, Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
j 7 j 7 j 7 j 7 j7 j7 j 7 j7 j 7
Identical twins should share the same tempera m
3.
j7 j7 j7 j7 j7 j7 j7
ent and respond similarly to stress. j7 j 7 j 7 j 7 j7
Environmental influences to stress weigh m
4.
j7 j7 j7 j7 j7 j7
ore heavily than genetic influences. j7 j7 j7 vs
4. Which client should the nurse anticipate to be mo s
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
t receptive to psychiatric treatment?
j7 j7 j7 j7
1. A Jewish, female social worker. j7 j7 j7 j7
2. A Baptist, homeless male. j7 j7 j 7
3. A Catholic, black male. j7 j7 j7
4. A Protestant, Swedish business executive. j7 j 7 j7 j 7
5. A psychiatric nurse intern states, “This client’s use of defens
j7 j7 j7 j7 j7 j7 j7 j7 j7 v
e mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s
j 7 j7 j7 j7 j7 j7 vs j7 j7 j7 j7 j7 j7 j7
st ate ment?
j7 j7
Defense mechanisms can be appropriate respon s j7 j7 j7 j7 j7 j7
1. es to stress and need not be j7 j7 j7 j7 vs j7
eliminated.
Defense mechanisms are a maladaptive atte j7 j7 j7 vs j7 j7
2. m pt of the ego to manage anxiety and j7 vs j7 j7 j7 j7 j7 j7
should always be eliminated. j 7 j 7 j 7
Defense mechanisms, used by individuals wi j7 j7 j7 j7 j7 j7
3. t h weak ego integrity, should be j7 vs vs j7 j7
discouraged and not eliminated. j7 j 7 j7
Defense mechanisms cause disintegration of j7 j7 j7 j7 j7
4. t he ego and should be fostered and encoura
j7 j7 j7 j7 j7 j7 j7 j7
ged.
6. During an intake assessment, a nurse asks both physiologic
j7 j7 j7 j7 j7 j7 j7 j7 j7
al and psychosocial questions. The client angrily responds, “I’m here for my hea
j7 vs j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
rt
, not my head problems.” Which is the nurse’s best response?
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
“It is just a routine part of our assessment. All j7 j7 j7 bn j7 j7 j7 j7 j7 j7
1. c lients are asked these same j7 j7 j7 j7
questions.”
“Why are you concerned about these
2.
j 7 j 7 j 7 j 7 j 7 j 7
type s of j7 j7
questions?”
“Psychological factors, like excessive stress, ha j7 j7 j7 j7 j7 vsj
3. ve been found to affect medical 7 j7 j7 j7 j7 j7
conditions.”
PlusBay.Plus
, “We can skip these questions, if you like. It i sn’
j7 j7 j7 j7 j7 j7 vs j7 j7 j7 j7
4. t imperative that we complete this
j7 j7 j7 j7 j7
section.”
7. An employee uses the defense mechanism of displacement w
j7 j7 j7 j7 j7 j7 j7 j7 j
7 h en the boss openly disagrees with suggestions. What behavior would be expected fr
j7 vs j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j
7 o m this employee?
j7 vs
1. The employee assertively confronts the j 7 j 7 j 7 j 7 j
b oss 7 j 7
.
The employee leaves the staff meeting to w o
2.
j7 j7 j7 j7 j7 j7 j7 j7
rk out in the gym. j7 j7 j7 j7
3. The employee criticizes a coworker. j 7 j 7 j 7 j 7
4. The employee takes the boss out to j 7 j 7 j 7 j 7 j 7 j 7
lunc h. j 7 j7
8. A fourth- j7
grade boy teases and makes jokes about a cute girl in his class. This behavior sh o
j7 j7 j7 j7 j7 j7 vs j7 j7 j7 j7 j7 j7 j7 j7 j 7 j
ul d be identified by a nurse as indicative of which defense mechanism?
