoughts, feelings, and behaviors b 3 b 3 b 3 b 3
1.
are b 3
not reflective of the DSM-5 criteria. b 3 b 3 b 3 b 3 b 3
When maladaptive responses to stress are cou qx b3 b3 b3 b3 b3 b3
2. p led with interference in daily b3 b3 b3 b3 qx
functioning.
PlusBay.Plus
, When a client communicates b 3 b 3 b 3 b 3 significant
3.
distress.
When a client uses defense b 3 b 3 b 3 b 3 b 3 mechanis
4.
ms as b 3
ego protection. b 3
3. A nurse is assessing a set of 15-year-
b3 b 3 b 3 b 3 b 3 b 3 b 3
old identical twins who respond very differently to stress. One twin becomes anx
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
io us and irritable, and the other withdraws and cries. How should the
b3 b3 b 3 b 3 b 3 b 3 b 3 b 3 b 3 qx b 3 b 3 b 3 b 3
nurse expl a in these different stress responses to the parents?
b 3 b3 b3 b3 b3 b3 b3 b3 b3 b 3
Reactions to stress are relative rather than abs b3 b3 b3 b3 b3 b3 b3 b3
1. o lute; individual responses to stress b3 b3 b3 b3 b3
vary.
It is abnormal for identical twins to rea
2.
b 3 b 3 b 3 b 3 b 3 b 3 b 3
ct d ifferently to similar stressors. b3 b3 b 3 b 3 b 3
Identical twins should share the same te b 3 b 3 b 3 b 3 b 3 b3
3.
mp erament and respond similarly to st b3 b 3 b 3 b 3 b 3 b 3
ress.
Environmental influences to stress weigh
4.
b 3 b 3 b 3 b 3 b3
more heavily than genetic influences. b 3 b 3 b 3 b 3
4. Which client should the nurse anticipate to be b3 b3 b3 b3 b3 b3 b3 b3
mo st receptive to psychiatric treatment?
b3 b3 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 executiv b3 b 3 b 3 b 3
e.
5. A psychiatric nurse intern states, “This client’s use of def
b3 b 3 b3 b3 b3 b3 b3 b3 b 3
ens e mechanisms should be eliminated.” Which is a correct evaluation of this n
b3 b3 b3 b3 b3 b3 b3 qx b3 qx b3 b3 b3
urse’s q
statement?
Defense mechanisms can be appropriate respo b3 b3 b3 b3 b3
1. nses to stress and need not be b3 b3 b3 b3 b3 b3 b3
eliminated.
Defense mechanisms are a maladaptive atte b3 b3 b3 b3 b3
2. mpt of the ego to manage anxiety and b3 b3 b3 b3 b3 b3 b3 b3
should always be eliminated. b 3 b 3 b 3
PlusBay.Plus
, Defense mechanisms, used by individuals
b3 b3 qx b3 b3
3. w ith weak ego integrity, should
b3 b3 qx b3 be b3
discouraged and not eliminated.
b 3 b 3 b 3
Defense mechanisms cause disintegration of t
b3 b3 b3 b3 b3
4. h e ego and should be fostered and
b3 b3 b3 b3 b3 b3 b3
encouraged.
PlusBay.Plus