7 j 7 j 7 j7 j 7 j7 j 7 j 7 j7 j 7 j 7 j 7 j7
1. Displacement
2. Projection
3. Reaction formation j 7
4. Sublimation
9. Which j 7 nursing j 7 statement about j 7 is most
j 7 the j 7 concept j 7 of j 7 neurosis j 7 j 7
accurate?
An individual experiencing neurosis is unaw
j7 j7 j7 j7 j7 j7
1. a re that he or she is experiencing
j7 j7 j7 j7 j7 j7 j7
distress.
An individual experiencing neurosis feels
2.
j 7 j 7 j 7 j 7 j7
he l pless to change his or her situation.
j 7 j7 j7 j7 j7 j7 j7 j7
An individual experiencing neurosis is aware o
j7 j7 j7 j7 vs j7 j7
3. f the psychological causes of his or
j7 j7 j7 j7 j7 j7
her behavior. j 7
An individual experiencing neurosis has a l o
j7 j7 j7 j7 j7 j7 j7 j7
4.
ss of contact with reality.
j7 j7 j7 j7
10. Which j 7 nursing statement regarding the concept of j 7 j 7 psychosis is most
accurate?
Individuals experiencing psychoses are aware t
1.
j7 j7 j 7 j7 j7 j
7hat their behaviors are maladaptive.
j7 j7 j7 j7
PlusBay.Plus
, Individuals experiencing psychoses experie
2.
j 7 j 7 j7
n ce little distress.
j7
Individuals experiencing psychoses are awar j7 j7 j7 j7 j
3. 7e of experiencing psychological
j7 j7
problems.
Individuals experiencing psychoses are based i j7 j7 j 7 j7 j7 j
4.
n reality.
7 j7
11. When under stress, a client routinely uses alcohol to exce j 7 j 7 j 7 j 7 j 7 j 7 j 7 j 7 j 7
ss. Fi nding her drunk, her husband yells at the client about her chronic alcohol abuse.
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
Whic h action alerts the nurse to the client’s use of the defense mechanism of
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
deni a j7
l?
1. The client hides liquor bottles in a c j 7 j 7 j 7 j 7 j 7 j 7 j 7
loset.
The client yells at her son for slouching in his ch
2.
j7 j7 j7 vs j7 j7 j7 j7 j7 j7 j7
air.
3. The client burns dinner on purpose. j 7 j 7 j 7 j 7 j 7
The client says to the spouse, “I don’t drink t
4.
j7 j7 j7 j7 j7 j7 j7 j7 j7
oo much!” j7
12. Devastated by a divorce from an abusive husband, a w j7 j7 j7 j7 j7 j7 j7 j7 j7 j 7
i f e completes grief counseling. Which statement by the wife should indicate
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 vs
to a j7 j7
nurse that the client is in the acceptance stage of grief?
j7 j 7 j 7 j7 j 7 j7 j 7 j 7 j 7 j 7
“If only we could have tried again, things m igh
1.
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
t have worked out.” j7 j7 j7
“I am so mad that the children and I had to p j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
2.
vs
ut up with him as long as we did.” j7 vs j7 j7 j7 j7 j7 j7
“Yes, it was a difficult relationship, but I th
3.
j7 j 7 j7 j7 j7 j7 j7 j7
i nk I have learned from the experience.” j7 j7 j7 j7 j7 j7 j7
“I still don’t have any appetite and continue to l
4.
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
ose weight.” j7
13. A nurse is performing a mental health assessment on an adult client. A
j7 j7 j7 j7 vs j7 j7 j7 j7 j7 vs j 7
c cording to Maslow’s hierarchy of needs, which client action would demonstrate the hi
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
g h est achievement in terms of mental health?
j7 j7 vs j7 j7 j7 j7 j7
Maintaining a long- j7 j 7
1.
term, faithful, intimate relationship j 7 j7 j7
2. Achieving a sense of self-confidence j 7 j7 j7 j 7
Possessing a feeling of self- j 7 j 7 j 7 j 7
3.
fulfillment and realizing full potential j7 vs j7 j7
Developing a sense of purpose and the ability t
4.
vs j7 j7 j7 j7 j7 j7 j7 j7
o direct activities j7 j7
PlusBay.Plus
j 7 j 7 j 7 j 7 j7 j7 j 7 j7 j 7
Identical twins should share the same tempera m
3.
j7 j7 j7 j7 j7 j7 j7
ent and respond similarly to stress. j7 j 7 j 7 j 7 j7
Environmental influences to stress weigh m
4.
j7 j7 j7 j7 j7 j7
ore heavily than genetic influences. j7 j7 j7 vs
4. Which client should the nurse anticipate to be mo s
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
t receptive to psychiatric treatment?
j7 j7 j7 j7
1. A Jewish, female social worker. j7 j7 j7 j7
2. A Baptist, homeless male. j7 j7 j 7
3. A Catholic, black male. j7 j7 j7
4. A Protestant, Swedish business executive. j7 j 7 j7 j 7
5. A psychiatric nurse intern states, “This client’s use of defens
j7 j7 j7 j7 j7 j7 j7 j7 j7 v
e mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s
j 7 j7 j7 j7 j7 j7 vs j7 j7 j7 j7 j7 j7 j7
st ate ment?
j7 j7
Defense mechanisms can be appropriate respon s j7 j7 j7 j7 j7 j7
1. es to stress and need not be j7 j7 j7 j7 vs j7
eliminated.
Defense mechanisms are a maladaptive atte j7 j7 j7 vs j7 j7
2. m pt of the ego to manage anxiety and j7 vs j7 j7 j7 j7 j7 j7
should always be eliminated. j 7 j 7 j 7
Defense mechanisms, used by individuals wi j7 j7 j7 j7 j7 j7
3. t h weak ego integrity, should be j7 vs vs j7 j7
discouraged and not eliminated. j7 j 7 j7
Defense mechanisms cause disintegration of j7 j7 j7 j7 j7
4. t he ego and should be fostered and encoura
j7 j7 j7 j7 j7 j7 j7 j7
ged.
6. During an intake assessment, a nurse asks both physiologic
j7 j7 j7 j7 j7 j7 j7 j7 j7
al and psychosocial questions. The client angrily responds, “I’m here for my hea
j7 vs j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
rt
, not my head problems.” Which is the nurse’s best response?
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
“It is just a routine part of our assessment. All j7 j7 j7 bn j7 j7 j7 j7 j7 j7
1. c lients are asked these same j7 j7 j7 j7
questions.”
“Why are you concerned about these
2.
j 7 j 7 j 7 j 7 j 7 j 7
type s of j7 j7
questions?”
“Psychological factors, like excessive stress, ha j7 j7 j7 j7 j7 vsj
3. ve been found to affect medical 7 j7 j7 j7 j7 j7
conditions.”
PlusBay.Plus
, “We can skip these questions, if you like. It i sn’
j7 j7 j7 j7 j7 j7 vs j7 j7 j7 j7
4. t imperative that we complete this
j7 j7 j7 j7 j7
section.”
7. An employee uses the defense mechanism of displacement w
j7 j7 j7 j7 j7 j7 j7 j7 j
7 h en the boss openly disagrees with suggestions. What behavior would be expected fr
j7 vs j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j
7 o m this employee?
j7 vs
1. The employee assertively confronts the j 7 j 7 j 7 j 7 j
b oss 7 j 7
.
The employee leaves the staff meeting to w o
2.
j7 j7 j7 j7 j7 j7 j7 j7
rk out in the gym. j7 j7 j7 j7
3. The employee criticizes a coworker. j 7 j 7 j 7 j 7
4. The employee takes the boss out to j 7 j 7 j 7 j 7 j 7 j 7
lunc h. j 7 j7
8. A fourth- j7
grade boy teases and makes jokes about a cute girl in his class. This behavior sh o
j7 j7 j7 j7 j7 j7 vs j7 j7 j7 j7 j7 j7 j7 j7 j 7 j
ul d be identified by a nurse as indicative of which defense mechanism?
7 j 7 j 7 j7 j 7 j7 j 7 j 7 j7 j 7 j 7 j 7 j7
1. Displacement
2. Projection
3. Reaction formation j 7
4. Sublimation
9. Which j 7 nursing j 7 statement about j 7 is most
j 7 the j 7 concept j 7 of j 7 neurosis j 7 j 7
accurate?
An individual experiencing neurosis is unaw
j7 j7 j7 j7 j7 j7
1. a re that he or she is experiencing
j7 j7 j7 j7 j7 j7 j7
distress.
An individual experiencing neurosis feels
2.
j 7 j 7 j 7 j 7 j7
he l pless to change his or her situation.
j 7 j7 j7 j7 j7 j7 j7 j7
An individual experiencing neurosis is aware o
j7 j7 j7 j7 vs j7 j7
3. f the psychological causes of his or
j7 j7 j7 j7 j7 j7
her behavior. j 7
An individual experiencing neurosis has a l o
j7 j7 j7 j7 j7 j7 j7 j7
4.
ss of contact with reality.
j7 j7 j7 j7
10. Which j 7 nursing statement regarding the concept of j 7 j 7 psychosis is most
accurate?
Individuals experiencing psychoses are aware t
1.
j7 j7 j 7 j7 j7 j
7hat their behaviors are maladaptive.
j7 j7 j7 j7
PlusBay.Plus
, Individuals experiencing psychoses experie
2.
j 7 j 7 j7
n ce little distress.
j7
Individuals experiencing psychoses are awar j7 j7 j7 j7 j
3. 7e of experiencing psychological
j7 j7
problems.
Individuals experiencing psychoses are based i j7 j7 j 7 j7 j7 j
4.
n reality.
7 j7
11. When under stress, a client routinely uses alcohol to exce j 7 j 7 j 7 j 7 j 7 j 7 j 7 j 7 j 7
ss. Fi nding her drunk, her husband yells at the client about her chronic alcohol abuse.
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
Whic h action alerts the nurse to the client’s use of the defense mechanism of
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
deni a j7
l?
1. The client hides liquor bottles in a c j 7 j 7 j 7 j 7 j 7 j 7 j 7
loset.
The client yells at her son for slouching in his ch
2.
j7 j7 j7 vs j7 j7 j7 j7 j7 j7 j7
air.
3. The client burns dinner on purpose. j 7 j 7 j 7 j 7 j 7
The client says to the spouse, “I don’t drink t
4.
j7 j7 j7 j7 j7 j7 j7 j7 j7
oo much!” j7
12. Devastated by a divorce from an abusive husband, a w j7 j7 j7 j7 j7 j7 j7 j7 j7 j 7
i f e completes grief counseling. Which statement by the wife should indicate
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 vs
to a j7 j7
nurse that the client is in the acceptance stage of grief?
j7 j 7 j 7 j7 j 7 j7 j 7 j 7 j 7 j 7
“If only we could have tried again, things m igh
1.
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
t have worked out.” j7 j7 j7
“I am so mad that the children and I had to p j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
2.
vs
ut up with him as long as we did.” j7 vs j7 j7 j7 j7 j7 j7
“Yes, it was a difficult relationship, but I th
3.
j7 j 7 j7 j7 j7 j7 j7 j7
i nk I have learned from the experience.” j7 j7 j7 j7 j7 j7 j7
“I still don’t have any appetite and continue to l
4.
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
ose weight.” j7
13. A nurse is performing a mental health assessment on an adult client. A
j7 j7 j7 j7 vs j7 j7 j7 j7 j7 vs j 7
c cording to Maslow’s hierarchy of needs, which client action would demonstrate the hi
j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7
g h est achievement in terms of mental health?
j7 j7 vs j7 j7 j7 j7 j7
Maintaining a long- j7 j 7
1.
term, faithful, intimate relationship j 7 j7 j7
2. Achieving a sense of self-confidence j 7 j7 j7 j 7
Possessing a feeling of self- j 7 j 7 j 7 j 7
3.
fulfillment and realizing full potential j7 vs j7 j7
Developing a sense of purpose and the ability t
4.
vs j7 j7 j7 j7 j7 j7 j7 j7
o direct activities j7 j7
PlusBay.Plus
